Effect of Abdominal Massage on Bowel Evacuation After Cranial Surgery

Study Overview
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Brief Summary
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Many factors in patients undergoing cranial surgery (CS) may affect the bowel evacuation of patients, resulting in constipation, which could lead to the use of the valsalva maneuver. The aim of this study was to determine the effect of abdominal massage (AM) on bowel evacuation of patients treated in intensive care units (ICU) after CS.

Detailed Description
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The sample of this prospective parallel two-arm randomized controlled trial included 80 patients who underwent CS. The patients were randomly assigned (1:1) to the AM and control groups. The constipation risk of all the patients following CS was assessed with Constipation Risk Assessment Scale (CRAS). Those patients in the AM group received a total of 30 minutes of massage, 15 minutes every morning and evening, until the first defecation. The bowel sounds of all the patients in the AM 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.

Official Title
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The Effect of Abdominal Massage on Bowel Evacuation After Cranial Surgery: A Randomized Controlled Trial

Conditions
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Constipation, Abdominal Massage

Intervention / Treatment
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* Other: abdominal massage


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients who volunteered to participate in the study, were 18 years old or older and underwent CS, stayed in the ICU for ≥ 3 days, Exclusion Criteria: Patients who have percutaneous endoscopic gastrostomy, abdominal hernia, irritable bowel syndrome bowel cancer, history of abdominal surgery, pregnancy,

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: prospective, parallel, two arm (1:1), randomized controlled clinical trial
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: abdominal massage group<br>the abdominal massage group received a total of 30 minutes of massage, 15 minutes every morning and evening, until the first defecation. | Other: abdominal massage<br>* the patients in the AM group were given a total of 30 minutes of AM by the nurses (HD, OM) everyday for 15 minutes in the morning and evening.In this study AM, which included effleurage, strokes, petrissage and vibration techniques, was applied to the patients for 15 minutes in each session at 9:00 am and 9:00 pm.<br>|
| No Intervention: control group<br>Routine care for the control group | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Primery outcome: bowel sounds | time return of bowel sounds | up to 10 days | 
| Primery outcome: first defecation | time of the first defecation | up to 10 days | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| constipation risk | constipation risk in intensive care unit | up to 24 hours | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Cranial surgery, bowel evacuation, constipation, abdominal massage, nursing