Effect of abdominal massage on bowel evacuation in neurosurgical intensive care patients

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dc.contributor.authorUgras, Gulay Altun
dc.contributor.authorYuksel, Serpil
dc.contributor.authorIsik, Meryem Turkan
dc.contributor.authorTasdelen, Bahar
dc.contributor.authorDogan, Havva
dc.contributor.authorMutluay, Ozum
dc.date.accessioned2024-02-23T14:24:33Z
dc.date.available2024-02-23T14:24:33Z
dc.date.issued2022
dc.departmentNEÜen_US
dc.description.abstractBackground: 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.en_US
dc.identifier.doi10.1111/nicc.12575
dc.identifier.endpage566en_US
dc.identifier.issn1362-1017
dc.identifier.issn1478-5153
dc.identifier.issue4en_US
dc.identifier.pmid33179847en_US
dc.identifier.scopus2-s2.0-85096658285en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage558en_US
dc.identifier.urihttps://doi.org/10.1111/nicc.12575
dc.identifier.urihttps://hdl.handle.net/20.500.12452/14002
dc.identifier.volume27en_US
dc.identifier.wosWOS:000588459900001en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherWileyen_US
dc.relation.ispartofNursing In Critical Careen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAbdominal Massageen_US
dc.subjectBowel Evacuationen_US
dc.subjectConstipationen_US
dc.subjectIntensive Care Uniten_US
dc.subjectNeurosurgical Patienten_US
dc.subjectNursingen_US
dc.titleEffect of abdominal massage on bowel evacuation in neurosurgical intensive care patientsen_US
dc.typeArticleen_US

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