Abdominal Massage Group Bed Exercise Group Control Group
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 105
- 试验地点
- 1
- 主要终点
- The effect of abdominal massage on gastrointestinal complications
研究概览
简要总结
Palliative care is a special type of medical care that focuses on providing support and improving the quality of life for individuals facing life-threatening illnesses. Nursing care for patients receiving enteral nutrition includes interventions that facilitate nutrition, increase patient comfort, and reduce complications. This study will be conducted as a randomized controlled experimental study to evaluate the effects of abdominal massage and in-bed exercise on gastrointestinal complications and patient comfort in palliative care patients.
详细描述
Abdominal Massage Group Application Steps
- In this group, patients will receive abdominal massage by the researcher in addition to routine care, with privacy provided.
- Abdominal massage will be applied to the patient by the researcher every morning between 07-08 and 19-20 for 3 days before enteral feeding, and measurements will be recorded 24 hours after the application at 07-08 in the morning. The timing and frequency of massage application were decided according to studies in the literature and expert opinions.
- Before abdominal massage, the patient will be placed in a supine position and will remain in the same position throughout the procedure.
- For abdominal massage, superficial effleurage, deep effleurage, petrissage, vibration, and superficial effleurage maneuvers will be applied to the patient for approximately 15 minutes, respectively.
- After the application, the patient will be placed in a semi-fawler position. In-bed Exercise Group Application Steps In-bed exercise application will be applied to the patient by the researcher every morning between 07-08 for 3 days before enteral feeding and measurements will be recorded 24 hours after the application.
Before the in-bed exercise application, the patient will be placed in a supine position and will be kept in the same position throughout the procedure.
For the in-bed exercise application to the patient; opening and closing the wrist and fingers inwards and outwards, opening and closing the elbow and arm, turning the arm right and left at the level of the head, ankle up and down and right and left, bending and releasing the hip and knee, opening and closing the leg sideways, pushing and pulling the hip and knee 90 ͦ, and leg movements in the up and down direction will be applied for approximately 15 minutes.
After the application, the patient will be placed in the semi-fawler position. Control Group Application Steps
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 95 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Being over 18 years of age,
- •Patients receiving inpatient treatment and care in the palliative care unit,
- •Patients who started enteral feeding at least 24 hours ago
- •Patients without wounds in the extremity and abdominal region
- •Patients without intestinal obstruction
- •Patients who have not received abdominal radiotherapy and have not undergone abdominal surgery in the last six weeks
- •Patients with a Glasgow Coma Score (GCS) >3
- •Patients who have no restrictions on abdominal massage
- •Patients whose consent has been obtained from their relatives will be included.
排除标准
- •Patients whose enteral feeding was stopped during the study
- •Patients who showed signs of infection due to Ventilator-associated Pneumonia or other infections during or before the study will not be included.
研究组 & 干预措施
control group
- Standard nursing care will be applied to the patient.
干预措施: control group (Other)
abdominal massage group
- In this group, patients will receive abdominal massage by the researcher, in addition to routine care, with privacy.
- Abdominal massage will be applied to the patient by the researcher every morning between 07-08 and 19-20 for 3 days before enteral feeding, and measurements will be recorded 24 hours after the application at 07-08 in the morning. The timing and frequency of massage application were decided according to studies in the literature and expert opinions (Uysal et al., 2012; Wang et al., 2022; Zhang et al., 2023).
- Before abdominal massage, the patient will be placed in a supine position and will remain in the same position throughout the procedure.
- For abdominal massage, superficial effleurage, deep effleurage, petrissage, vibration and superficial effleurage maneuvers will be applied to the patient for approximately 15 minutes, respectively.
- After the application, the patient will be placed in a semi-fawler position
干预措施: abdominal massage (Other)
bed exercise group
The in-bed exercise application will be applied to the patient by the researcher every morning between 07-08 for 3 days before enteral feeding and the measurements will be recorded 24 hours after the application.
The patient will be placed in a supine position before the in-bed exercise application and will be kept in the same position throughout the procedure.
For the in-bed exercise application, the following will be applied to the patient, in order; opening and closing the wrist and fingers inwards and outwards, opening and closing the elbow and arm, turning the arm right and left at the level of the head, ankle up and down and right and left, bending and releasing the hip and knee, opening and closing the leg sideways, pushing and pulling the hip and knee 90°, and leg up and down movements will be applied for approximately 15 minutes.
After the application, the patient will be placed in the semi-fawler position.
干预措施: bed exercise group (Other)
结局指标
主要结局
The effect of abdominal massage on gastrointestinal complications
时间窗: 96 hours
Abdominal massage was repeated for 3 days, and , diarrhea status and number, constipation status, vomiting status and number, nausea status, abdominal distension, and defecation number measurement were recorded before each abdominal massage.
次要结局
- Effects of in-bed exercise on gastrointestinal complications(96 hours)
研究者
SERAP GÜNGÖR ÜNAL
PhD Lecturer
Kahramanmaras Sutcu Imam University