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Effect of Abdominal Massage on Bowel Evacuation After Cranial Surgery

Not Applicable
Completed
Conditions
Abdominal Massage
Constipation
Interventions
Other: abdominal massage
Registration Number
NCT04373772
Lead Sponsor
Mersin University
Brief Summary

Many factors in patients undergoing cranial surgery (CS) may affect the bowel evacuation of patients, resulting in constipation, which could lead to the use of the valsalva maneuver. The aim of this study was to determine the effect of abdominal massage (AM) on bowel evacuation of patients treated in intensive care units (ICU) after CS.

Detailed Description

The sample of this prospective parallel two-arm randomized controlled trial included 80 patients who underwent CS. The patients were randomly assigned (1:1) to the AM and control groups. The constipation risk of all the patients following CS was assessed with Constipation Risk Assessment Scale (CRAS). Those patients in the AM group received a total of 30 minutes of massage, 15 minutes every morning and evening, until the first defecation. The bowel sounds of all the patients in the AM and control groups were assessed on a daily basis. The days when bowel sounds were heard and the first defecation took place were recorded in a Bowel Evacuation Form.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
80
Inclusion Criteria

Patients who

  • volunteered to participate in the study,
  • were 18 years old or older and underwent CS,
  • stayed in the ICU for ≥ 3 days,
Exclusion Criteria

Patients who

  • have percutaneous endoscopic gastrostomy,
  • abdominal hernia,
  • irritable bowel syndrome
  • bowel cancer,
  • history of abdominal surgery,
  • pregnancy,

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
abdominal massage groupabdominal massagethe abdominal massage group received a total of 30 minutes of massage, 15 minutes every morning and evening, until the first defecation.
Primary Outcome Measures
NameTimeMethod
Primery outcome: bowel soundsup to 10 days

time return of bowel sounds

Primery outcome: first defecationup to 10 days

time of the first defecation

Secondary Outcome Measures
NameTimeMethod
constipation riskup to 24 hours

constipation risk in intensive care unit

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