The Effect of Abdominal Massage on Gastrointestinal System Functions in Patients Nutrition Enterally With Continuous and Bolus Infusion.
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 164
- 主要终点
- Gastric residual volume
研究概览
简要总结
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.
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
- •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)
排除标准
- •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.
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.
Abdominal Distension
时间窗: 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.
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 application.
次要结局
- Defecation patterns(7 days)
- Vomiting(7 days)
研究者
Özlem Ceyhan
Assoc. Prof.
TC Erciyes University