Effect of Abdominal Massage on Bowel Movements in Patients With Subarachnoid Hemorrhage

NCT06824857 | Completed

• 1 other identifier: 2024 - 306
• Study Type: interventional
• Target: 64
• Locations: 1 country
• Sites: 2

Brief Summary

The study will be conducted as a randomized controlled trial to determine the effect of postoperative abdominal massage on bowel movements in patients who underwent surgery after subarachnoid hemorrhage and are hospitalized in the neurosurgery intensive care unit.

Conditions

Subarachnoid Haemorrhage (SAH)

Keywords

subarachnoid hemorrhage; Abdominal massage; bowel movements; nursing

Outcome Measures

Primary Outcomes (3)

• Time To Defecate

  Time of first defecation

  From the 6th hour after surgery until the end of the 3rd day after surgery

• Bowel Sounds

  Frequency of bowel sounds heard per minute

  From the 6th hour after surgery until the end of the 3rd day after surgery

• Abdominal Distension

  To be assessed by measuring the abdominal circumference with a tape measure

  From the 6th hour after surgery until the end of the 3rd day after surgery

Study Arms (2)

Abdominal Massage Application Group

EXPERIMENTAL

After explaining the purpose of the study to the relatives of patients in the abdominal massage group, the "Introductory Characteristics Form" will be filled out. Abdominal massage will be performed according to the Checklist at the 6th hour after surgery and at the same times in the morning and evening for the first 3 days post-surgery. Before and 15 minutes after the abdominal massage application, bowel sounds will be auscultated, abdominal circumference will be measured with a measuring tape, and abdominal tension will be observed and recorded in the patient follow-up form.

Other: Abdominal Massage Application

Control Group

NO INTERVENTION

After explaining the purpose of the study to the relatives of patients in the control group, the "Introductory Characteristics Form" will be filled out. At the same times as the experimental group, bowel sounds will be auscultated in the control group without any intervention, abdominal circumference will be measured with a measuring tape, and abdominal tension will be observed

Interventions

Abdominal Massage Application OTHER

As part of the abdominal massage application, patient follow-up forms and checklists were prepared. Before starting the study, the abdominal massage practitioner participated in a certification program on this topic and received a competency certificate. Patients will be followed up for the first 3 days postoperatively using the prepared patient follow-up forms. Abdominal massage will be applied to each patient for 15 minutes according to a certain standard as stated in the literature

Abdominal Massage Application Group

Eligibility Criteria

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

You may qualify if:

• 18 years of age or older
• Underwent neurovascular surgery
• Received general anesthesia
• Have no wounds, surgical intervention, or radiotherapy in the abdominal region
• Have no bowel obstruction, irritable bowel syndrome, inflammatory bowel disease, abdominal herniation, or bowel cancer
• Began oral feeding at the 6th hour post-surgery
• Stayed in the intensive care unit for 3 or more days
• Have a Glasgow Coma Scale (GCS) score of 9 or above
• Have no signs of acute abdomen
• Have no intra-abdominal infection
• No mechanical ventilation
• Mobilezed in the preoperative period
• Unable to mobilize after surgery
• Evaluated by the intensive care physician with no contraindications for abdominal massage
• Have a first-degree relative who has given consent

You may not qualify if:

• Patients with the following conditions will be excluded from the sample:
• Those with chronic constipation, fecal incontinence, or diarrhea
• Those fed with a fiber-enriched nutritional solution (e.g., Nutrison Protein Plus Multifibre®, Fresubin Original Fibre®, Isosource Fiber®, Jevity Plus®)
• Those fed via nasogastric enteral tube
• Those receiving parenteral nutrition
• Patients with a BMI \> 40 (morbid obesity)

Sponsors & Collaborators

• Gazi University: lead

Study Sites (2)

Faculty of Nursing, Gazi University

Ankara, 06490, Turkey (Türkiye)

Location

Gazi University

Ankara, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Subarachnoid Hemorrhage

Condition Hierarchy (Ancestors)

Intracranial Hemorrhages; Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Vascular Diseases; Cardiovascular Diseases; Hemorrhage; Pathologic Processes; Pathological Conditions, Signs and Symptoms

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: RN, PhD, Assistant Professor

Study Record Dates

• First Submitted: October 11, 2024
• First Posted: February 13, 2025
• Study Start: September 16, 2024
• Primary Completion: March 20, 2025
• Study Completion: March 20, 2025
• Last Updated: August 21, 2025

Record last verified: 2025-08

Data Sharing

• IPD Sharing: Will not share

Locations

TU (2)