The Effect of Heat Application on Gastrointestinal System Functions in Patients Receiving Continuous Enteral Nutrition
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 60
- 主要终点
- Gastric residual volume
研究概览
简要总结
Complications related to the gastrointestinal system can occur in patients receiving enteral nutrition. These complications may include nausea, vomiting, diarrhea, constipation, decreased bowel sounds, abdominal distension, increased gastric residual volume, and abdominal pain. To prevent and treat food intolerance, as well as to increase gastric emptying, the use of prokinetic agents is often preferred. However, these drugs have various side effects, such as abdominal cramps, allergies, bronchospasm, cardiac issues, and pancreatic disorders. One non-pharmacological method that can be applied to increase bowel motility and reduce abdominal distension and constipation is heat application. The aim of this study is to determine the effect of heat application to the abdominal and lumbar regions, using a hot water bag, on gastrointestinal system functions in patients receiving continuous enteral nutrition.
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
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Intensive care unit patients
- •Individuals aged 18 and above
- •Patients receiving enteral nutrition via nasogastric tube
- •Patients on the first day of enteral nutrition
- •Those receiving standard enteral nutrition solution
- •Patients without wounds in the abdominal region
- •Individuals who have not undergone abdominal surgery in the last 6 months
- •Patients not undergoing radiation/chemotherapy
- •Those with a high-output fistula without ileus problems
- •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 the application of heat, such as neuropathy (to be determined in consultation with the primary doctor).
排除标准
- •Patients in whom enteral nutrition is discontinued during the study
- •Patients transitioning to a product other than the standard one in enteral nutrition
- •Patients who temporarily pause enteral nutrition
- •Patients who have started prokinetic agents
- •The study will be terminated in patients who have started taking laxative medications.
结局指标
主要结局
Gastric residual volume
时间窗: 7 days
GRV measurement will be made 30 minutes after stopping feeding. It will be evaluated before and after application.
Bowel sounds
时间窗: 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 intervention.
Abdominal Distension
时间窗: 7 days
Abdominal distension will be assessed 30 minutes after stopping feeding. The palpation method will be used. Additionally, abdominal circumference will be measured with a tape measure. Evaluation will be made before and after the intervention.
次要结局
- Defecation Patterns(7 days)
- Vomiting(7 days)
研究者
Özlem Ceyhan
Assoc.Prof.
TC Erciyes University