The Effect of Abdominal Massage on Constipation Management in Palliative Care Patients: A Randomized Controlled Trial
Öz
Objective: To investigate how abdominal massage affects individuals receiving palliative care when it comes to managing constipation.
Methods: This study is a single-centre, randomised control trial. There were 90 palliative patients in all when the trial was finished, including an intervention group of 45 and a control group of 45.The information form, Bristol Stool Scale, Gastrointestinal Symptom Rating Scale and Constipation Assessment Scale were used. Data were analysed with SPSS25 software and evaluated with Chi-square test, Fisher's Exact test, McNemar test, Paired sample t test and Independent sample t test. Study methods and results reported in adherence to the CONSORT Statement.
Results: The gastrointestinal symptom ratings of the patients in the intervention group were found to differ significantly before and after the intervention. The control group's results did not alter based on the number of days. The patients' constipation evaluation ratings in the intervention group were shown to differ significantly from one another. There was no discernible variation in the control group's ratings.
Conclusions: It has been demonstrated that palliative patients' constipation may be effectively managed with abdominal massage. Therefore, abdominal massage may be recommended by nurses for patients with constipation risks and histories in the care provided in palliative clinics. It is also advised that patients and their families get education and care assistance that includes abdominal massage.
Anahtar Kelimeler
Constipation, Palliative care, Nursing care, Abdominal massage
Destekleyen Kurum
TÜBİTAK
Proje Numarası
1919B012101971
Teşekkür
We thank TUBITAK for funding and supporting our study.
Kaynakça
- Abraham, J. M., & Taylor, C. J. (2017). Cystic Fibrosis & disorders of the large intestine: DIOS, constipation, and colorectal cancer. Journal of Cystic Fibrosis , 16(2), S40–S49. https://doi.org/10.1016/J.JCF.2017.06.013
- Aktuğ, C., & Demir Doğan, M. (2017). Validity and reliability of the Turkish version of constipation assessment scale in nursing students. Eurasian Journal of Family Medicine, 6(2), 72–76.
- Alexander, K., Goldberg, J., & Korc-Grodzicki, B. (2016). PALLIATIVE CARE AND SYMPTOM MANAGEMENT IN OLDER CANCER PATIENTS. Clinics in Geriatric Medicine, 32(1), 45. https://doi.org/10.1016/J.CGER.2015.08.004
- Altun Ugras, G., Yüksel, S., Isik, M. T., Tasdelen, B., Dogan, H., & Mutluay, O. (2022). Effect of abdominal massage on bowel evacuation in neurosurgical intensive care patients. Nursing in Critical Care, 27(4), 558–566. https://doi.org/10.1111/NICC.12575
- Bharucha, A. E., & Lacy, B. E. (2020). Mechanisms, evaluation, and management of chronic constipation. Gastroenterology, 158(5), 1232. https://doi.org/10.1053/J.GASTRO.2019.12.034
- Bharucha, A. E., & Wald, A. (2019). Chronic constipation. Mayo Clinic Proceedings, 94(11), 2340. https://doi.org/10.1016/J.MAYOCP.2019.01.031
- Bouchoucha, M., Devroede, G., Mary, F., Bon, C., Bejou, B., & Benamouzig, R. (2018). Painful or mild-pain constipation? A clinically useful alternative to classification as irritablebowel syndrome with constipation versus functional constipation. Digestive Diseases and Sciences 2018 63:7, 63(7), 1763–1773. https://doi.org/10.1007/S10620-018-4995-6
- Çevik, K., Çetinkaya, A., Yiǧit Gökbel, K., Menekşe, B., Saza, S., & Tikiz, C. (2018). The effect of abdominal massage on constipation in the elderly residing in rest homes. Gastroenterology Nursing, 41(5),396–402. https://doi.org/10.1097/SGA.0000000000000343
- Dehghan, M., Fatehi poor, A., Mehdipoor, R., & Ahmadinejad, M. (2018). Does abdominal massage improve gastrointestinal functions of intensive care patients with an endotracheal tube?: A randomized clinical trial. Complementary Therapies in Clinical Practice, 30, 122–128. https://doi.org/10.1016/J.CTCP.2017.12.018
- Drouin, J. S., Pfalzer, L., Shim, J. M., & Kim, S. J. (2020). Comparisons between manual lymph drainage, abdominal massage, and electrical stimulation on functional constipation outcomes: A randomized, controlled trial. International Journal of Environmental Research and Public Health, 17(11), 1–14. https://doi.org/10.3390/IJERPH17113924