Effect of Abdominal Massage on Bowel Movements in Patients With Subarachnoid Hemorrhage

NCT ID: NCT06824857

Last Updated: 2025-08-21

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 64 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-09-16
• Study Completion Date: 2025-03-20

Brief Summary

The study will be conducted as a randomized controlled trial to determine the effect of postoperative abdominal massage on bowel movements in patients who underwent surgery after subarachnoid hemorrhage and are hospitalized in the neurosurgery intensive care unit.

Detailed Description

The study will be conducted as a randomized controlled trial to determine the effect of postoperative abdominal massage on bowel movements in patients who underwent surgery after subarachnoid hemorrhage and are hospitalized in the neurosurgery intensive care unit. The sample of the study will consist of a total of 64 patients, 32 in the experimental group and 32 in the control group, hospitalized in the tertiary neurosurgery intensive care unit. Data collection tools are the "Descriptive Characteristics Form" and the "Patient Follow-up Form".The statistician will determine whether the patients who meet the sampling criteria will be assigned to the experimental or control group through randomization. The stratified randomization method will be used in the study. In this context, patients who meet the inclusion criteria from the start date of the study in the Neurosurgery Intensive Care Unit will be randomized by assigning them to the control group and abdominal massage groups, respectively. Patients will be assigned to the control and abdominal massage groups in this order until the sample size is reached. The CONSORT diagram will be used in the randomization of patients.

Conditions

Subarachnoid Haemorrhage (SAH)

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: SUPPORTIVE_CARE
• Blinding Strategy: NONE

Study Groups

Abdominal Massage Application Group

After explaining the purpose of the study to the relatives of patients in the abdominal massage group, the "Introductory Characteristics Form" will be filled out. Abdominal massage will be performed according to the Checklist at the 6th hour after surgery and at the same times in the morning and evening for the first 3 days post-surgery. Before and 15 minutes after the abdominal massage application, bowel sounds will be auscultated, abdominal circumference will be measured with a measuring tape, and abdominal tension will be observed and recorded in the patient follow-up form.

Group Type: EXPERIMENTAL

Abdominal Massage Application

Intervention Type: OTHER

As part of the abdominal massage application, patient follow-up forms and checklists were prepared. Before starting the study, the abdominal massage practitioner participated in a certification program on this topic and received a competency certificate. Patients will be followed up for the first 3 days postoperatively using the prepared patient follow-up forms. Abdominal massage will be applied to each patient for 15 minutes according to a certain standard as stated in the literature

Control Group

After explaining the purpose of the study to the relatives of patients in the control group, the "Introductory Characteristics Form" will be filled out. At the same times as the experimental group, bowel sounds will be auscultated in the control group without any intervention, abdominal circumference will be measured with a measuring tape, and abdominal tension will be observed

Group Type: NO_INTERVENTION

No interventions assigned to this group

Interventions

Abdominal Massage Application

As part of the abdominal massage application, patient follow-up forms and checklists were prepared. Before starting the study, the abdominal massage practitioner participated in a certification program on this topic and received a competency certificate. Patients will be followed up for the first 3 days postoperatively using the prepared patient follow-up forms. Abdominal massage will be applied to each patient for 15 minutes according to a certain standard as stated in the literature

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• • 18 years of age or older

• Underwent neurovascular surgery
• Received general anesthesia
• Have no wounds, surgical intervention, or radiotherapy in the abdominal region
• Have no bowel obstruction, irritable bowel syndrome, inflammatory bowel disease, abdominal herniation, or bowel cancer
• Began oral feeding at the 6th hour post-surgery
• Stayed in the intensive care unit for 3 or more days
• Have a Glasgow Coma Scale (GCS) score of 9 or above
• Have no signs of acute abdomen
• Have no intra-abdominal infection
• No mechanical ventilation
• Mobilezed in the preoperative period
• Unable to mobilize after surgery
• Evaluated by the intensive care physician with no contraindications for abdominal massage
• Have a first-degree relative who has given consent

Exclusion Criteria

• Patients with the following conditions will be excluded from the sample:

• Those with chronic constipation, fecal incontinence, or diarrhea
• Those fed with a fiber-enriched nutritional solution (e.g., Nutrison Protein Plus Multifibre®, Fresubin Original Fibre®, Isosource Fiber®, Jevity Plus®)
• Those fed via nasogastric enteral tube
• Those receiving parenteral nutrition
• Patients with a BMI > 40 (morbid obesity)

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 64 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Gazi University

OTHER

Sponsor Role: lead

Responsible Party

Zühal Erdoğan

RN, PhD, Assistant Professor

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Faculty of Nursing, Gazi University

Ankara, , Turkey (Türkiye)

Gazi University

Ankara, , Turkey (Türkiye)

Countries

Turkey (Türkiye)

Other Identifiers

2024 - 306

Identifier Type: -

Identifier Source: org_study_id