The Effect of Abdominal Massage on Constipation Parameters in Intensive Care Patients: A Systematic Review

Yıl 2025, Cilt: 1 Sayı: 2, 115 - 134, 23.05.2025

Melahat Mehrioğlu , İsmet Tümtürk , Emine İrem Şahin , Elif Şahin , Zeliha Başkurt

Öz

Objective: Abdominal massage is a therapy used for common constipation problems in the intensive care unit. However, an updated review of studies investigating the effect of abdominal massage on constipation in the intensive care unit patients is needed. To review the studies on abdominal massage in patients with constipation in the intensive care unit. Materials and Methods: This review was conducted in May 2024 by searching electronic databases (PubMed, Science Direct, Scopus, Web of Science). The PEDro scale was employed for quality assessment. Results: Nine studies were included in the present review. Four articles were “moderate”, five articles were “good” level of evidence. Gastric residual volume measure was the most used method. Abdominal circumference, abdominal distention, vomiting, Constipation Risk Assessment Scale were the other outcome measures. Abdominal massage had significant effects on these outcome measures (p<0.05). Conclusion: Abdominal massage intervention has positive effects on abdominal circumference, abdominal distention, frequency and duration of defecation, frequency and incidence of constipation, and bowel noises. Abdominal massage may reliably reduce constipation in adult patients hospitalized in intensive care units.

Anahtar Kelimeler

Constipation, critical care, massage

Yoğun Bakım Hastalarında Abdominal Masajın Konstipasyon Parametreleri Üzerine Etkisi: Sistematik Bir Derleme

Öz

Amaç: Abdominal masaj, yoğun bakım ünitesinde sık görülen konstipasyon sorunları için kullanılan bir tedavidir. Bununla birlikte, yoğun bakım hastalarında abdominal masajın konstipasyon üzerindeki etkisini araştıran çalışmaların güncellenmiş bir derlemesine ihtiyaç vardır. Bu çalışmanın amacı, yoğun bakım ünitesinde konstipasyonu olan hastalarda abdominal masaj ile ilgili çalışmaları gözden geçirmektir. Gereç ve Yöntemler: Bu derleme Mayıs 2024 tarihinde elektronik veri tabanları (PubMed, Science Direct, Scopus, Web of Science) taranarak gerçekleştirilmiştir. Kalite değerlendirmesi için PEDro skalası kullanılmıştır. Bulgular: Mevcut derlemeye dokuz çalışma dahil edilmiştir. Dört makale “orta”, beş makale “iyi” kanıt düzeyindedir. Gastrik rezidüel hacim ölçümü en çok kullanılan yöntemdi. Abdominal çevre, abdominal distansiyon, kusma, Konstipasyon Risk Değerlendirme Ölçeği diğer sonuç ölçütleriydi. Abdominal masajın bu sonuç ölçümleri üzerinde anlamlı etkileri vardı (p<0,05). Sonuç: Abdominal masaj müdahalesinin karın çevresi, karın şişliği, dışkılama sıklığı ve süresi, konstipasyon sıklığı ve insidansı ve bağırsak sesleri üzerinde olumlu etkileri vardır. Abdominal masaj, yoğun bakım ünitelerinde yatan yetişkin hastalarda konstipasyonu güvenilir bir şekilde azaltabilir.

Anahtar Kelimeler

Konstipasyon, yoğun bakım, masaj

Kaynakça

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