Heat Application on Gastrointestinal System Functions

NCT06225687 | Unknown

• 1 other identifier: HeatAppGastro
• Study Type: interventional
• Target: 60
• Locations: 0 countries
• Sites: N/A

Brief Summary

Complications related to the gastrointestinal system can occur in patients receiving enteral nutrition. These complications may include nausea, vomiting, diarrhea, constipation, decreased bowel sounds, abdominal distension, increased gastric residual volume, and abdominal pain. To prevent and treat food intolerance, as well as to increase gastric emptying, the use of prokinetic agents is often preferred. However, these drugs have various side effects, such as abdominal cramps, allergies, bronchospasm, cardiac issues, and pancreatic disorders. One non-pharmacological method that can be applied to increase bowel motility and reduce abdominal distension and constipation is heat application. The aim of this study is to determine the effect of heat application to the abdominal and lumbar regions, using a hot water bag, on gastrointestinal system functions in patients receiving continuous enteral nutrition.

Conditions

Enteral Nutrition; Gastrointestinal System--Abnormalities

Keywords

Enteral Nutrition; Heat Application; Gastrointestinal System Functions; Continuous Enteral Nutrition

Outcome Measures

Primary Outcomes (3)

• Gastric residual volume

  GRV measurement will be made 30 minutes after stopping feeding. It will be evaluated before and after application.

  7 days

• Abdominal Distension

  Abdominal distension will be assessed 30 minutes after stopping feeding. The palpation method will be used. Additionally, abdominal circumference will be measured with a tape measure. Evaluation will be made before and after the intervention.

  7 days

• Bowel sounds

  Bowel sounds should be evaluated 30 minutes after stopping feeding. Bowel sounds are listened to with a stethoscope for one minute. It will be evaluated before and after the intervention.

  7 days

Secondary Outcomes (2)

• Defecation Patterns

  7 days

• Vomiting

  7 days

Study Arms (2)

Heat Application

EXPERIMENTAL

Heat will be applied to the abdominal/lumbar area for 15 minutes.

Other: Heat Application

Control Group

NO INTERVENTION

No intervention will be made.

Interventions

Heat Application OTHER

The researcher will conduct daily measurements of gastric residual volume (GRV) and abdominal circumference, listen to bowel sounds, and assess distension from the first day of enteral nutrition initiation. Additionally, they will record the frequency of vomiting/defecation. Subsequently, a 15-minute hot application will be applied to the abdominal/lumbar region.

Heat Application

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Intensive care unit patients
• Individuals aged 18 and above
• Patients receiving enteral nutrition via nasogastric tube
• Patients on the first day of enteral nutrition
• Those receiving standard enteral nutrition solution
• Patients without wounds in the abdominal region
• Individuals who have not undergone abdominal surgery in the last 6 months
• Patients not undergoing radiation/chemotherapy
• Those with a high-output fistula without ileus problems
• Patients without diarrhea and constipation
• Patients with a Glasgow Coma Scale (GKS) \> 3
• Those with an APACHE II score \> 16
• Patients not taking prokinetic agents
• Patients not taking laxative medications
• Patients without any contraindications for the application of heat, such as neuropathy (to be determined in consultation with the primary doctor).

You may not qualify if:

• Patients in whom enteral nutrition is discontinued during the study
• Patients transitioning to a product other than the standard one in enteral nutrition
• Patients who temporarily pause enteral nutrition
• Patients who have started prokinetic agents
• The study will be terminated in patients who have started taking laxative medications.

Sponsors & Collaborators

• TC Erciyes University: lead

Related Publications (4)

• Dehghan M, Fatehi Poor A, Mehdipour-Rabori R, Ahmadinejad M. Effect of abdominal massage on prevention of aspiration in intubated and enterally fed patients: A randomized controlled trial. J Complement Integr Med. 2020 Sep 23;17(3). doi: 10.1515/jcim-2017-0124.

  PMID: 31710593 BACKGROUND

• Zhang W, Zhou W, Kong Y, Li Q, Huang X, Zhao B, Su H, Chen S, Shen X, Qiu Z. The effect of abdominal massage on enteral nutrition tolerance in patients on mechanical ventilation: A Randomized Controlled Study. Intensive Crit Care Nurs. 2023 Apr;75:103371. doi: 10.1016/j.iccn.2022.103371. Epub 2022 Dec 15.

  PMID: 36528462 BACKGROUND

• Uysal N, Eser I, Akpinar H. The effect of abdominal massage on gastric residual volume: a randomized controlled trial. Gastroenterol Nurs. 2012 Mar-Apr;35(2):117-23. doi: 10.1097/SGA.0b013e31824c235a.

  PMID: 22472671 BACKGROUND

• Makino Y, Choe MA. Effects of Hot Packs on Small-Intestinal Motility Measured by Doppler Ultrasound and Subjective Feelings in Normal Adults. Gastroenterol Nurs. 2017 Jul/Aug;40(4):279-286. doi: 10.1097/SGA.0000000000000222.

  PMID: 28746113 BACKGROUND

Central Study Contacts

Özlem Ceyahn

CONTACT

+903522076666; ozlemg@erciyes.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: Assoc.Prof.

Study Record Dates

• First Submitted: November 28, 2023
• First Posted: January 26, 2024
• Study Start: February 1, 2024
• Primary Completion: March 1, 2024
• Study Completion: December 1, 2024
• Last Updated: January 26, 2024

Record last verified: 2024-01