Abdominal Massage in Enteral Nutrition Patients

Not Applicable

Not yet recruiting

• Conditions: Gastrointestinal System--Abnormalities; Enteral Nutrition

• Registration Number: NCT06237725
• Lead Sponsor: TC Erciyes University

Brief Summary

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.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2023-11-25
• Status Verified: 2024-01
• Study First Submitted QC: 2024-01-25
• Last Update Submitted: 2024-01-25
• Study First Posted: 2024-02-01
• Last Update Posted: 2024-02-01
• Study Start: 2024-04-01
• Primary Completion: 2024-06-01
• Study Completion: 2024-11-01

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 164

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.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Gastric residual volume	7 days	GRV measurement will be made 30 minutes after stopping feeding. It will be evaluated before and after application.
Bowel sounds	7 days	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.
Abdominal Distension	7 days	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.

Secondary Outcome Measures

Name	Time	Method
Defecation patterns	7 days	measure defecation frequency and nature
Vomiting	7 days	How many times the patient vomited during the day is recorded