Abdominal Massage in Enteral Nutrition Patients

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

164 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-04-01

Study Completion Date

2024-11-01

Brief Summary

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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.

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Detailed Description

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Conditions

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Enteral Nutrition Gastrointestinal System--Abnormalities

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Nutrition of Continuous

Experimental: Intervention Group to Nutrition of Continuous

Group Type EXPERIMENTAL

Nutrition of Continuous

Intervention Type OTHER

The researcher will perform gastric residual volume (GRV) measurements with a syringe, abdominal circumference measurements, and distension assessments daily before starting enteral nutrition from the first day of initiation. They will also record vomiting/defecation frequency. Massage will be applied for 15 minutes. The same criteria will be measured and recorded. The application and measurements will be conducted twice a day for 10 consecutive days.

Control Group Nutrition of Continuous

Control Group to Nutrition of Continuous

Group Type NO_INTERVENTION

No interventions assigned to this group

Nutrition of Bolus

Experimental: Intervention Group to Nutrition of Bolus

Group Type EXPERIMENTAL

Nutrition of Bolus

Intervention Type OTHER

The researcher will perform gastric residual volume (GRV) measurements with a syringe, abdominal circumference measurements, and distension assessments daily before starting enteral nutrition from the first day of initiation. They will also record vomiting/defecation frequency. Massage will be applied for 15 minutes. The same criteria will be measured and recorded. The application and measurements will be conducted twice a day for 10 consecutive days.

Control Group Nutrition of Bolus

Control Group to Nutrition of Bolus

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Nutrition of Continuous

The researcher will perform gastric residual volume (GRV) measurements with a syringe, abdominal circumference measurements, and distension assessments daily before starting enteral nutrition from the first day of initiation. They will also record vomiting/defecation frequency. Massage will be applied for 15 minutes. The same criteria will be measured and recorded. The application and measurements will be conducted twice a day for 10 consecutive days.

Intervention Type OTHER

Nutrition of Bolus

The researcher will perform gastric residual volume (GRV) measurements with a syringe, abdominal circumference measurements, and distension assessments daily before starting enteral nutrition from the first day of initiation. They will also record vomiting/defecation frequency. Massage will be applied for 15 minutes. The same criteria will be measured and recorded. The application and measurements will be conducted twice a day for 10 consecutive days.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* 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)

Exclusion Criteria

* 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.

Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes