The Effect of Heat Application and Abdominal Massage on the Gastrointestinal System and Mental Well-being of Patients With Hip Fractures

NCT07208955 | Active Not Recruiting

• 1 other identifier: 151
• Study Type: interventional
• Target: 75
• Locations: 1 country
• Sites: 1

Brief Summary

This randomised controlled trial was designed to determine the effect of early-stage heat application and abdominal massage on patients' gastrointestinal function and mental well-being following hip fracture surgery. The study's hypotheses are as follows: H0: Heat application and abdominal massage administered in the early postoperative period have no effect on gastrointestinal function or mental well-being. H1: Heat application in the early postoperative period affects gastrointestinal function and mental well-being. H2: Abdominal massage administered in the early postoperative period has an effect on gastrointestinal function and mental well-being. The Patient Information Form, Gastrointestinal Symptom Rating Scale (GSRS) and Warwick-Edinburgh Mental Well-being Scale will be administered. Starting from the morning of the first day after surgery, patients will receive abdominal massage and heat application twice daily, in the morning and evening, for three days. The warm compress and abdominal massage will be performed consecutively. The total application time will be 30 minutes, consisting of 15 minutes of warm compress and 15 minutes of abdominal massage. Abdominal massage will be performed on patients in the experimental group using the 'abdominal massage application guidelines'. Abdominal massage involves techniques such as effleurage (stroking and spreading), petrissage (kneading) and vibration. After each application of massage, the patient's bowel sounds and movements will be listened to using a stethoscope. Before applying heat and performing the abdominal massage, care will be taken to ensure that the patient does not need to urinate, and that the room is quiet and at a suitable temperature. Patients in the experimental group will not be given laxatives, suppositories or enemas for three days; only heat application and massage will be performed during this period. During this period, researchers will assess the defecation of patients using the Bristol Stool Scale. At the end of the three-day follow-up period, patients will be asked to complete the Bristol Stool Scale, the Gastrointestinal Symptom Rating Scale and the Warwick-Edinburgh Mental Well-being Scale.

Conditions

Gastrointestinal Function; Mental Well-being

Keywords

abdominal massage; gastrointestinal function; mental well-being

Outcome Measures

Primary Outcomes (2)

• abdominal massage

  Assessment of bowel sounds, first flatus and time of defecation.

  30 minutes

• heat application

  Assessment of bowel sounds using a stethoscope

  30 minutes

Study Arms (3)

Heat application group

EXPERIMENTAL

The experimental group will receive heat application

Procedure: heat application

Massage group

EXPERIMENTAL

The massage group will receive abdominal massage.

Procedure: abdominal massage

placebo group

PLACEBO COMPARATOR

No intervention will be performed on the placebo group.

Other: control group

Interventions

heat application PROCEDURE

Heat application in the early postoperative period affects gastrointestinal function and mental well-being

Heat application group

abdominal massage PROCEDURE

Abdominal massage administered in the early postoperative period has an effect on gastrointestinal function and mental well-being.

Massage group

control group OTHER

control group

placebo group

Eligibility Criteria

• Age: Up to 65 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients aged 18 years and older,
• conscious and cooperative, with vital signs within normal limits after surgery,
• who have not defecated after surgery,
• who are able to eat orally, and
• who have a hip fracture will be included in the study.

You may not qualify if:

• Patients with a history of cancer, abdominal injury, delirium, or requiring intensive care will be excluded from the study.

Sponsors & Collaborators

• Cukurova University: lead

Study Sites (1)

Cukurova University

Adana, Adana, 01330, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Psychological Well-Being

Interventions

Control Groups

Condition Hierarchy (Ancestors)

Personal Satisfaction; Behavior

Intervention Hierarchy (Ancestors)

Epidemiologic Research Design; Epidemiologic Methods; Investigative Techniques; Research Design; Methods

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: Assistant Professor

Study Record Dates

• First Submitted: September 9, 2025
• First Posted: October 6, 2025
• Study Start: February 1, 2025
• Primary Completion: December 1, 2025
• Study Completion: December 31, 2025
• Last Updated: October 6, 2025

Record last verified: 2025-09

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)