Effect of Abdominal Massage on Constipation After Cardiac Surgery

NCT06596421 | Completed

• 1 other identifier: 20220750
• Study Type: interventional
• Target: 130
• Locations: 1 country
• Sites: 1

Brief Summary

Background and Aim: Although the incidence of gastrointestinal complications after cardiovascular surgery is reported to be rare, it has been reported that patients experience problems with constipation within the week after discharge. The presence of abdominal distension due to constipation after cardiac surgery may lead to prolonged wound healing, paralytic ileus and gastric dilatation. This study aimed to evaluate the effect of abdominal massage on constipation after cardiac surgery. Methods: A prospective, randomised controlled quasi-experimental study was conducted in the cardiovascular surgery clinic of a public hospital between September 2022 and July 2023. A power analysis was performed to determine the sample size. A total of 130 patients were randomly assigned to the experimental or control group using a simple randomisation method. Data were collected using a 21-item form from the first day after surgery. Burping and defecation times of the patients were evaluated and recorded. Results: The mean age of the experimental group was 55.2±13.3 years, while the mean age of the control group was 60.4±10.6 years (p=0.015). There was no statistically significant difference between the groups in terms of sociodemographic characteristics, bowel preparation and preoperative fasting times. It was observed that bowel sounds started earlier in the experimental group (70.8% on the first postoperative day) compared to the control group (46.2% on the first postoperative day) (X2=16.629; p=0.005). The first burping time measurements in the control group (x̄=46.415 hours) were higher than those in the experimental group (x̄=31.262 hours). Postoperative defecation time was longer in the control group (x̄=99.51 hours) than in the experimental group (x̄=61.611 hours).

Conditions

Abdominal Massage

Keywords

Cardiac surgery; abdominal massage; constipation

Outcome Measures

Primary Outcomes (1)

• patient sociodemographic characteristics and physical measurements form

  It was noted how many hours after the operation he had intestinal gas.

  2 days to 1 week

Study Arms (2)

experiment

EXPERIMENTAL

abdominal massage

Other: abdominal massage

control

NO INTERVENTION

no intervention

Interventions

abdominal massage OTHER

abdominal massage

experiment

Eligibility Criteria

• Age: 18 Years - 90 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• \- Being older than 18 years
• Agreeing to participate in the study
• Undergoing a cardiac surgery
• Not having a barrier for communication
• Not having a mental or cognitive disability
• Not using constipation treatment (like laxatives or enemas)
• Having no history of constipation disorders or gastrointestinal surgery.

Sponsors & Collaborators

• Bahçeşehir University: lead

Study Sites (1)

Bahcesehir Universty

Istanbul, Istanbul, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Constipation

Condition Hierarchy (Ancestors)

Signs and Symptoms, Digestive; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: CARE PROVIDER, INVESTIGATOR
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Chief Researcher

Study Record Dates

• First Submitted: August 30, 2024
• First Posted: September 19, 2024
• Study Start: October 20, 2022
• Primary Completion: May 5, 2024
• Study Completion: May 6, 2024
• Last Updated: September 19, 2024

Record last verified: 2024-09

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)