Kolonoskopi Yapılan Hastalarda Abdominal Masajın Ağrı ve Distansiyon Üzerine Etkisi - Randomize Kontrollü Bir Çalışma
Yıl 2025,
Cilt: 5 Sayı: 1, 12 - 23, 30.04.2025
Sacide Yıldızeli Topçu
,
Zeynep Kızılcık Özkan
,
Berna Yılmaz
Öz
Bu çalışmanın amacı, kolonoskopi yapılan hastalarda karın masajının ağrı ve distansiyon üzerindeki etkisini değerlendirmektir. Bu randomize kontrollü çalışma Eylül 2019-Aralık 2021 tarihleri arasında bir üniversite hastanesinin endoskopi ünitesinde kolonoskopi yapılan 60 hastanın katılımıyla gerçekleştirilmiştir. Kolonoskopi sonrası abdominal masaj uygulanan 30 hasta deney grubuna dahil edilmiştir. Sosyodemografik özellik değişkenlerine göre gruplar arasında istatistiksel olarak anlamlı bir fark olmadığı tespit edilmiştir (p>0.05). Deney grubunda hastaların ağrı düzeylerindeki azalma istatistiksel olarak anlamlı bulunurken (p=0,006), gruplarda ilk değerlendirme ile ikinci değerlendirme arasındaki distansiyon düzeyindeki fark istatistiksel olarak anlamlı bulunmamıştır (p=0,139 ve p=0,548). Abdominal masaj kolonoskopi sonrası ağrıyı azaltmada etkili bir hemşirelik girişimi olarak kullanılabilir. Çalışma ClinicalTrials.gov'a (NCT05823350) kaydedilmiştir.
Etik Beyan
Trakya University Ethics Committee for Scientific Research (date: 19.08.2019, no:2019/293, decision: 13/14) and institute (79056779-600 date 30.09.2019).
Kaynakça
-
Bany Hamdan, A., Ballourah, W., Elghazaly, A., Javison, S., Alshammary, S., Erlandez, S., Garatli, A., Mohammed, H., & Alharbi, M. (2022). The effect of video-assisted education prior intrathecal chemotherapy on anxiety and knowledge enhancement. J Cancer Educ, 37, 65–70. https://doi.org/10.1007/s13187-020-01787-1
-
Baran, A., & Ates, S. (2019). The effects of abdominal massage in the management of constipation in elderly people: A randomized controlled study. Top Geriatr Rehabil, 35(2), 134-140. https://doi.org/10.1097/TGR.0000000000000223
-
Cankurtaran, R.E., & Atalay, R. (2023). Effects of hot pack therapy on post-colonoscopy pain: A prospective, randomized, controlled study. Pain Manag Nurs, 24(6), 148-e151. https://doi.org/10.1016/j.pmn.2023.08.008
-
Costello, B., James, T., Hall, C., Shergill, A., & Schlossberg, N. (2023). Does manual abdominal pressure during colonoscopy put endoscopy staff and patients at risk? Experiences of endoscopy nurses and technicians. Gastroenterol Nurs, 46(5), 386-392. https://doi.org/10.1097/SGA.0000000000000756
-
Çelebi, D., Yılmaz, E., Tutcu Şahin, S., & Baydur, H. (2020). The effect of music therapy during colonoscopy on pain, anxiety and patient comfort: A randomized controlled trial. Complement Ther Clin Pract, 38, 01084. https://doi.org/10.1016/j.ctcp.2019.101084
-
Çevik, L., & Rızalar, S. (2024). The effect on anxiety and satisfaction of video-assisted education given before an ERCP procedure. Gastroenterol Nurs, 47(1), 19-26. https://doi.org/10.1097/SGA.0000000000000781
-
Decruz, G.M., Ng, C.H., Lim, K.T., Devi, M.K., Lim, F., Tai, C.H., & Chong, C.S. (2021). Afterthoughts on colonoscopy. Was it that bad?. J Med Screen, 28(2), 63-69.
-
Dehghan, M., Mehdipoor, R., & Ahmadinejad, M. (2018). Does abdominal massage improve gastrointestinal functions of intensive care patients with an endotracheal tube?: A randomized clinical trial. Complement Ther Clin Pract, 30, 122-128. https://doi.org/10.1016/j.ctcp.2017.12.018
-
Dreyer, N., Cutshall, S., Huebner, M., Foss, D., Lovely, J.K., Bauer, B.A., & Cima, R.R. (2015). Effect of massage therapy on pain, anxiety, relaxation, and tension after colorectal surgery: A randomized study. Complement Ther Clin Pract, 21(3), 154-159. https://doi.org/10.1016/j.ctcp.2015.06.004
-
D'Souza, B., Slack, T., Wong, S., Lam, F., Muhlman, M., Koestenbauer, J., Dark, J., & Newstead, G. (2017). Randomized controlled trial of probiotics after colonoscopy. ANZ J Surg, 87(9), 65-69. https://doi.org/10.1111/ans.13225
-
Fekri, Z., Aghebati, N., Sadeghi, T., & Farzadfard, M. (2021). The effects of abdominal "I LOV U" massage along with lifestyle training on constipation and distension in the elderly with stroke. Complement Ther Med, 57, 102665. https://doi.org/10.1016/j.ctim.2021.102665
-
Güleşen, G. (2022). An important concept in nursing care: missed nursing care and reasons. Turkish Journal of Health Sciences and Research, 5(1), 42-49. https://doi.org/10.51536/tusbad.1042757
-
Gündüz, F., Kani, H.T., Chang, S., Akdeniz, E., Eren, F., Yılmaz, Y., & Alahdab, Y.Ö. (2020). Effect of carbondioxide versus room air insufflation on post-colonoscopic pain: A prospective, randomized, controlled study. Turk J Gastroenterol, 31(10), 676–680. https://doi.org/10.5152/tjg.2020.20596
-
Holey, L.A., & Dixon, J. (2014). Connective tissue manipulation: a review of theory and clinical evidence. J Bodyw Mov Ther, 18(1), 112-118. https://doi.org/10.1016/j.jbmt.2013.08.003
-
Hwang, S.K., & Jung, H.M. (2015). The effects of thermotherapy on abdominal distension and pain during colonoscopy. J East-West Nurs Res, 21, 133–139. https://doi.org/10.14370/JEWNR.2015.21.2.133
-
İlaslan, N., & Şişman, N.Y. (2019). Evaluation of nurses in a university hospital for the amount and reasons of unmet nursing need. Çukurova Med J, 44(4), 1226-1236. https://doi.org/10.17826/cumj.509488
-
Jeon, S.C., Kim, J.H., Kim, S.J., Kwon, H.J., Choi, Y.J., Jung, K., ... & Park, S.J. (2019). Effect of sending educational video clips via smartphone mobile messenger on bowel preparation before colonoscopy. Clin Endosc, 52(1), 53-58. https://doi.org/10.5946/ce.2018.072
-
Jin Y., Sheng Z., Liu Q., Dong, L., & Zhu, D. (2020). The therapeutic effects of comfortable nursing on digestive endoscopy patients. Int J Clin Exp Med, 13, 2774-2781.
-
Jo, W.H., & Kim, M.S. (2022). The effects of abdominal meridian massage on abdominal distention, pain, and recovery of bowel motility after sedated colonoscopy. J Korean Acad Fundam Nurs, 29(1), 12-23. https://doi.org/10.7739/jkafn.2022.29.1.12
-
Karaveli Çakır, S., & Evirgen, S. (2021). The effect of virtual reality on pain and anxiety during colonoscopy: A randomized controlled trial. Turk J Gastroenterol, 32(5), 451–457. https://doi.org/10.5152/tjg.2021.191081
-
Kayıkcı, E., Kocatepe, V., Akyüz, F., & Can, G. (2020). The effects of abdominal massage on the management of constipation: a systematic review of randomised controlled trials. Bezmialem Science, 8(3), 311-317. https://doi.org/10.14235/bas.galenos.2020.2832
-
Lamas, K., Lindholm, L., Stenlund, H., Engström, B., & Jacobsson, C. (2009). Effects of abdominal massage in management of constipation - A randomized controlled trial. Int J Nurs Stud, 46, 759–767. https://doi.org/10.1016/j.ijnurstu.2009.01.007
-
Liu, T., Yi, C., Lei, W., Yu, C., Hung, J., & Chen, C. (2016). Comparison of rectal suction versus rectal tube insertion for reducing abdominal symptoms immediately after unsedated colonoscopy. Endosc Int Open, 04, E725–E729. https://doi.org/10.1055/s-0034-1392223
-
Mutlu, S., Yılmaz, E., & Tutcu Şahin, S. (2024). The effect of position change and abdominal massage on anxiety, pain and distension after colonoscopy: A randomized clinical trial. Explore, 20(1), 89-94. https://doi.org/10.1016/j.explore.2023.06.007
-
Olgun, S. (2016). Abdominal massage application in management of constipation. Journal of Ege University Nursing Faculty, 32, 118-126.
-
Öztürk, D., & Gürkan, A. (2021). The effect of post colonoscopy abdominal massage on abdominal pain, distension, discomfort and patient satisfaction: A randomized controlled study protocol. Int J Clin Trials, 8(4), 301-307.
-
Robinson, C.L., Phung, A., Dominguez, M., Remotti, E., Ricciardelli, R., Momah, D.U., ... & Gill, J. (2024). Pain scales: what are they and what do they mean. Curr Pain Headache Rep, 28(1), 11-25.
-
Sewitch, M.J., Azalgara, V.M., & Sing, M.F. (2018). Screening indication associated with lower likelihood of minor adverse events in patients undergoing outpatient colonoscopy. Gastroenterol Nurs, 41(2), 159–164. https://doi.org/10.1097/SGA.0000000000000308
-
Tanrıverdi, S., & Parlar Kılıç, S. (2022). The effect of progressive muscle relaxation on abdominal pain and distension in colonoscopy patients. J Perianesth Nurs, 38(2), 224-231. https://doi.org/10.1016/j.jopan.2022.04.013
-
Uma, B., & Clement, I. (2020). Gate control theory of pain. IDC International Journal, 7(3), 54-57. https://doi.org/10.47211/idcij.2020.v07i03.014
-
Uysal, N. (2017). The effect of abdominal massage administered by caregivers on gastric complications occurring in patients intermittent enteral feeding–a randomized controlled trial. Eur J Integr Med, 10, 75-81. https://doi.org/10.1016/j.eujim.2017.01.014
-
Ünler, G.K., Gokturk, H.S., & Karakoca, A. (2020). A randomized controlled trial of anoscopy and manual abdominal compression to increase patient comfort after colonoscopy. International Research Journal of Gastroenterology and Hepatology, 3(1), 37-41.
-
Waye, J.D., Aisenberg, J., & Rubin, P.H. (Eds). (2013). Practical colonoscopy. London: John Wiley & Son’s.
-
Yang, Q., Zhu, X., Wu, Z., Leng, F., Shu, X., & Yang, L. (2023). Impact of the second examination of the proximal colon on the adenoma detection rate: a prospective randomized controlled trial. Clin Transl Gastroenterol, 14(1), e00557. https://doi.org/10.14309/ctg.0000000000000557
-
Ye, Z., Chen, J., Xuan, Z., Gao, M., & Yang, H. (2020). Educational video improves bowel preparation in patients undergoing colonoscopy: a systematic review and meta-analysis. Ann Palliat Med, 9(3), 67180-67680. http://dx.doi.org/10.21037/apm.2020.03.33
-
Yıldırım, D., Can, G., & Talu, G.K. (2019). The efficacy of abdominal massage in managing opioid-induced constipation. Eur J Oncol Nurs, 41, 110–119. https://doi.org/10.1016/j.ejon.2019.05.013
-
Yu, G., Huang, X., Li, H., Tang, W., Hu, D.M., Lu, M.H., & Fu, K.I. (2018). Use of an abdominal obstetric binder in colonoscopy: A randomized, prospective trial. J Gastroenterol Hepatol, 33(7), 1365–1369. https://doi.org/10.1111/jgh.14077
-
Zhang, Y.Y., Vimala, R., Chui, P.L., & Hilmi, I.N. (2023). Effect of visual distraction on pain in adults undergoing colonoscopy: a meta-analysis. Surg Endosc, 37(4), 2633-2643.
The Effect of Abdominal Massage on Pain and Distention in Patients Underwent Colonoscopy – A Randomized Controlled Study
Yıl 2025,
Cilt: 5 Sayı: 1, 12 - 23, 30.04.2025
Sacide Yıldızeli Topçu
,
Zeynep Kızılcık Özkan
,
Berna Yılmaz
Öz
This study aimed to evaluate the effect of abdominal massage on pain and distention in patients who underwent colonoscopy. This randomized controlled study was conducted between September 2019 and December 2021 with the participation of 60 patients who underwent colonoscopy in the endoscopy unit of a university hospital. Thirty patients who received abdominal massage after colonoscopy were included in the experimental group. It was determined that there was no statistically significant difference between the groups according to sociodemographic characteristics variables (p > 0.05). While the decrease in patients’ pain levels was found statistically significant in the experimental group (p = 0.006), the difference in the distension level between first evaluation and second evaluation in the groups was not statistically significant (p = 0.139 and p = 0.548). Abdominal massage can be used as an effective nursing intervention in reducing pain after colonoscopy. The study was registered with ClinicalTrials.gov (NCT05823350).
Kaynakça
-
Bany Hamdan, A., Ballourah, W., Elghazaly, A., Javison, S., Alshammary, S., Erlandez, S., Garatli, A., Mohammed, H., & Alharbi, M. (2022). The effect of video-assisted education prior intrathecal chemotherapy on anxiety and knowledge enhancement. J Cancer Educ, 37, 65–70. https://doi.org/10.1007/s13187-020-01787-1
-
Baran, A., & Ates, S. (2019). The effects of abdominal massage in the management of constipation in elderly people: A randomized controlled study. Top Geriatr Rehabil, 35(2), 134-140. https://doi.org/10.1097/TGR.0000000000000223
-
Cankurtaran, R.E., & Atalay, R. (2023). Effects of hot pack therapy on post-colonoscopy pain: A prospective, randomized, controlled study. Pain Manag Nurs, 24(6), 148-e151. https://doi.org/10.1016/j.pmn.2023.08.008
-
Costello, B., James, T., Hall, C., Shergill, A., & Schlossberg, N. (2023). Does manual abdominal pressure during colonoscopy put endoscopy staff and patients at risk? Experiences of endoscopy nurses and technicians. Gastroenterol Nurs, 46(5), 386-392. https://doi.org/10.1097/SGA.0000000000000756
-
Çelebi, D., Yılmaz, E., Tutcu Şahin, S., & Baydur, H. (2020). The effect of music therapy during colonoscopy on pain, anxiety and patient comfort: A randomized controlled trial. Complement Ther Clin Pract, 38, 01084. https://doi.org/10.1016/j.ctcp.2019.101084
-
Çevik, L., & Rızalar, S. (2024). The effect on anxiety and satisfaction of video-assisted education given before an ERCP procedure. Gastroenterol Nurs, 47(1), 19-26. https://doi.org/10.1097/SGA.0000000000000781
-
Decruz, G.M., Ng, C.H., Lim, K.T., Devi, M.K., Lim, F., Tai, C.H., & Chong, C.S. (2021). Afterthoughts on colonoscopy. Was it that bad?. J Med Screen, 28(2), 63-69.
-
Dehghan, M., Mehdipoor, R., & Ahmadinejad, M. (2018). Does abdominal massage improve gastrointestinal functions of intensive care patients with an endotracheal tube?: A randomized clinical trial. Complement Ther Clin Pract, 30, 122-128. https://doi.org/10.1016/j.ctcp.2017.12.018
-
Dreyer, N., Cutshall, S., Huebner, M., Foss, D., Lovely, J.K., Bauer, B.A., & Cima, R.R. (2015). Effect of massage therapy on pain, anxiety, relaxation, and tension after colorectal surgery: A randomized study. Complement Ther Clin Pract, 21(3), 154-159. https://doi.org/10.1016/j.ctcp.2015.06.004
-
D'Souza, B., Slack, T., Wong, S., Lam, F., Muhlman, M., Koestenbauer, J., Dark, J., & Newstead, G. (2017). Randomized controlled trial of probiotics after colonoscopy. ANZ J Surg, 87(9), 65-69. https://doi.org/10.1111/ans.13225
-
Fekri, Z., Aghebati, N., Sadeghi, T., & Farzadfard, M. (2021). The effects of abdominal "I LOV U" massage along with lifestyle training on constipation and distension in the elderly with stroke. Complement Ther Med, 57, 102665. https://doi.org/10.1016/j.ctim.2021.102665
-
Güleşen, G. (2022). An important concept in nursing care: missed nursing care and reasons. Turkish Journal of Health Sciences and Research, 5(1), 42-49. https://doi.org/10.51536/tusbad.1042757
-
Gündüz, F., Kani, H.T., Chang, S., Akdeniz, E., Eren, F., Yılmaz, Y., & Alahdab, Y.Ö. (2020). Effect of carbondioxide versus room air insufflation on post-colonoscopic pain: A prospective, randomized, controlled study. Turk J Gastroenterol, 31(10), 676–680. https://doi.org/10.5152/tjg.2020.20596
-
Holey, L.A., & Dixon, J. (2014). Connective tissue manipulation: a review of theory and clinical evidence. J Bodyw Mov Ther, 18(1), 112-118. https://doi.org/10.1016/j.jbmt.2013.08.003
-
Hwang, S.K., & Jung, H.M. (2015). The effects of thermotherapy on abdominal distension and pain during colonoscopy. J East-West Nurs Res, 21, 133–139. https://doi.org/10.14370/JEWNR.2015.21.2.133
-
İlaslan, N., & Şişman, N.Y. (2019). Evaluation of nurses in a university hospital for the amount and reasons of unmet nursing need. Çukurova Med J, 44(4), 1226-1236. https://doi.org/10.17826/cumj.509488
-
Jeon, S.C., Kim, J.H., Kim, S.J., Kwon, H.J., Choi, Y.J., Jung, K., ... & Park, S.J. (2019). Effect of sending educational video clips via smartphone mobile messenger on bowel preparation before colonoscopy. Clin Endosc, 52(1), 53-58. https://doi.org/10.5946/ce.2018.072
-
Jin Y., Sheng Z., Liu Q., Dong, L., & Zhu, D. (2020). The therapeutic effects of comfortable nursing on digestive endoscopy patients. Int J Clin Exp Med, 13, 2774-2781.
-
Jo, W.H., & Kim, M.S. (2022). The effects of abdominal meridian massage on abdominal distention, pain, and recovery of bowel motility after sedated colonoscopy. J Korean Acad Fundam Nurs, 29(1), 12-23. https://doi.org/10.7739/jkafn.2022.29.1.12
-
Karaveli Çakır, S., & Evirgen, S. (2021). The effect of virtual reality on pain and anxiety during colonoscopy: A randomized controlled trial. Turk J Gastroenterol, 32(5), 451–457. https://doi.org/10.5152/tjg.2021.191081
-
Kayıkcı, E., Kocatepe, V., Akyüz, F., & Can, G. (2020). The effects of abdominal massage on the management of constipation: a systematic review of randomised controlled trials. Bezmialem Science, 8(3), 311-317. https://doi.org/10.14235/bas.galenos.2020.2832
-
Lamas, K., Lindholm, L., Stenlund, H., Engström, B., & Jacobsson, C. (2009). Effects of abdominal massage in management of constipation - A randomized controlled trial. Int J Nurs Stud, 46, 759–767. https://doi.org/10.1016/j.ijnurstu.2009.01.007
-
Liu, T., Yi, C., Lei, W., Yu, C., Hung, J., & Chen, C. (2016). Comparison of rectal suction versus rectal tube insertion for reducing abdominal symptoms immediately after unsedated colonoscopy. Endosc Int Open, 04, E725–E729. https://doi.org/10.1055/s-0034-1392223
-
Mutlu, S., Yılmaz, E., & Tutcu Şahin, S. (2024). The effect of position change and abdominal massage on anxiety, pain and distension after colonoscopy: A randomized clinical trial. Explore, 20(1), 89-94. https://doi.org/10.1016/j.explore.2023.06.007
-
Olgun, S. (2016). Abdominal massage application in management of constipation. Journal of Ege University Nursing Faculty, 32, 118-126.
-
Öztürk, D., & Gürkan, A. (2021). The effect of post colonoscopy abdominal massage on abdominal pain, distension, discomfort and patient satisfaction: A randomized controlled study protocol. Int J Clin Trials, 8(4), 301-307.
-
Robinson, C.L., Phung, A., Dominguez, M., Remotti, E., Ricciardelli, R., Momah, D.U., ... & Gill, J. (2024). Pain scales: what are they and what do they mean. Curr Pain Headache Rep, 28(1), 11-25.
-
Sewitch, M.J., Azalgara, V.M., & Sing, M.F. (2018). Screening indication associated with lower likelihood of minor adverse events in patients undergoing outpatient colonoscopy. Gastroenterol Nurs, 41(2), 159–164. https://doi.org/10.1097/SGA.0000000000000308
-
Tanrıverdi, S., & Parlar Kılıç, S. (2022). The effect of progressive muscle relaxation on abdominal pain and distension in colonoscopy patients. J Perianesth Nurs, 38(2), 224-231. https://doi.org/10.1016/j.jopan.2022.04.013
-
Uma, B., & Clement, I. (2020). Gate control theory of pain. IDC International Journal, 7(3), 54-57. https://doi.org/10.47211/idcij.2020.v07i03.014
-
Uysal, N. (2017). The effect of abdominal massage administered by caregivers on gastric complications occurring in patients intermittent enteral feeding–a randomized controlled trial. Eur J Integr Med, 10, 75-81. https://doi.org/10.1016/j.eujim.2017.01.014
-
Ünler, G.K., Gokturk, H.S., & Karakoca, A. (2020). A randomized controlled trial of anoscopy and manual abdominal compression to increase patient comfort after colonoscopy. International Research Journal of Gastroenterology and Hepatology, 3(1), 37-41.
-
Waye, J.D., Aisenberg, J., & Rubin, P.H. (Eds). (2013). Practical colonoscopy. London: John Wiley & Son’s.
-
Yang, Q., Zhu, X., Wu, Z., Leng, F., Shu, X., & Yang, L. (2023). Impact of the second examination of the proximal colon on the adenoma detection rate: a prospective randomized controlled trial. Clin Transl Gastroenterol, 14(1), e00557. https://doi.org/10.14309/ctg.0000000000000557
-
Ye, Z., Chen, J., Xuan, Z., Gao, M., & Yang, H. (2020). Educational video improves bowel preparation in patients undergoing colonoscopy: a systematic review and meta-analysis. Ann Palliat Med, 9(3), 67180-67680. http://dx.doi.org/10.21037/apm.2020.03.33
-
Yıldırım, D., Can, G., & Talu, G.K. (2019). The efficacy of abdominal massage in managing opioid-induced constipation. Eur J Oncol Nurs, 41, 110–119. https://doi.org/10.1016/j.ejon.2019.05.013
-
Yu, G., Huang, X., Li, H., Tang, W., Hu, D.M., Lu, M.H., & Fu, K.I. (2018). Use of an abdominal obstetric binder in colonoscopy: A randomized, prospective trial. J Gastroenterol Hepatol, 33(7), 1365–1369. https://doi.org/10.1111/jgh.14077
-
Zhang, Y.Y., Vimala, R., Chui, P.L., & Hilmi, I.N. (2023). Effect of visual distraction on pain in adults undergoing colonoscopy: a meta-analysis. Surg Endosc, 37(4), 2633-2643.