Abdominal Massage in Enteral Nutrition Patients

TC Erciyes University164 enrolled

Overview

Complications related to the gastrointestinal system may arise in patients receiving enteral nutrition through continuous and bolus infusion. These complications include constipation, diarrhea, nausea, vomiting, abdominal distension, increased gastric residual volume, and abdominal pain. The aim of this study is to determine the impact of abdominal massage applied to patients receiving enteral nutrition through continuous or bolus infusion on gastrointestinal system functions. For this purpose, 164 patients meeting the inclusion criteria will be randomized, and four groups will be defined. Half will constitute the experimental group, and the others will form the control group. In our study, the effects of massage on symptom control will be evaluated by comparing symptoms in patients receiving both forms of nutrition. Thus, the evaluation and control of medical conditions (symptoms) such as constipation, diarrhea, vomiting, increased abdominal distension, and increased gastric residual volume are targeted.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

NONE

Enrollment

164

Conditions

Enteral Nutrition Gastrointestinal System--Abnormalities

Nutrition of ContinuousOTHER

The researcher will perform gastric residual volume (GRV) measurements with a syringe, abdominal circumference measurements, and distension assessments daily before starting enteral nutrition from the first day of initiation. They will also record vomiting/defecation frequency. Massage will be applied for 15 minutes. The same criteria will be measured and recorded. The application and measurements will be conducted twice a day for 10 consecutive days.

Nutrition of BolusOTHER

Eligibility

Sex: ALLMin age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Patients in intensive care * Those aged 18 and above * Patients being fed through a nasogastric tube * Patients on the first day of enteral nutrition * Patients without wounds in the abdominal region * Those who have not undergone abdominal surgery in the last 6 months * Patients not receiving radiotherapy/chemotherapy * Patients without a diagnosis of bowel obstruction * Patients without diarrhea and constipation * Patients with a Glasgow Coma Scale (GKS) \> 3 * Those with an APACHE II score \> 16 * Patients not taking prokinetic agents * Patients not taking laxative medications * Patients without any contraindications for abdominal massage (to be determined in consultation with the primary physician) Exclusion Criteria: * Patients for whom enteral nutrition is discontinued during the study * Patients with interrupted enteral nutrition * Patients who have started prokinetic agents * The study will be terminated for patients who have started laxative medication.

Outcomes

Primary Outcomes

Gastric residual volume

GRV measurement will be made 30 minutes after stopping feeding. It will be evaluated before and after application.

Time frame: 7 days

Abdominal Distension

Abdominal distension will be evaluated 30 minutes after stopping feeding. The palpation method will be used. Additionally, the abdominal circumference will be measured with a tape measure. It will be evaluated before and after application.

Time frame: 7 days

Bowel sounds

Bowel sounds should be evaluated 30 minutes after stopping feeding. Bowel sounds are listened to with a stethoscope for one minute. It will be evaluated before and after the application.

Time frame: 7 days

Secondary Outcomes

Defecation patterns

measure defecation frequency and nature

Time frame: 7 days

Vomiting

How many times the patient vomited during the day is recorded

Time frame: 7 days

Abdominal Massage in Enteral Nutrition Patients

Overview

Conditions

Interventions

Eligibility

Outcomes

Primary Outcomes

Secondary Outcomes

Central Contacts