The Effect of Chewing Exercises and Abdominal Massage on Abdominal Pain and Nausea Following Colonoscopy
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 60
- 试验地点
- 2
- 主要终点
- Blood pressure measument
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Aged 18 years and older
- •Conscious oriented cooperative and open to communication
- •Literate in Turkish
排除标准
- •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
研究组 & 干预措施
Control
No additional interventions were performed on the participants in this group following the colonoscopy. They received routine care.
Abdominal 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.
干预措施: Abdominal massage and chewing egzersize (Other)
结局指标
主要结局
Blood pressure measument
时间窗: 4 months
To measure blood pressure, the systolic and diastolic values are combined and expressed in mm/Hg.
Oxygen saturation
时间窗: 4 months
Oxygen saturation will be expressed as a percentage.
Pulse
时间窗: 4 months
The pulse rate will be measured and recorded as the number of heartbeats per minute.
Pain assessment
时间窗: 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)
时间窗: 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)
时间窗: 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.
次要结局
未报告次要终点
研究者
özlem doğu
Associate proffessor
Sakarya University