The Effect of Abdominal Massage Applied After Surgery

NCT05750186 | Unknown

• 1 other identifier: Skurt-AbMa-01
• Study Type: interventional
• Target: 68
• Locations: 1 country
• Sites: 1

Brief Summary

This research is carried out by research assistant Semiha Kurt under the supervision of Associate Professor Nuray TURAN. In this research aimed to examine the effect of abdominal massage applied after surgical ıntervention on gastrointestinal symptoms and comfort level. The type of this study designed as randomized controlled experimental. The research hypotheses are as follows; H1: Abdominal massage applied after surgery reduces the gastrointestinal symptoms of patients. H2: Abdominal massage applied after surgery increases the comfort level of patients. The population of the research will consist patients who were hospitalized and underwent surgical intervention between January 2023 and July 2024 in the Orthopedics and Traumatology Clinic of the Istanbul Medical Faculty Hospital in Istanbul.The sample of the research will consist patients who cannot defecate for 3 days after surgery and who meet other sample selection criteria. As a result of the power analysis (G\*Power 3.0.10); at least 34 samples found to be sufficient for each group with f=0.20 effect size, 90% power and 5% margin of error (n1:34, n2:34). The number of samples determined as 68 (including the experimental and control groups). Data will be collected through the Patient Information Form, Bristol Stool Scale, Gastrointestinal Symptom Rating Scale, General Comfort Scale, and Functional Independence Scale. The patient information form was prepared by the researchers in line with the literature. Permission was obtained from the scale owners for the scales to be used in the study. In the implementation phase of the research; in the formation of the experimental and control groups, the assignment of the patients to the experimental and control groups will be provided by randomization in the computer. Abdominal massage will be applied to the patients in the experimental group twice a day, in the morning and evening, for 3 days. Each abdominal massage will be applied for 15 minutes. The routine practice of the clinic will continue in the patients in the control group. Institutional permission from Istanbul Medical Faculty and ethics committee approval (Number: E-74555795-050.01.04-412448) from Istanbul University-Cerrahpasa Non-Interventional Research Ethics Committee obtained in order to conduct the study. Statistical analysis of research data will be done using a package program called SPSS (IBM SPSS Statistics 24). The expenses of the research will be covered by the researcher.

Conditions

Reflux, Gastroesophageal; Abdominal Pain; Constipation; Diarrhea; Dyspepsia

Keywords

Abdominal Massage; Postoperative Care; Nonpharmacological Methods; Independent Nursing Practices

Outcome Measures

Primary Outcomes (2)

• Gastrointestinal Symptom Rating Scale

  It is divided into five sub-dimensions: abdominal pain, reflux, diarrhea, indigestion, and constipation. The scale includes 15 items, each scored on a seven-point Likert-type scale, with values ranging from "no discomfort" to "very severe discomfort". Higher scores on the scale indicate more severe symptoms.

  Change in gastrointestinal symptoms at 6 days

• General Comfort Scale

  Evaluates the state of reaching the expected comfort increase result. The scale is scored on a four-point Likert-type scale, each ranging from "strongly agree" to "strongly disagree". The lowest score that can be obtained from the scale is 48, the median score is 120, and the highest score is 192. As the score obtained from the scale increases, the level of comfort perceived by the patient increases.

  Change in comfort level in 6 days

Secondary Outcomes (3)

• Functional Independence Scale

  Baseline

• Bristol Stool Scale

  Up to 6 days after surgery

• Patient Information

  Baseline

Study Arms (2)

Abdominal Massage Group

EXPERIMENTAL

At the first encounter with the patient; Patient Information Form, Gastrointestinal Symptom Rating Scale, General Comfort Scale and Functional Independence Scale will be applied. * From the morning of the first day, abdominal massage will be applied to the patients 2 times a day, in the morning and in the evening, for 3 days (15 minutes). * Then, applying abdominal massage to the patients in the experimental group. After each massage application, the patient's bowel sounds/movements will be listened to. * Medicines such as laxatives, suppositories and enemas will not be given to the experimental group and Bristol Stool Scale will be filled in for patients who defecate within this period. * In order to evaluate the abdominal massage and its effect on the comfort level of the patients, the Gastrointestinal Symptom Rating Scale, General Comfort Scale and Functional Independence Scale will be applied again at the end of the 3rd day after the application of abdominal massage.

Other: Abdominal Massage

Control Group

NO INTERVENTION

* Patients who did not defecate within the first 3 days after surgery will constitute the control group. * At the first encounter with the patient; A Patient Information Form, Gastrointestinal Symptom Rating Scale (GSS), General Comfort Scale (GAS) and Functional Independence Scale (FIM) will be administered. * From the first encounter, patients will be given medications that are in line with their clinical routine, such as laxatives, suppositories and enemas, according to the doctor's request. * Intestinal sounds/movements of the patients will be listened to 6 times, 2 times a day for 3 days. * Bristol Stool Scale will be filled in for patients who defecate within this period. * At the end of the 3-day follow-up of the patients, Gastrointestinal Symptom Rating Scale, General Comfort Scale and Functional Independence Scale will be applied again and the first stool of the patients who defecate will be evaluated with the Bristol Stool Scale.

Interventions

Abdominal Massage OTHER

Abdominal massage is a noninvasive application that stimulates bowel movements by applying patting, kneading and vibration movements over the abdominal wall to the area where the intestines are located. It increases peristalsis, creates a mechanical and reflex effect on the intestines, reducing the individual's feeling of pain and discomfort.

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:

• years of age and above,
• Being conscious and cooperative,
• Being able to read, write and speak Turkish, not have any cognitive, sensory and spiritual problems,
• Not being pregnant,
• The vital signs are within normal limits after the surgical intervention,
• Failure to defecate for the first 3 days after the surgical intervention,
• Not using pharmacological and non-pharmacological agents with laxative effect after the surgical intervention,
• Continuing inpatient care and treatment in the orthopedics and traumatology clinic for at least 6 days,
• His willingness and volunteering to participate in the study was included.

You may not qualify if:

• Be less than 18 years old,
• Not knowing how to read, write and speak Turkish,
• Having any cognitive, sensory and spiritual problems,
• Presence of conditions that prevent the application of abdominal massage (hernia, bowel cancer, history of abdominal surgery and Myocardial Infarction (MI), presence of ileostomy or colostomy and bleeding, etc.),
• Being pregnant
• The vital signs are not within normal limits after the surgical intervention,
• Defecation in the first 3 days after the surgical intervention and using any pharmacological or non-pharmacological agent with laxative effect in this process, Continuing inpatient care and treatment in the orthopedics and traumatology clinic for less than 6 days,
• Not willing to participate in the study.

Sponsors & Collaborators

• Istanbul University: lead

Study Sites (1)

Istanbul University

Istanbul, 34116, Turkey (Türkiye)

RECRUITING

Related Publications (2)

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  BACKGROUND

• Kucukaydinoglu S, Turan N. The effect of abdominal massage applied after surgery on gastrointestinal symptoms and comfort level. Perioper Med (Lond). 2025 Aug 7;14(1):84. doi: 10.1186/s13741-025-00560-6.

  PMID: 40775370 DERIVED

MeSH Terms

Conditions

Gastroesophageal Reflux; Abdominal Pain; Constipation; Diarrhea; Dyspepsia

Condition Hierarchy (Ancestors)

Esophageal Motility Disorders; Deglutition Disorders; Esophageal Diseases; Gastrointestinal Diseases; Digestive System Diseases; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Signs and Symptoms, Digestive

Central Study Contacts

Semiha KURT Research Assistant, Master

CONTACT

+90 212 440 00 00; semiha.kurt@istanbul.edu.tr

Nuray TURAN Associate Professor, doctorate

CONTACT

+90 212 440 00 00; nkaraman@istanbul.edu.tr

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Research Assistant

Study Record Dates

• First Submitted: February 3, 2023
• First Posted: March 1, 2023
• Study Start: October 1, 2022
• Primary Completion: July 1, 2023
• Study Completion: August 1, 2023
• Last Updated: March 1, 2023

Record last verified: 2023-02

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)