Enteral Nutrition and Abdominal Massage

Study Overview
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Brief Summary
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This study will be conducted to determine the effect of abominal massage on feeding intolerance and blood sugar levels in intensive care patients who are continuously feeding enterally and have diabetes.

Detailed Description
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Introduction: Many multiple and challenging problems are encountered in patients followed in intensive care. The most important of these symptoms is nutritional problems. One of the most commonly used methods in the treatment of nutritional problems is enteral nutrition. In addition to its beneficial results, gastrointestinal problems such as abdominal distension, constipation, diarrhea, nausea and vomiting may be encountered in enteral fed individuals in intensive care units. Although different methods are used in the management of complications that may develop in enterally fed patients, abdominal massage, which is one of the non-invasive nursing practices, has been shown to reduce feeding intolerance and balance blood glucose levels. Purpose: This study will be conducted to determine the effect of abominal massage applied to intensive care patients who are continuously fed enterally and have diabetes, on feeding intolerance and blood sugar levels. Method: This study will be conducted using a randomized controlled research design. The research sample will consist of 64 patients hospitalized in the intensive care units of a state hospital in Merzifon and who meet the inclusion criteria. Research data will be collected using the clinical status information form, patient parameters monitoring form, and Bristol stool scale. Patients in the massage group will receive an abdominal massage twice a day for 5 days, between 10.00 in the morning and 22.00 in the evening. For the control group, routine treatment and care practices in the hospital will continue without any additional intervention for these 5 days, and the same data will be evaluated at the same time. Conclusion: It is thought that abdominal massage applied to intensive care patients with diabetes who are continuously fed enterally will reduce feeding intolerance and affect blood sugar levels.

Official Title
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The Effect of Abdominal Massage on Feeding Intolerance and Blood Sugar Level in Intensive Care Patients With Diabetes and Continuous Enteral Feeding

Conditions
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Intensive Care Unit Syndrome

Intervention / Treatment
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* Other: Abdominal massage


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: The age of 18 years and over Diagnosed with diabetes mellitus Having just started continuous enteral feeding via nasogastric tube Glasgow coma scale >3 Patients who do not have a wound in the abdominal area Patients without current diarrhea, constipation, vomiting, abdominal distension Patients who gave their consent to participate in the research Exclusion Criteria: Patients who had started enteral feeding before starting the study Patients who received radiotherapy to the abdominal area Abdominal surgery within the last three months Patients with ileus Patients using medications that affect gastrointestinal motility

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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Accepts Healthy Volunteers

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
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Abdominal massage group<br>Patients in the massage group will receive an abdominal massage twice a day for 5 days, between 10.00 in the morning and 22.00 in the evening for 15 minutes. | Other: Abdominal massage<br>* Patients in the massage group will receive an abdominal massage twice a day for 5 days, between 10.00 in the morning and 22.00 in the evening. Enteral nutrition will be interrupted twice a day for 5 days, between 09.30-10.00 in the morning and 21.30-22.00 in the evening, and patients will receive an abdominal massage for 15 minutes.<br>|
| No Intervention: Control group<br>Routine treatment and care practices in the hospital will continue for 5 days without any additional intervention and the same data will be evaluated at the same time. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Gastric residual volume | Gastric residual volume will be done every four hours. GRV measurement will be made 30 minutes after stopping feeding. | 5 days | 
| Abdominal Distension | Abdominal Distension be evaluated 30 minutes after stopping feeding. Abdominal distention control will be done using the palpation method. | 5 days | 
| Bristol stool scale scale | This scale is designed to classify an individual's bowel movements into seven separate categories of stool. According to the Bristol Stool Consistency Scale, Type 1 and Type 2 indicate constipation, Type 3 and Type 4 indicate normal defecation, and Type 5, Type 6 and Type 7 indicate diarrhea. | 5 days | 
| Blood sugar | Blood sugar levels will be checked twice a day, at 10:00 in the morning and at 22:00 in the evening | 5 days | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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massage