The Effect of Heat Application and Abdominal Massage on the Gastrointestinal System and Mental Well-being of Patients With Hip Fractures

Not Applicable

Active, not recruiting

• Conditions: Gastrointestinal Function; Mental Well-being

• Registration Number: NCT07208955
• Lead Sponsor: Cukurova University

Brief Summary

This randomised controlled trial was designed to determine the effect of early-stage heat application and abdominal massage on patients' gastrointestinal function and mental well-being following hip fracture surgery.

The study's hypotheses are as follows:

H0: Heat application and abdominal massage administered in the early postoperative period have no effect on gastrointestinal function or mental well-being.

H1: Heat application in the early postoperative period affects gastrointestinal function and mental well-being.

H2: Abdominal massage administered in the early postoperative period has an effect on gastrointestinal function and mental well-being.

The Patient Information Form, Gastrointestinal Symptom Rating Scale (GSRS) and Warwick-Edinburgh Mental Well-being Scale will be administered. Starting from the morning of the first day after surgery, patients will receive abdominal massage and heat application twice daily, in the morning and evening, for three days. The warm compress and abdominal massage will be performed consecutively. The total application time will be 30 minutes, consisting of 15 minutes of warm compress and 15 minutes of abdominal massage. Abdominal massage will be performed on patients in the experimental group using the 'abdominal massage application guidelines'. Abdominal massage involves techniques such as effleurage (stroking and spreading), petrissage (kneading) and vibration. After each application of massage, the patient's bowel sounds and movements will be listened to using a stethoscope. Before applying heat and performing the abdominal massage, care will be taken to ensure that the patient does not need to urinate, and that the room is quiet and at a suitable temperature. Patients in the experimental group will not be given laxatives, suppositories or enemas for three days; only heat application and massage will be performed during this period. During this period, researchers will assess the defecation of patients using the Bristol Stool Scale. At the end of the three-day follow-up period, patients will be asked to complete the Bristol Stool Scale, the Gastrointestinal Symptom Rating Scale and the Warwick-Edinburgh Mental Well-being Scale.

Detailed Description

Not available

Study Timeline

• Study Start: 2025-02-01
• Status Verified: 2025-09
• Study First Submitted: 2025-09-09
• Study First Submitted QC: 2025-09-29
• Last Update Submitted: 2025-09-29
• Study First Posted: 2025-10-06
• Last Update Posted: 2025-10-06
• Primary Completion: 2025-12-01
• Study Completion: 2025-12-31

Recruitment & Eligibility

• Status: ACTIVE_NOT_RECRUITING
• Sex: All
• Target Recruitment: 75

Inclusion Criteria

• Patients aged 18 years and older,
• conscious and cooperative, with vital signs within normal limits after surgery,
• who have not defecated after surgery,
• who are able to eat orally, and
• who have a hip fracture will be included in the study.

Exclusion Criteria

• Patients with a history of cancer, abdominal injury, delirium, or requiring intensive care will be excluded from the study.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
abdominal massage	30 minutes	Assessment of bowel sounds, first flatus and time of defecation.
heat application	30 minutes	Assessment of bowel sounds using a stethoscope

Trial Locations

Locations (1)

Cukurova University; Adana, Adana, Turkey (Türkiye)