Abdominal Surgery
Conditions
Brief summary
Study Title: The Effect of Hot Water Pack Application to the Lumbar Region on Gastrointestinal Motility in Postoperative Abdominal Surgery Patients Study Type: Interventional (Randomized Controlled Trial) Study Design: Allocation: Randomized Intervention Model: Parallel Assignment Masking: Single-blind (Outcome Assessor) Primary Purpose: Supportive Care Condition: Postoperative Gastrointestinal Motility in Abdominal Surgery Patients Interventions: Experimental: Hot Water Pack Application Intervention: Application of a hot water pack (heated to 40-42°C) to the lumbar region for 20 minutes, three times a day, in the first 48 postoperative hours. Purpose: To evaluate its effect on gastrointestinal motility and postoperative recovery. Control: Routine Care Intervention: Standard postoperative care without hot water pack application. Primary Outcome Measures: Time to First Postoperative Gas (Hours) \[Time Frame: Up to 72 hours\] Time to First Postoperative Stool (Hours) \[Time Frame: Up to 72 hours\] Time to Initiation of Oral Intake (Hours) \[Time Frame: Up to 72 hours\] Secondary Outcome Measures: Incidence of Postoperative Nausea and Vomiting (PONV) \[Time Frame: Up to 72 hours\] Severity of Abdominal Distension \[Time Frame: Up to 72 hours\] Quality of Recovery-15 (QoR-15) Scale Score \[Time Frame: Postoperative Days 1 and 3\] Gastrointestinal Symptom Rating Scale (GSRS) Score \[Time Frame: Postoperative Days 1 and 3\] Eligibility Criteria: Inclusion Criteria: Abdominal surgery in the general surgery ward Age ≥ 18 years BMI between 18.50-24.99 kg/m² Able to communicate verbally Conscious, oriented, and willing to participate Exclusion Criteria: Previous gastrointestinal surgery Postoperative complications History of small bowel resection, ileostomy, or colostomy History of inflammatory bowel disease, emergency surgery, neoadjuvant therapy, appendectomy Chronic opioid use Chronic constipation (≤ 2 bowel movements per week) Abdominal radiotherapy ICU admission or postoperative bleeding Estimated Enrollment: 80 participants (40 intervention, 40 control)
Detailed description
This study is a randomized controlled experimental design aimed at evaluating the effect of hot water pack application to the lumbar region on gastrointestinal motility (time to first postoperative gas, first stool, and initiation of oral intake) in patients undergoing abdominal surgery. The study will be conducted in the postoperative period. Participants The study will include patients who undergo abdominal surgery in the general surgery ward. Participants will be randomly assigned to one of two groups: Intervention Group (Hot Water Pack Application) Control Group (Routine Care) Interventions Intervention Group (Hot Water Pack Application): Procedure: A hot water pack will be applied to the lumbar region for 20 minutes, three times a day during the first 48 postoperative hours. The hot water packs will be heated to a temperature of 40-42°C. Purpose: To assess its effect on postoperative gastrointestinal motility (e.g., first gas, first stool, initiation of oral intake). Control Group (Routine Care): Procedure: Participants will receive standard postoperative care, which includes usual practices for abdominal surgery recovery without hot water pack application.
Interventions
OTHERHot Water Pack Application
A hot water pack heated to 40-42°C will be applied to the lumbar region of the patient for 20 minutes at three intervals per day during the first 48 hours post-surgery.
Sponsors
Kirsehir Ahi Evran Universitesi
TC Erciyes University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
Yes
Inclusion criteria
18 years of age or older Undergoing elective surgery ASA I and III (American Society of Anesthesiologists physical status classification) In the postoperative period, pulse, blood pressure, and body temperature within normal limits Patients without previous gastrointestinal system surgery
Exclusion criteria
Previous gastrointestinal tract surgery Complications in the postoperative period History of small bowel resection and ileostomy or colostomy History of inflammatory bowel diseases, emergency surgery, neoadjuvant therapy, appendectomy surgery Chronic opioid use Experiencing chronic constipation (≤ 2 bowel movements per week) Receiving abdominal radiotherapy Patients admitted to intensive care unit and patients with bleeding
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| bowel motility | postoperative 1-3 day | Gastrointestinal Symptom Rating Scale (GSRS) - Scale Scores The Gastrointestinal Symptom Rating Scale (GSRS) is a validated tool used to assess the severity of gastrointestinal (GI) symptoms. It consists of 15 items, each scored on a 7-point Likert scale (1 = no discomfort, 7 = severe discomfort). Scoring Interpretation: Total Score Range: 15 to 105 (higher scores indicate worse GI symptoms). Mean score calculation: Total score is divided by the number of items (15) to determine the severity of symptoms. GSRS Subdimensions: The GSRS evaluates five symptom clusters: Reflux (2 items) → Heartburn, regurgitation Abdominal pain (3 items) → Stomach pain, hunger pain, nausea Indigestion (4 items) → Bloating, burping, early satiety, stomach rumbling Diarrhea (3 items) → Loose stools, urgency, frequency Constipation (3 items) → Hard stools, straining, incomplete evacuation Interpretation of Scores: 15 - 30 → Mild symptoms 31 - 60 → Moderate symptoms 61 - 105 → Severe symptoms |
Contacts
Primary ContactDilek TALHAOĞLU, assistant professor
Backup ContactGülseren Maraş Baydoğan
Outcome results
None listed