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.
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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
SINGLE
Enrollment
60
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.
Sakarya University Education and Research Hospital
Sakarya, Serdivan, Turkey (Türkiye)
Sakarya University
Sakarya, Serdivan, Turkey (Türkiye)
Blood pressure measument
To measure blood pressure, the systolic and diastolic values are combined and expressed in mm/Hg.
Time frame: 4 months
Oxygen saturation
Oxygen saturation will be expressed as a percentage.
Time frame: 4 months
Pulse
The pulse rate will be measured and recorded as the number of heartbeats per minute.
Time frame: 4 months
Pain assessment
Pain levels will be assessed on a scale from 0 to 10, where "0" indicates no pain and "10" indicates very severe pain.
Time frame: 4 months
Presence of Nausea Before and After Colonoscopy (yes/no)
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.
Time frame: 4 months
Presence of Vomiting Before and After Colonoscopy (yes/no)
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.
Time frame: 4 months
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