The Effect of Abdominal Massage and Warm Application on Excretory Activity in Patients Undergoing Total Knee Replacement With Spinal Anesthesia

Last updated: August 28, 2024
Sponsor: Ayşe Demirtaş
Overall Status: Active - Recruiting

Phase

N/A

Condition

N/A

Treatment

abdominal massage andwarm application

Clinical Study ID

NCT06578936
MU-DEMIRTAS-01
  • Ages > 18
  • All Genders

Study Summary

The aim of this study was to determine the effect of abdominal massage and warm application on the excretory activity (time of first bowel sounds, defecation time and the amount of laxative used until discharge) after total knee replacement surgery performed with spinal anesthesia.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Written and verbal permission was obtained to participate in the study,

  • 18 years of age or older,

  • Conscious, oriented and cooperative,

  • Speaks and understands Turkish,

  • Total knee replacement with spinal anesthesia planned,

  • No condition in which abdominal massage is contraindicated (inflammatory boweldisease, presence of abdominal tumors, surgical intervention or radiotherapy to theabdominal area, presence or suspicion of ileus, and pregnancy),

  • No physician-diagnosed chronic constipation,

  • Mobilized,

  • Patients who do not have problems with transition to oral feeding and can be fedorally will be included.

Exclusion

Exclusion Criteria:

  • Written and verbal permission to participate in the research could not be obtained,

  • Under 18 years of age,

  • Unconscious, disoriented and uncooperative,

  • Can speak Turkish but cannot understand it,

  • Total knee replacement with general anesthesia planned,

  • Any condition in which abdominal massage is contraindicated (inflammatory boweldisease, presence of abdominal tumors, surgical intervention or radiotherapy to theabdominal area, presence or suspicion of ileus, and pregnancy),

  • Physician-diagnosed chronic constipation,

  • Non-mobilized,

  • Patients who have problems with transition to oral feeding and who cannot be fedorally will not be included.

Study Design

Total Participants: 84
Treatment Group(s): 1
Primary Treatment: abdominal massage andwarm application
Phase:
Study Start date:
August 05, 2024
Estimated Completion Date:
June 30, 2025

Study Description

Abdominal massage and hot application will be applied to the patients at least 30 minutes after the morning and evening meals (08:30 am, 20:30 pm) for 15 minutes each, similar to the literature. The hot application will be applied to the abdominal area with a hot water thermophore for 15 minutes before the abdominal massage. After the hot application, abdominal massage will be started. In the abdominal massage, which will be applied clockwise to stimulate bowel movements, four basic movements will be used: superficial exertion, deep exertion, petrisage and vibration. Abdominal massage will be applied to the patients in accordance with the Abdominal Massage Application Checklist created by the researcher in line with the literature.

Warm application and abdominal massage will be applied to the study group from the first evening of the total knee replacement procedure, and the application will continue in the morning and evening hours until the first defecation. After the application, bowel sounds will be listened to in accordance with the application steps. In the control group, bowel sounds will be listened to at times corresponding to the hours of hot application and abdominal massage, daily laxative use will be determined and recorded in the Excretory Activity Form.

Connect with a study center

  • Adana city hospital

    Adana,
    Turkey

    Active - Recruiting

  • Mersin Univercity

    Mersin,
    Turkey

    Active - Recruiting

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