Effect of Abdominal Massage on Palliative Care Patients

NCT05580679 | Completed DMC

• 1 other identifier: 1919B012101971
• Study Type: interventional
• Target: 90
• Locations: 1 country
• Sites: 1

Brief Summary

Constipation is defined as infrequent defecation or difficulty in evacuation. Although the constipation problem is mostly self-managed by the patients, 22% mostly refer to primary health care providers (\>50%), resulting in large expenditures for diagnostic tests and treatments. According to studies conducted in our country, the incidence of constipation varies between 22-40%, while it is stated that the prevalence of constipation in hospitalized patients is 79%. Annual medical costs due to constipation are estimated to exceed 230 million dollars. Pharmacological and non-pharmacological methods are used in the management of constipation, which is one of the most common symptoms in the hospital. The use of non-pharmacological methods is recommended due to the possibility of side effects and cost of pharmacological methods. However, the prevalence of use of non-pharmacological methods in the clinic is low. Nurses need to have knowledge about non-pharmacological methods in order to manage the problem of constipation, which is one of the most common symptoms in the hospital. Abdominal massage, which is included in the Nursing Interventions Classification (NIC), is an application performed with manipulations such as pressure and rubbing on certain points on the body to reduce pain, provide relaxation and relaxation, prevent and reduce nausea, and prevent constipation.

Conditions

Constipation; Abdominal Pain; Palliative Care

Keywords

palliative; palliative care; nursing; abdominal massage; constipation

Outcome Measures

Primary Outcomes (2)

• First measurements of defecation type.

  First measurements of both group before intervention using by Bristol Stool Consistency Scale. The Bristol Stool Consistency Scale, developed by a team of gastroenterologists at the University of Bristol, UK; It is used to evaluate stool form and to have information about changes in bowel habits and a pathological formation that may occur in the intestine. This scale was designed to classify an individual's bowel movements in seven distinct categories of stool. According to the Bristol Stool Consistency Scale, Type 1 and Type 2 are constipation, Type 3 and Type 4 are normal stools, and Type 5, Type 6 and Type 7 are diarrhea. It is accepted that there is a direct relationship between stool shape and length of stay in the colon (Lewis and Heaton 1997).

  1-7 days

• First measurements of gastrointestinal symptoms

  First measurements of both groups before the intervention using a Gastrointestinal Symptom Rating Scale.The Turkish validity and reliability of the scale, which was developed by Revicki et al. in 1998 to evaluate the symptoms frequently seen in gastrointestinal system disorders, was performed by Turan and Aştı in 2011. GSRS; It is a 15-item Likert-type scale with options starting from "no discomfort" to "very severe discomfort". Based on factor analysis, 15 items of the GSRS have five sub-dimensions: Abdominal Pain, Reflux, Diarrhea, Indigestion and Constipation. In the GSRS, how the individual felt in terms of gastrointestinal problems in the last week is questioned. High scores on the GSRS indicate that the symptoms are more severe (Revicki et al. 1998; Kaya and Turan 2011; Turan and Aştı 2011).

  1-7 days

Study Arms (2)

Abdominal massage group

EXPERIMENTAL

Abdominal massage using for evaluation of constipation.

Other: Abdominal massage

Standart care group

NO INTERVENTION

No intervention palliative care patient

Interventions

Abdominal massage OTHER

Application time of the massage: 30 minutes after meals, twice a day, at 10:00 in the morning and at 16:00 in the evening. Application time of the massage: 15 minutes each Materials needed: Gloves, Liquid Vaseline, Paper Towel Massage methods used: Efflorage, Petrissage, 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:

• Volunteering
• Being over 18 years old
• No history of gastrointestinal cancer, history of abdominal surgery or abdominal hernia
• At least 7 days of clinical treatment

You may not qualify if:

• Patient information form
• Gastrointestinal system rating scale
• Constipation assessment scale
• Bristol stool consistency scale

Sponsors & Collaborators

• Bartın Unıversity: lead
• The Scientific and Technological Research Council of Turkey: collaborator

Study Sites (1)

Özge Uçar

Bartın, 74100, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Constipation; Abdominal Pain

Condition Hierarchy (Ancestors)

Signs and Symptoms, Digestive; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Pain; Neurologic Manifestations

Study Officials

• Özge Uçar

  Bartin University Health Science Faculty

  PRINCIPAL INVESTIGATOR

• Nursena Eren

  Bartin University Health Science Faculty

  STUDY DIRECTOR

• Nisa Ün

  Bartin University Health Science Faculty

  STUDY CHAIR

• Erdem Altuner

  Bartin University Health Science Faculty

  STUDY CHAIR

• İrem Yılmaz

  Bartin University Health Science Faculty

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: QUADRUPLE
• Who Masked: PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: SUPPORTIVE CARE
• Intervention Model: CROSSOVER
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Research Assistant

Model Details: Randomized Controlled Trials

Study Record Dates

• First Submitted: October 7, 2022
• First Posted: October 14, 2022
• Study Start: March 15, 2022
• Primary Completion: August 30, 2022
• Study Completion: December 30, 2022
• Last Updated: September 21, 2023

Record last verified: 2023-09

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)