The Effect of Abdomınal Massage and Warm Water Consumptıon on Postoperatıve Constıpatıon Development and Qualıty of Recovery in Patıents Undergoıng Hıp Fractures Surgery

NCT07437014 | Not Yet Recruiting

• 1 other identifier: E2-26-14078
• Study Type: interventional
• Target: 81
• Locations: 0 countries
• Sites: N/A

Brief Summary

There is a need for studies investigating the effects of abdominal massage and warm water consumption on the development of postoperative constipation and quality of recovery in patients who have undergone hip fracture surgery. The aim of the study is to investigate the effects of abdominal massage and warm water consumption on the development of postoperative constipation quality of recovery in patients who have undergone hip fracture surgery. The study will be conducted as a prospective, parallel, three-group (1:1:1) randomized controlled trial to determine the effect of abdominal massage alone versus standard care in preventing the development of postoperative constipation in patients who underwent surgery for hip fracture. The following instruments will be used to collect study data: "Patient Demographic Information Form", "Constipation Risk Assessment Scale" for determining the constipation risk group and for randomization, "Bristol Stool Scale" for determining the type of constipation, "Constipation Assessment Scale" for determining the severity of constipation, and "Quality of Recovery-40 Questionnaire". For data analysis, parametric (Independent Samples T-Test, ANOVA) or non-parametric tests (Mann-Whitney U, Kruskal-Wallis H) will be used for pairwise and multiple group comparisons, depending on the distribution of the data. The Chi-Square test will be used for categorical data, and logistic regression analysis will be performed to determine the effect of continuous variables obtained from constipation development status and patient follow-up on the development or absence of constipation.

Conditions

Hip Fracture Surgeries

Outcome Measures

Primary Outcomes (4)

• constipation risk assessment

  The following instruments will be used to collect study data: "Constipation Risk Assessment Scale" for determining the constipation risk group and for randomization. The overall score is categorized into three constipation risk groups: 1 through 10 refers to "low risk"; a score between 11 and 15 refers to "moderate risk"; and 16 and over indicates "high risk". Higher scores indicating more severe constipation risk factors.

  baseline (day 0)

• Occurrence of postoperative constipation

  Postoperative constipation development will assessed based on the absence of bowel movement for ≥3 consecutive postoperative days. Higher frequency indicates greater occurrence of postoperative constipation. Participants meeting criteria (Yes/No)

  Postoperative Days 1-15

• Postoperative Constipation Severity

  Postoperative constipation severity will assessed using the Constipation Severity Scale, which ranges from 0 to 16, with higher scores indicating more severe constipation.

  postoperative daily from Day 1 to Day 15"

• classify faeces

  Postoperative stool type will be assessed using the Bristol Stool Scale, which ranges from 1 to 7. Type 1-2 indicate constipation, type 3-4 are ideal stools as they are easier to pass, and type 5-7 may indicate diarrhoea and urgency. A low score indicates constipation. The assessment will performed at each defecation during the postoperative period

  Postoperative Days 1-15

Secondary Outcomes (1)

• quality of recovery

  postoperative day 15

Study Arms (3)

Abdominal massage and warm water consumption group

ACTIVE COMPARATOR

Behavioral: ABDOMINAL MASSAGE AND WARM WATER CONSUMPTION

abdominal massage group

ACTIVE COMPARATOR

Other: abdominal massage

Control group

PLACEBO COMPARATOR

Other: Control (Standard treatment)

Interventions

ABDOMINAL MASSAGE AND WARM WATER CONSUMPTION BEHAVIORAL

The effect of abdominal massage and warm water consumptione on postoperative constipation.

Abdominal massage and warm water consumption group

abdominal massage OTHER

abdominal massage on postoperative constipation.

abdominal massage group

Control (Standard treatment) OTHER

standart protocol on the development of postoperative constipation

Control group

Eligibility Criteria

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

You may qualify if:

• Being 18 years of age or older
• Agreeing to participate in the study
• Undergoing open surgical treatment due to a hip fracture classified as 31A, 31B, or 31C according to the AO/OTA classification
• Initiation of postoperative oral feeding

You may not qualify if:

• Communication problems (speech and hearing impairments)
• Neurological and psychiatric problems such as Alzheimer's or dementia
• Problems preventing abdominal massage (surgery, wound site)
• Regular laxative use before surgery
• Previous colon surgery - physiological and structural abnormalities in the anal region that may hinder bowel movements
• Use of medications that reduce bowel motility before surgery (antipsychotics, antidepressants, etc.)
• Diagnosis of chronic constipation made by a physician before surgery
• Difficulty transitioning to oral feeding and inability to eat orally
• Multiple traumas affecting mobilization in addition to a hip fracture
• Surgery for hip fracture performed using a minimally invasive method

Sponsors & Collaborators

• Hacettepe University: lead

Central Study Contacts

melek sarı, PhD Candidate

CONTACT

+905447133701; meleksari8195@hotmail.com

Zeliha Özdemir Köken, Doçent Dr

CONTACT

+905055866346; ozdemir.z@hotmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: February 20, 2026
• First Posted: February 27, 2026
• Study Start: February 20, 2026
• Primary Completion (Estimated): December 1, 2026
• Study Completion (Estimated): March 1, 2028
• Last Updated: March 4, 2026

Record last verified: 2026-02

Data Sharing

• IPD Sharing: Will not share