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Effect of abdominal massage on bowel evacuation in neurosurgical intensive care patients.
- Source :
- Nursing in Critical Care; Jul2022, Vol. 27 Issue 4, p558-566, 9p
- Publication Year :
- 2022
-
Abstract
- Background: There are many factors, which affect the bowel evacuation of neurosurgical intensive care unit (NICU) patients, resulting in constipation. Aim and objectives: The aim of this study was to investigate effect of abdominal massage on bowel evacuation and the risk of constipation in NICU patients. Design: A prospective, randomized‐controlled clinical trial. Methods: The sample of this study included 80 NICU patients. The patients were randomly assigned to abdominal massage and control groups. The constipation risk of all the patients was assessed with Constipation Risk Assessment Scale (CRAS). The patients in the abdominal massage group received a total of 30 minutes of massage, 15 minutes every morning and evening, until the first defecation. The bowel sounds of all patients in the abdominal massage and control groups were assessed on a daily basis. The days when bowel sounds were heard and the first defecation took place were recorded in a Bowel Evacuation Form. Results: The risk of constipation was higher in the patients in the abdominal massage (CRAS score 19.02 ± 1.81) and control groups (CRAS score 20.45 ± 2.61). The time of return of bowel sounds and the time of the first defecation were earlier in the abdominal massage group, compared to the control group (P <.05). In the control group, there was a weak correlation (P =.004) between the CRAS score and the time of return of bowel sounds, while there was a moderate correlation between the CRAS score and the time of the first defecation (P <.001). Conclusion: Our study results show that the risk of constipation is high in NICU patients, and abdominal massage is an effective nursing intervention to shorten the time of return of bowel sounds and the time of the first defecation. Relevance to clinical practice: Nurses can safely apply abdominal massage to improve bowel evacuation in NICU patients. [ABSTRACT FROM AUTHOR]
- Subjects :
- CONSTIPATION -- Risk factors
INTENSIVE care units
MASSAGE therapy
NEUROSURGERY
SURGERY
PATIENTS
DEFECATION
TERTIARY care
HEALTH outcome assessment
RISK assessment
RANDOMIZED controlled trials
TREATMENT effectiveness
T-test (Statistics)
SOCIOECONOMIC factors
DESCRIPTIVE statistics
ABDOMEN
DATA analysis software
STATISTICAL sampling
BOWEL & bladder training
LONGITUDINAL method
Subjects
Details
- Language :
- English
- ISSN :
- 13621017
- Volume :
- 27
- Issue :
- 4
- Database :
- Complementary Index
- Journal :
- Nursing in Critical Care
- Publication Type :
- Academic Journal
- Accession number :
- 157665966
- Full Text :
- https://doi.org/10.1111/nicc.12575