Abdominal Pain, Post-Colonoscopy Nausea and Vomiting
Conditions
Keywords
vomiting, colonoscopy, nausea, abdominal massage, gum chewing, abdominal pain
Brief summary
This study is planned with a randomized controlled experimental design to determine the effects of chewing exercises during the pre-colonoscopy preparation process and abdominal massage applied after the procedure on abdominal pain and nausea symptoms.
Detailed description
The research population consists of patients applying to the Surgical Endoscopy Unit of a Training and Research Hospital for a colonoscopy. The sample will consist of individuals who agree to participate and meet the inclusion criteria. The study will be composed of two different groups: an experimental group and a control group. Group assignment will be determined by a randomized lottery method conducted by an independent observer. Patients in the experimental group will be instructed to perform chewing movements a day before the procedure during bowel preparation, as chewing is known to increase saliva flow rate via the oropharyngeal mechanism. The educational information provided to the chewing exercise group will be based on the "Oral-Motor Exercises Brochure" published by the Ministry of Health. Participants will be asked to perform the specified exercises at least 2-3 times for a duration of 25-30 minutes the day before. Chewing is a recommended practice for generating saliva, relaxing gastric juice, and stimulating intestinal movements; thus, it is planned to alleviate the individual's post-colonoscopy gastrointestinal problems.
Interventions
OTHERAbdominal massage and chewing egzersize
Arm Description: Patients in the experimental group will be instructed to perform chewing movements a day before the procedure during bowel preparation, as chewing is known to increase saliva flow rate via the oropharyngeal mechanism. Abdominal massage is a non-invasive, easy-to-apply method with no side effects, performed by nurses to reduce abdominal distension after colonoscopy. The researcher will apply it for 3-5 minutes when the patient is taken to the post-op recovery room after the procedure.
Sponsors
Sakarya University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Subject)
Intervention model description
Patients in the experimental group will be instructed to perform chewing movements a day before the procedure during bowel preparation, as chewing is known to increase saliva flow rate via the oropharyngeal mechanism. The educational information provided to the chewing exercise group will be based on the "Oral-Motor Exercises Brochure" published by the Ministry of Health. Participants will be asked to perform the specified exercises at least 2-3 times for a duration of 25-30 minutes the day before. Chewing is a recommended practice for generating saliva, relaxing gastric juice, and stimulating intestinal movements; thus, it is planned to alleviate the individual's post-colonoscopy gastrointestinal problems. Abdominal massage is a non-invasive, easy-to-apply method with no side effects, performed by nurses to reduce abdominal distension after colonoscopy. The researcher will apply it for 3-5 minutes when the patient is taken to the post-op recovery room after the procedure. Vital signs,
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Aged 18 years and older * Conscious oriented cooperative and open to communication * Literate in Turkish
Exclusion criteria
* Under 18 years old -Malignancy * Inadequate bowel cleaning * Pregnancy or suspected pregnancy * Mental disability or history of mental disorders * Receiving psychiatric treatment or using anxiolytic medications * History of prior bowel surgery * Nausea and vomiting complaints due to other diseases such as migraine
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Blood pressure measument | 4 months | To measure blood pressure, the systolic and diastolic values are combined and expressed in mm/Hg. |
| Oxygen saturation | 4 months | Oxygen saturation will be expressed as a percentage. |
| Pulse | 4 months | The pulse rate will be measured and recorded as the number of heartbeats per minute. |
| Pain assessment | 4 months | Pain levels will be assessed on a scale from 0 to 10, where "0" indicates no pain and "10" indicates very severe pain. |
| Presence of Nausea Before and After Colonoscopy (yes/no) | 4 months | Nausea will be assessed based on participant self-report and recorded as a dichotomous outcome (present/absent) using the study data collection form. The presence or absence of nausea will be evaluated at three time points: before colonoscopy, after colonoscopy, and before discharge. |
| Presence of Vomiting Before and After Colonoscopy (yes/no) | 4 months | Vomiting will be assessed based on participant self-report and/or direct observation and recorded as a dichotomous outcome (present/absent) using the study data collection form. The presence or absence of vomiting will be evaluated at three time points: before colonoscopy, after colonoscopy, and before discharge. |
Countries
Turkey (Türkiye)
Contacts
STUDY_DIRECTORÖzlem Doğu, PhD
Sakarya University
Outcome results
None listed