The Effect of Abdominal Massage on Gastric Residual Volume and Abdominal Distension in Surgical Intensive Care Patients: A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 84
- 试验地点
- 1
- 主要终点
- Amount of gastric residual volume (mL)
研究概览
简要总结
This randomized controlled trial aimed to evaluate the effect of abdominal massage on gastric residual volume (GRV) and abdominal distension in surgical intensive care patients receiving enteral nutrition. The intervention group received 20-minute abdominal massage sessions twice daily for 3 consecutive days. Outcomes included changes in GRV, abdominal circumference, feeding volume, and gastrointestinal tolerance parameters.
详细描述
Gastric residual volume (GRV) monitoring is commonly used in critically ill patients receiving enteral nutrition to assess gastrointestinal dysfunction, although current guidelines present conflicting recommendations regarding its necessity. Abdominal distension is a frequent complication during enteral feeding in surgical ICU patients. Non-pharmacological interventions such as abdominal massage have shown promise in improving gastrointestinal motility and enteral tolerance.
This study included 84 surgical ICU patients who met the inclusion criteria and were randomly assigned to intervention (n=42) and control (n=42) groups. The intervention group received abdominal massage twice daily for 20 minutes over three days. Data were collected using standardized forms and analyzed with appropriate statistical tests including independent samples t-test, Mann-Whitney U, repeated measures ANOVA, and chi-square tests. The findings suggest that abdominal massage may help stabilize GRV levels, reduce abdominal circumference, and increase nutritional intake without increasing complications.
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
盲法说明
This study was conducted as an open-label trial, with no masking of participants, healthcare providers, or outcome assessors. Due to the nature of the intervention (abdominal massage), blinding was not feasible. However, data collection and statistical analyses were performed by researchers not involved in delivering the intervention to minimize potential bias.
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age ≥ 18 years
- •Receiving enteral nutrition via nasogastric tube
- •No prior abdominal surgery
- •No invasive devices (e.g., drains, catheters) in the abdominal area
排除标准
- •Receiving enteral nutrition via PEG or PEJ
- •Receiving only parenteral nutrition
- •History of abdominal surgery
研究组 & 干预措施
Abdominal Massage Group
Patients in this group received abdominal massage for 20 minutes, twice daily, for three consecutive days after the initiation of enteral nutrition.
干预措施: Abdominal Massage (Behavioral)
Control Group
Patients in this group received standard postoperative care without abdominal massage.
结局指标
主要结局
Amount of gastric residual volume (mL)
时间窗: Day 3
Starting from the first day of enteral nutrition, gastric residual volume (mL) will be recorded at regular intervals every day for 3 days. The amount of GRV changing from the first day to the 3rd day will be measured and analysed.
Change in abdominal circumference
时间窗: Day 3
Abdominal circumference will be measured on the first day of enteral feeding and abdominal circumference will be measured every day at the same time for 3 days. The change in abdominal circumference (cm) from baseline to Day 3 will be recorded.
次要结局
- Amount of enteral feeding (mL/day)(Day 3)
- Assessment of abdominal distension(Day 3)
- Interruption of enteral nutrition(Day 3)