Hip Fracture Surgeries
Conditions
Brief summary
There is a need for studies investigating the effects of abdominal massage and warm water consumption on the development of postoperative constipation and quality of recovery in patients who have undergone hip fracture surgery. The aim of the study is to investigate the effects of abdominal massage and warm water consumption on the development of postoperative constipation quality of recovery in patients who have undergone hip fracture surgery. The study will be conducted as a prospective, parallel, three-group (1:1:1) randomized controlled trial to determine the effect of abdominal massage alone versus standard care in preventing the development of postoperative constipation in patients who underwent surgery for hip fracture. The following instruments will be used to collect study data: "Patient Demographic Information Form", "Constipation Risk Assessment Scale" for determining the constipation risk group and for randomization, "Bristol Stool Scale" for determining the type of constipation, "Constipation Assessment Scale" for determining the severity of constipation, and "Quality of Recovery-40 Questionnaire". For data analysis, parametric (Independent Samples T-Test, ANOVA) or non-parametric tests (Mann-Whitney U, Kruskal-Wallis H) will be used for pairwise and multiple group comparisons, depending on the distribution of the data. The Chi-Square test will be used for categorical data, and logistic regression analysis will be performed to determine the effect of continuous variables obtained from constipation development status and patient follow-up on the development or absence of constipation.
Interventions
BEHAVIORALABDOMINAL MASSAGE AND WARM WATER CONSUMPTION
The effect of abdominal massage and warm water consumptione on postoperative constipation.
OTHERabdominal massage
abdominal massage on postoperative constipation.
OTHERControl (Standard treatment)
standart protocol on the development of postoperative constipation
Sponsors
Hacettepe University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Being 18 years of age or older * Agreeing to participate in the study * Undergoing open surgical treatment due to a hip fracture classified as 31A, 31B, or 31C according to the AO/OTA classification * Initiation of postoperative oral feeding
Exclusion criteria
* Communication problems (speech and hearing impairments) * Neurological and psychiatric problems such as Alzheimer's or dementia * Problems preventing abdominal massage (surgery, wound site) * Regular laxative use before surgery * Previous colon surgery - physiological and structural abnormalities in the anal region that may hinder bowel movements * Use of medications that reduce bowel motility before surgery (antipsychotics, antidepressants, etc.) * Diagnosis of chronic constipation made by a physician before surgery * Difficulty transitioning to oral feeding and inability to eat orally * Multiple traumas affecting mobilization in addition to a hip fracture * Surgery for hip fracture performed using a minimally invasive method
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| constipation risk assessment | baseline (day 0) | The following instruments will be used to collect study data: "Constipation Risk Assessment Scale" for determining the constipation risk group and for randomization. The overall score is categorized into three constipation risk groups: 1 through 10 refers to "low risk"; a score between 11 and 15 refers to "moderate risk"; and 16 and over indicates "high risk". Higher scores indicating more severe constipation risk factors. |
| Occurrence of postoperative constipation | Postoperative Days 1-15 | Postoperative constipation development will assessed based on the absence of bowel movement for ≥3 consecutive postoperative days. Higher frequency indicates greater occurrence of postoperative constipation. Participants meeting criteria (Yes/No) |
| Postoperative Constipation Severity | postoperative daily from Day 1 to Day 15" | Postoperative constipation severity will assessed using the Constipation Severity Scale, which ranges from 0 to 16, with higher scores indicating more severe constipation. |
| classify faeces | Postoperative Days 1-15 | Postoperative stool type will be assessed using the Bristol Stool Scale, which ranges from 1 to 7. Type 1-2 indicate constipation, type 3-4 are ideal stools as they are easier to pass, and type 5-7 may indicate diarrhoea and urgency. A low score indicates constipation. The assessment will performed at each defecation during the postoperative period |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| quality of recovery | postoperative day 15 | Quality of life was assessed using the Quality of Recovery-40 Questionnaire, which ranges from 40-200, with higher scores indicating better recovery of life. |
Contacts
CONTACTmelek sarı, PhD Candidate
CONTACTZeliha Özdemir Köken, Doçent Dr
Outcome results
None listed