Effect of Abdominal Massage on Bowel Evacuation After Cranial Surgery

Mersin University80 enrolled

Overview

Many factors in patients undergoing cranial surgery (CS) may affect the bowel evacuation of patients, resulting in constipation, which could lead to the use of the valsalva maneuver. The aim of this study was to determine the effect of abdominal massage (AM) on bowel evacuation of patients treated in intensive care units (ICU) after CS.

The sample of this prospective parallel two-arm randomized controlled trial included 80 patients who underwent CS. The patients were randomly assigned (1:1) to the AM and control groups. The constipation risk of all the patients following CS was assessed with Constipation Risk Assessment Scale (CRAS). Those patients in the AM group received a total of 30 minutes of massage, 15 minutes every morning and evening, until the first defecation. The bowel sounds of all the patients in the AM and control groups were assessed on a daily basis. The days when bowel sounds were heard and the first defecation took place were recorded in a Bowel Evacuation Form.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

SINGLE

Enrollment

Conditions

Constipation Abdominal Massage

Interventions

abdominal massageOTHER

the patients in the AM group were given a total of 30 minutes of AM by the nurses (HD, OM) everyday for 15 minutes in the morning and evening.In this study AM, which included effleurage, strokes, petrissage and vibration techniques, was applied to the patients for 15 minutes in each session at 9:00 am and 9:00 pm.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: Patients who * volunteered to participate in the study, * were 18 years old or older and underwent CS, * stayed in the ICU for ≥ 3 days, Exclusion Criteria: Patients who * have percutaneous endoscopic gastrostomy, * abdominal hernia, * irritable bowel syndrome * bowel cancer, * history of abdominal surgery, * pregnancy,

Outcomes

Primary Outcomes

Primery outcome: bowel sounds

time return of bowel sounds

Time frame: up to 10 days

Primery outcome: first defecation

time of the first defecation

Time frame: up to 10 days

Secondary Outcomes

constipation risk

constipation risk in intensive care unit

Time frame: up to 24 hours

Data from ClinicalTrials.gov

This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.