Abdominal Surgery, Constipation, Postoperative Constipation
Conditions
Keywords
Postoperative Constipation, Abdominal Surgery, Abdominal Effleurage, Non-Pharmacological Intervention
Brief summary
This randomized controlled study aims to evaluate the effect of preoperative abdominal superficial effleurage training on the development of postoperative constipation in patients undergoing abdominal surgery. Participants will be randomly assigned to an intervention group receiving abdominal superficial effleurage training in addition to routine care or to a control group receiving routine care only. The effleurage technique will be taught preoperatively and performed by patients postoperatively. Postoperative constipation will be assessed on the 10th postoperative day using the Bristol Stool Form Scale. The findings of this study are expected to contribute to non-pharmacological nursing interventions for the prevention of postoperative constipation.
Detailed description
Postoperative constipation is a common complication following abdominal surgery and may negatively affect patient comfort, recovery, and quality of life. Non-pharmacological nursing interventions that support bowel motility are therefore of increasing interest in perioperative care. Abdominal superficial effleurage is a gentle massage technique applied to the abdominal surface and is thought to stimulate intestinal peristalsis and promote bowel function. This prospective, randomized controlled study will be conducted with patients scheduled to undergo abdominal surgery. A total of 42 patients will be randomly assigned to either the intervention group (n=21) or the control group (n=21) using a computer-generated randomization method. Patients in the intervention group will receive preoperative training on abdominal superficial effleurage in addition to routine clinical care, while patients in the control group will receive routine clinical care only. To minimize interaction between groups, data from the control group will be collected prior to the intervention group. Abdominal superficial effleurage will be taught during the preoperative period and performed by patients postoperatively. The technique involves gentle stroking movements starting from the right upper quadrant of the abdomen and progressing toward the left lower quadrant. Each session will last approximately five minutes and will be performed one to three times daily during periods when the patient is not experiencing pain. Postoperative constipation will be evaluated on the 10th postoperative day through a telephone interview using the Bristol Stool Form Scale. Study data will be analyzed using appropriate descriptive and inferential statistical methods.
Interventions
BEHAVIORALAbdominal Superficial Effleurage Training
Abdominal superficial effleurage is a gentle abdominal massage technique involving stroking movements from the right upper quadrant toward the left lower quadrant of the abdomen. Participants will be trained preoperatively to perform the technique, which will take approximately five minutes per session and will be performed one to three times daily postoperatively during pain-free periods.
Sponsors
Ege University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Intervention model description
Participants will be randomly assigned to either an intervention group receiving preoperative abdominal superficial effleurage training in addition to routine care or a control group receiving routine care only.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients scheduled to undergo abdominal surgery * Patients who are able to communicate verbally * Patients who agree to participate in the study and provide written informed consent
Exclusion criteria
* Patients with preoperative constipation * Patients with known gastrointestinal diseases affecting bowel motility * Patients who are unable to perform abdominal superficial effleurage * Patients with cognitive impairment or communication difficulties * Patients who refuse to participate in the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative Constipation | 10 days postoperatively | Postoperative constipation will be assessed using the Bristol Stool Form Scale through a telephone interview conducted on the 10th postoperative day. Stool types 1 and 2 will be considered indicative of constipation. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Stool Consistency | 10 days postoperatively | Stool consistency will be evaluated using the Bristol Stool Form Scale (BSFS), a 7-point validated scale ranging from Type 1 (separate hard lumps, indicating severe constipation) to Type 7 (watery, no solid pieces, indicating severe diarrhea). Higher scores indicate looser stool consistency and a tendency toward diarrhea. |
Countries
Turkey (Türkiye)
Contacts
PRINCIPAL_INVESTIGATORMehmet Ozkeskin, PhD
Ege University
Outcome results
None listed