The Effect of Abdominal Massage and Warm Application on Excretory Activity in Patients Undergoing Total Knee Replacement With Spinal Anesthesia

Not Applicable

Recruiting

• Conditions: Total Knee Replacement
• Interventions: Other: abdominal massage andwarm application

• Registration Number: NCT06578936
• Lead Sponsor: Ayşe Demirtaş

Brief Summary

The aim of this study was to determine the effect of abdominal massage and warm application on the excretory activity (time of first bowel sounds, defecation time and the amount of laxative used until discharge) after total knee replacement surgery performed with spinal anesthesia.

Detailed Description

Abdominal massage and hot application will be applied to the patients at least 30 minutes after the morning and evening meals (08:30 am, 20:30 pm) for 15 minutes each, similar to the literature. The hot application will be applied to the abdominal area with a hot water thermophore for 15 minutes before the abdominal massage. After the hot application, abdominal massage will be started. In the abdominal massage, which will be applied clockwise to stimulate bowel movements, four basic movements will be used: superficial exertion, deep exertion, petrisage and vibration. Abdominal massage will be applied to the patients in accordance with the Abdominal Massage Application Checklist created by the researcher in line with the literature.

Warm application and abdominal massage will be applied to the study group from the first evening of the total knee replacement procedure, and the application will continue in the morning and evening hours until the first defecation. After the application, bowel sounds will be listened to in accordance with the application steps. In the control group, bowel sounds will be listened to at times corresponding to the hours of hot application and abdominal massage, daily laxative use will be determined and recorded in the Excretory Activity Form.

Study Timeline

• Status Verified: 2024-08
• Study Start: 2024-08-05
• Study First Submitted: 2024-08-09
• Study First Submitted QC: 2024-08-28
• Last Update Submitted: 2024-08-28
• Study First Posted: 2024-08-30
• Last Update Posted: 2024-08-30
• Primary Completion: 2024-12-31
• Study Completion: 2025-06-30

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 84

Inclusion Criteria

• Written and verbal permission was obtained to participate in the study,
• 18 years of age or older,
• Conscious, oriented and cooperative,
• Speaks and understands Turkish,
• Total knee replacement with spinal anesthesia planned,
• No condition in which abdominal massage is contraindicated (inflammatory bowel disease, presence of abdominal tumors, surgical intervention or radiotherapy to the abdominal area, presence or suspicion of ileus, and pregnancy),
• No physician-diagnosed chronic constipation,
• Mobilized,
• Patients who do not have problems with transition to oral feeding and can be fed orally will be included.

Exclusion Criteria

• Written and verbal permission to participate in the research could not be obtained,
• Under 18 years of age,
• Unconscious, disoriented and uncooperative,
• Can speak Turkish but cannot understand it,
• Total knee replacement with general anesthesia planned,
• Any condition in which abdominal massage is contraindicated (inflammatory bowel disease, presence of abdominal tumors, surgical intervention or radiotherapy to the abdominal area, presence or suspicion of ileus, and pregnancy),
• Physician-diagnosed chronic constipation,
• Non-mobilized,
• Patients who have problems with transition to oral feeding and who cannot be fed orally will not be included.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
abdominal massage and warm application group	abdominal massage andwarm application	The experimental group will receive abdominal massage and warm application 2 times a day, morning and evening, until defecation, starting from the evening of the first day after the surgical intervention.

Primary Outcome Measures

Name	Time	Method
time for bowel sounds to return	1-3.days	The time of return of bowel sounds in the morning and evening will be assessed and recorded on the Excretory Activities Form.
time to defecate	1-3.day	the effect of abdominal massage and warm application on defecation time after total knee replacement

Secondary Outcome Measures

Name	Time	Method
risk of constipation	1-3.days	postoperative defecation status will be recorded on the excretory activity form and the risk of constipation will be assessed
laxative use	1-3.days	The amount of medication used to facilitate defecation is assessed in the morning and evening and recorded on the Excretory Activities Form.

Trial Locations

Locations (2)

Adana city hospital; 🇹🇷 Adana, Turkey

Mersin Univercity; 🇹🇷 Mersin, Turkey