Effect of Abdominal Massage on Gastrointestinal Symptoms After Head and Neck Cancer Surgery
HNC-AM
Effects of Abdominal Massage on Abdominal Pain, Constipation, and Gas/Bloating in Patients Receiving Enteral Nutrition Following Head and Neck Cancer Surgery: A Randomized Controlled Trial
OTHER · Istanbul University, Istanbul Faculty of Medicine, Clinical Research Ethics Committee
Study Type
interventional
Actual enrollment (reported)
70
Locations
1 country
Sites
1
Timeline
Study Start
October 30, 2024
Actual (reported)
Primary Completion
August 30, 2025
Actual (reported)
Study Completion
August 30, 2025
Actual (reported)
Brief Summary
This study aimed to evaluate whether abdominal massage could reduce abdominal pain, constipation, and gas/bloating in patients receiving enteral nutrition through a nasogastric tube after surgery for head and neck cancer.
A total of 70 patients participated in this randomized controlled trial. Participants were randomly assigned to one of two groups. The intervention group (35 patients) received abdominal massage for 15 minutes twice daily over three consecutive postoperative days, in addition to routine nursing care. The control group (35 patients) received routine nursing care without abdominal massage. Abdominal pain, constipation, and gas/bloating were assessed using standardized measurement tools. Assessments were performed twice daily, in the morning and evening, during the first three postoperative days.
The study was conducted to investigate whether abdominal massage could be a useful non-drug nursing intervention for managing gastrointestinal symptoms in patients recovering from head and neck cancer surgery.
Registry Overview
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
Recruitment status
completed
Actual enrollment (reported)
70 participants
Study completion date
August 30, 2025
Actual (reported)
Listed locations
1 countries · 1 sites
Trial Relationships
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Related Scientific Literature
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Study Timeline
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
Abdominal MassageHead and Neck CancerEnteral NutritionNasogastric FeedingAbdominal PainConstipationGas and BloatingOncology Nursing
Outcome Measures
Primary Outcomes (3)
Abdominal Pain Intensity
Abdominal pain intensity was assessed using the Numeric Rating Scale (NRS), ranging from 0 (no pain) to 10 (worst imaginable pain). Higher scores indicate greater pain intensity.
Twice daily (morning and evening) on postoperative days 1, 2, and 3 (six assessments over three days).
Constipation Severity
Constipation was assessed using the Constipation Assessment Scale (CAS). Total scores range from 0 to 16, with higher scores indicating greater constipation severity.
Twice daily (morning and evening) on postoperative days 1, 2, and 3 (six assessments over three days).
Gas and Bloating Severity
Gas and bloating symptoms were assessed using the Gas/Bloating Scale. Higher scores indicate greater symptom severity.The total score on the scale ranges from 0 to 48.
Study Arms (2)
control
NO INTERVENTION
Participants assigned to the control group (n = 35) received standard postoperative treatment and routine nursing care following head and neck cancer surgery. All participants received enteral nutrition through a nasogastric tube. No abdominal massage was administered to this group. Gastrointestinal symptoms, including abdominal pain, constipation, and gas/bloating, were assessed twice daily over three consecutive postoperative days using the same measurement tools and assessment schedule as the intervention group.
abdominal massage
EXPERIMENTAL
Abdominal massage was administered by the researcher nurse to patients receiving enteral nutrition through a nasogastric tube following head and neck cancer surgery. The intervention consisted of 15-minute massage sessions performed twice daily (morning and evening) for three consecutive postoperative days. Each session was performed 30 minutes after bolus enteral feeding. Abdominal massage was provided in addition to standard postoperative treatment and routine nursing care.
Abdominal massage was administered by the researcher nurse to patients receiving enteral nutrition through a nasogastric tube following head and neck cancer surgery. The intervention consisted of 15-minute massage sessions performed twice daily (morning and evening) for three consecutive postoperative days. Each session was performed 30 minutes after bolus enteral feeding. Abdominal massage was provided in addition to standard postoperative treatment and routine nursing care.
Istanbul University, Istanbul Faculty of Medicine Hospital
Istanbul, 34093, Turkey (Türkiye)
MeSH Terms
Conditions
Head and Neck NeoplasmsAbdominal PainConstipationMucopolysaccharidosis IV
Condition Hierarchy (Ancestors)
Neoplasms by SiteNeoplasmsPainNeurologic ManifestationsSigns and SymptomsPathological Conditions, Signs and SymptomsSigns and Symptoms, DigestiveMucopolysaccharidosesCarbohydrate Metabolism, Inborn ErrorsMetabolism, Inborn ErrorsGenetic Diseases, Inborn
Study Officials
Hatice Erdoğan
Maltepe Üniversitesi
STUDY CHAIR
Enrollment
70 participants (actual enrollment reported by the registry).
Study Design
Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
SUPPORTIVE CARE
Intervention Model
PARALLEL
Model Details: This study was designed as a two-arm, parallel-group randomized controlled trial. A total of 70 patients receiving enteral nutrition following head and neck cancer surgery were randomly assigned to an intervention group (n=35) or a control group (n=35). The intervention group received abdominal massage twice daily for three consecutive postoperative days in addition to standard nursing care. The control group received standard nursing care alone. Both groups were assessed at six time points over three postoperative days.
Twice daily (morning and evening) on postoperative days 1, 2, and 3 (six assessments over three days).
Able to communicate in Turkish.
Receiving inpatient treatment and nursing care.
Receiving enteral nutrition through a nasogastric tube.
No symptoms of diarrhea.
No physician-diagnosed chronic constipation.
Conscious and oriented to person, place, and time.
No contraindications to abdominal massage, including inflammatory bowel disease, abdominal tumors, a history of abdominal surgery or radiotherapy to the abdominal region, ileus or suspected ileus, or pregnancy.
Not bedridden or wheelchair-dependent.
Willing to participate in the study and providing informed consent.
You may not qualify if:
History of bowel resection.
History of abdominal surgery.
Uncontrolled psychiatric illness.
Active lower gastrointestinal bleeding.
Use of laxatives or suppositories, or administration of enemas.
Refusal to participate in the study.
Contact the study team to confirm eligibility.
Congenital, Hereditary, and Neonatal Diseases and Abnormalities
Lysosomal Storage Diseases
Mucinoses
Connective Tissue Diseases
Skin and Connective Tissue Diseases
Metabolic Diseases
Nutritional and Metabolic Diseases
Study Start
October 30, 2024
Actual (reported)
Primary Completion
August 30, 2025
Actual (reported)
Study Completion
August 30, 2025
Actual (reported)
Last Updated
October 26, 2026
Record last verified: 2026-10
Data Sharing
IPD Sharing
Will not share
Source record
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