Effect of Abdominal Massage on Gastrointestinal Outcomes Among Critically Ill Patients

NCT05423054 | Unknown

• 1 other identifier: P.0236
• Study Type: interventional
• Target: 90
• Locations: 0 countries
• Sites: N/A

Brief Summary

This study aims to investigate the effect of abdominal massage on gastrointestinal outcomes among critically ill patients receiving enteral feeding.

Conditions

Abdominal Massage

Outcome Measures

Primary Outcomes (3)

• Investigate the effect of abdominal massage on amount of gastric residual volume among critically ill patients receiving enteral feeding

  Change amount of gastric residual volume in milliliters

  3 days

• Investigate the effect of abdominal massage on abdominal circumference among critically ill patients receiving enteral feeding

  Change abdominal circumference in Centimeter

  3 days

• Investigate the effect of abdominal massage on the occurrence of vomiting, constipation, and aspiration among critically ill patients receiving enteral feeding

  Change occurrence of vomiting, constipation, and aspiration among critically ill patients receiving enteral feeding

  3 days

Study Arms (2)

abdominal massage group

EXPERIMENTAL

* Patients will be positioned on their back while their knees will be flexed. * Each patient will receive a 15-minute abdominal massage intervention half an hour before enteral feeding twice per day and the interval between two massages is 2 hours for consecutive 3 days. * The PR will be standed on the right side of the patient during the massage practice. * The abdominal massage technique will be delivered to each patient in four consecutive strokes including stroking, effleurage, kneading and vibration.

Other: Abdominal massage

Control group

NO INTERVENTION

The Control group will receive routine care in the intensive care unit

Interventions

Abdominal massage OTHER

* Patients will be positioned on their back while their knees will be flexed. * Each patient will receive a 15-minute abdominal massage intervention half an hour before enteral feeding twice per day and the interval between two massages is 2 hours for consecutive 3 days. * The PR will be standed on the right side of the patient during the massage practice. * The abdominal massage technique will be delivered to each patient in four consecutive strokes including stroking, effleurage, kneading and vibration.

abdominal massage group

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• All patients who are Full Outline of Unresponsiveness (FOUR) score is from 0-14 admitted to the previous ICUs who have nasogastric tube and within the first 24 hours from beginning enteral feeding will be included in the study.
• Age: adult CIPs ≥ 18 years.
• Gender: males and females.
• Negative gastric pH and glucose strip.

You may not qualify if:

• Gastric intolerance (delayed gastric empty).
• Patients who suffered from spinal cord injury, could not be properly positioned for massage due to severe trauma.
• Patients receiving prokinetic medications (to avoid interfering with the massage effects).
• Patients who have contraindications to abdominal massage such as ascites, abdominal aortic aneurysm, ileus, diarrhea, recent abdominal surgery, bleeding of GI, abdominal tumor, and undergoing radiotherapy.

Sponsors & Collaborators

• Mansoura University: lead

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Demonstrator in Critical Care and Emergency Nursing Department, Faculty of Nursing, Mansoura University

Study Record Dates

• First Submitted: May 29, 2022
• First Posted: June 21, 2022
• Study Start: June 20, 2022
• Primary Completion: September 30, 2022
• Study Completion: December 30, 2022
• Last Updated: June 21, 2022

Record last verified: 2022-06