The Effect of Abdominal Massage on Constipation Management in Palliative Care Patients: A Randomized Controlled Trial

Yıl 2024, Cilt: 3 Sayı: 3, 47 - 58, 05.12.2024

Nursena Eren , Nisa Ün , Erdem Altuner , İrem Yılmaz , Özge Uçar

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.

PALYATİF BAKIM HASTALARINDA ABDOMİNAL MASAJIN KONSTİPASYONU YÖNETMEYE ETKİSİ: RANDOMİZE KONTROLLÜ ÇALIŞMA

Öz

Amaç: Araştırmanın amacı, abdominal masajın palyatif hastalarda konstipasyonu yönetmeye etkisini incelemektir.
Yöntem: Bu çalışma tek merkezli, randomize kontrollü deneysel tasarımdadır. Araştırmaya 45 müdahale grubu ve 45 kontrol grubu olmak üzere toplam 90 palyatif hasta dahil edildi. Bilgi formu, Bristol Gaita Ölçeği, Gastrointestinal Semptom Değerlendirme Ölçeği ve Konstipasyon Değerlendirme Ölçeği kullanıldı. Veriler SPSS25 programında Ki-kare testi, Fisher's Exact testi, McNemar testi, Paired sample t testi ve Independent sample t testi ile analiz edildi. Çalışma yöntemleri ve sonuçları CONSORT raporlama sistemine uygun olarak raporlandı.
Bulgular: Müdahale grubundaki hastaların gastrointestinal semptom derecelendirme ölçeği puanları arasında istatistiksel olarak anlamlı farklılık bulundu. Kontrol grubunun sonuçları arasında istatistiksel olarak fark görülmedi. Müdahale grubundaki hastaların kabızlık değerlendirme puanlarının arasın da anlamlı fark saptanırken, kontrol grubunda anlamlı fark belirlenmedi.
Sonuç ve Öneriler: Palyatif hastalarda abdominal masaj ile konstipasyon etkili bir şekilde yönetilebilmektedir. Bu nedenle, palyatif kliniklerde verilen bakımda konstipayson riski ve öyküsü olan hastalara hemşireler tarafından abdominal masaj uygulanabilir. Ayrıca hastalara ve yakınlarına karın masajını da içeren eğitim ve bakım desteği verilmesi önerilmektedir.

Anahtar Kelimeler

Konstipasyon, Abdominal masaj, Palyatif bakım, Hemşirelik Bakımı

Destekleyen Kurum

TÜBİTAK

Proje Numarası

1919B012101971

Teşekkür

Araştırmamıza sağladığı desteklerden dolayı TÜBİTAK'a teşekkür ederiz.

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
• Durmuş İskender, M., & Çalışkan, N. (2020). Acupressure application and role of nurse in constipation management. Van Medical Journal, 27(1), 103–108. https://doi.org/10.5505/VTD.2020.65002
• Faghihi, A., Zohalinezhad, M. E., & Najafi Kalyani, M. (2022). Comparison of the Effects of Abdominal Massage and Oral Administration of Sweet Almond Oil on Constipation and Quality of Life among Elderly Individuals: A Single-Blind Clinical Trial. BioMed Research International, 2022, 1–9. https://doi.org/10.1155/2022/9661939
• Hilal, N. I., Santhi, S., Nirmala, V., & Anitha, R. (2023). Effectiveness of abdominal massage on gastric residual volume, abdominal distension, and gastrointestinal functioning among patients with nasogastric tube feeding admitted in the ICU’s at selected hospital-Pilot study. Journal of Pharmaceutical Negative Results, 14(3), 765–771. https://doi.org/10.47750/PNR.2023.14.03.100
• Jani, B., & Marsicano, E. (2018). Constipation: Evaluation and Management. Missouri Medicine, 115(3), 236–240. https://doi.org/10.3109/9781420016192-12
• Kosasih, C. E., Andriani, A. D., Lestari, A. A., Sekarjati, F. M., Iqomatulhaq, H., Audini, J. J., Lestary, M. V., Ramdan, M., Nurcholivatun, R., Agustin, R. R., Almuwaroh, T., & Manaf, Y. A. (2019). Effects of abdominal massage to overcome gastrointestinal dysfunction in patients in intensive care unit: A literature review. Padjadjaran Acute Care Nursing Journal, 1(1), 60–67.
• Lämås, K., Lindholm, L., Stenlund, H., Engström, B., & Jacobsson, C. (2009). Effects of abdominal massage in management of constipation-A randomized controlled trial. International Journal of Nursing Studies, 46(6), 759–767. https://doi.org/10.1016/J.IJNURSTU.2009.01.007
• Lewis, S. J., & Heaton, K. W. (1997). Stool Form Scale as a Useful Guide to Intestinal Transit Time. Scandinavian Journal of Gastroenterology, 32(9), 920–924. https://doi.org/10.3109/00365529709011203
• Li, H., Zhang, W., Ma, F., Zhang, X., Wang, Y., & Wang, J. (2022). Abdominal massage improves the symptoms of ,irritable bowel syndrome by regulating mast cells via the Trypase-PAR2-PKCε pathway in rats. Pain Research and Management, 2022, 1–8. https://doi.org/10.1155/2022/8331439
• Li, K. (2022). Safety and effectiveness of moxibustion and abdominal massage in hospitalized older patients with constipation: A retrospective study. Wound Management and Prevention, 68(8), 16–24. https://doi.org/10.25270/WMP.2022.8.1624
• McClurg, D., Harris, F., Goodman, K., Doran, S., Hagen, S., Treweek, S., Norton, C., Coggrave, M., Norrie, J., Rauchhaus, P., Donnan, P., Emmanuel, A., Manoukian, S., & Mason, H. (2018). Abdominal massage plus advice, compared with advice only, for neurogenic bowel dysfunction in MS: a RCT. Health Technology Assessment, 22(58), 1–134. https://doi.org/10.3310/HTA22580
• McMillan, S. C., & Williams, F. A. (1989). Validity and reliability of the Constipation Assessment Scale. Cancer Nursing, 12(3), 183–188.
• Nouhi, E., Mansour-Ghanaei, R., Hojati, S. A., & Chaboki, B. G. (2022). The effect of abdominal massage on the severity of constipation in elderly patients hospitalized with fractures: A randomized clinical trial. International Journal of Orthopaedic and Trauma Nursing, 47. https://doi.org/10.1016/j.ijotn.2022.100936
• Park, Y. G., Kim, B. S., Kang, K. T., & Ha, Y. C. (2023). Effects of abdominal massage for preventing acute postoperative constipation in hip fractures: A prospective interventional study. Clinics in Orthopedic Surgery, 15(4), 546–551. https://doi.org/10.4055/CIOS22091
• Patandung, V. P., Masyitha, A., Mulhaeriah, M., & Sangkala, M. S. (2021). Abdominal massage to relieve constipation among patients with heart failure: A case study. International Journal of Caring Sciences, 14(2), 1319–1325.
• Ren, K., Qiu, J., Wang, X., Niu, F., & Jiang, T. (2012). The effect of a sweet potato, footbath, and acupressure intervention in preventing constipation in hospitalized patients with acute coronary syndromes. Gastroenterology Nursing, 35(4), 271–277. https://doi.org/10.1097/SGA.0B013E31825ED7BC
• Revicki, D. A., Wood, M., Wiklund, I., & Crawley, J. (1998). Reliability and validity of the Gastrointestinal Symptom Rating Scale in patients with gastroesophageal reflux disease. Quality of Life Research, 7, 75–83.
• Skjoedt, N., Johnsen, A. T., Sjøgren, P., Neergaard, M. A., Damkier, A., Gluud, C., Lindschou, J., Fayers, P., Higginson, I. J., Strömgren, A. S., & Groenvold, M. (2021). Early specialised palliative care: interventions, symptoms, problems. BMJ Supportive & Palliative Care, 11(4), 444–453. https://doi.org/10.1136/BMJSPCARE-2019-002043
• Turan, N., & Asti, T. A. (2016). The effect of abdominal massage on constipation and quality of life. Gastroenterology Nursing, 39(1), 48–59. https://doi.org/10.1097/SGA.0000000000000202
• Turan, N., Aşti, T. A., & Kaya, N. (2017). Reliability and validity of the Turkish version of the Gastrointestinal Symptom Rating Scale. Gastroenterology Nursing, 40(1), 47–55. https://doi.org/10.1097/SGA.0000000000000177
• Ueki, T., & Nakashima, M. (2019). Relationship between constipation and medication. Journal of University Of Environmental Health, 41(2), 145–151. https://doi.org/10.7888/JUOEH.41.145
• Uysal, N., Eşer, I., & Akpinar, H. (2012). The effect of abdominal massage on gastric residual volume: A randomized controlled trial. Gastroenterology Nursing, 35(2), 117–123. https://doi.org/10.1097/SGA.0B013E31824C235A
• Wang, J., Chen, Y., Xue, H., Chen, Z., Wang, Q., Zhu, M., Yao, J., Yuan, H., & Zhang, X. (2023). Effect of abdominal massage on feeding intolerance in patients receiving enteral nutrition: A systematic review and meta-analysis. Nursing Open, 10(5), 2720–2733. https://doi.org/10.1002/NOP2.1537
• Wang, L. N., & He, W. (2022). Nursing experience of abdominal massage intervention for gastrointestinal dysfunction after lung transplantation. Transplant Immunology, 72, 101590. https://doi.org/10.1016/J.TRIM.2022.101590
• Yıldırım, D., Can, G., & Köknel Talu, G. (2019). The efficacy of abdominal massage in managing opioid-induced constipation. European Journal of Oncology Nursing, 41, 110–119. https://doi.org/10.1016/J.EJON.2019.05.013
• Zhang, W., Zhou, W., Kong, Y., Li, Q., Huang, X., Zhao, B., Su, H., Chen, S., Shen, X., Qiu, Z., & Kong, Y. (2023). The effect of abdominal massage on enteral nutrition tolerance in patients on mechanical ventilation: A Randomized Controlled Study. Intensive & Critical Care Nursing, 75, 103371. https://doi.org/10.1016/j.iccn.2022.103371