An interventional study of Abdominal massage in Intraabdominal Pressure, sponsored by Mersin University. Completed at 1 site in Turkey (Türkiye). Open to participants aged 60 Years and older. Per ClinicalTrials.gov, last updated 2023-03-15.
Sponsored by Mersin University · Not applicable, Interventional, and Supportive care
This study is aimed to determine the effect of abdominal massage on excretory activity and pulmonary function tests (PFT) in patients undergoing PKP.
Methods: The research will be carried out with 78 patients who underwent partial hip replacement. Patients were assigned to study (abdominal massage) and control groups by randomization. Abdominal massage will be applied to the patients at least 30 minutes after the morning and evening meals (08:30 in the morning, 20:30 in the evening) for 15 minutes, similar to the literature. Patients' data will be collected 15 minutes before and after the application of abdominal massage. Within the scope of the patient's data, information on pulmonary function test values, intra-abdominal pressure value and excretory activities will be collected. Abdominal massage will start in the evening of the day the patient is transferred to the clinic (20:30), and will be terminated when the patient defecates. No treatment will be applied to the patients in the control group. The data recorded before and after the abdominal massage in the study group will be recorded in the Excretory Activity Form and the Pulmonary Function Test Form as a result of the measurements made at the same time in the control group.
Mersin University is the lead sponsor of 176 studies on the registry; 45 are open to participants now.
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Exclusion Criteria:
Abdominal massage will be applied to the experimental group 2 times a day, morning and evening, until defecation, starting in the evening of the first day after the surgical intervention.
Other: Abdominal massage
The control group will be received routine treatment and care in the unit.
Abdominal massage will be applied to patients at least 30 minutes after morning and evening meals (8:30 in the morning, 20:30 in the evening) for 15 minutes each, similar to the literature \[33,34,38\]. Data of the patients will be collected again 15 minutes after the application of abdominal massage (09:00-09:15 in the morning, 21:00-21:15 in the evening). Abdominal massage will start in the evening of the day the patient is transferred to the clinic (20:30), and will be terminated when the patient defecates. In order to stimulate bowel movements, four basic movements will be used in the abdominal massage to be applied clockwise: superficial effusion, deep effusion, petrissage, and vibration.
Intra-abdominal Pressure Value
Intra-abdominal pressure measurement will be performed using the existing urinary catheter in the patient. This measurement method, which is performed through the bladder, is accepted as the gold standard for intra-abdominal pressure measurement because it is an easy-to-apply and minimally invasive procedure \[25,43\]. The investigator (CK) will measure the intra-abdominal pressure via a sterile single-transducer pressure monitoring set, which will be attached to the patient's urinary catheter at one end and to a portable monitor capable of measuring pressure at the other end. The measured value will be recorded in Excretory Activities Form.
Time frame: up to first defecation an average of 3 days
Return time of bowel sounds
The return time of bowel sounds will be evaluated morning and evening and recorded in the Excretory Activities Form.
Time frame: up to first defecation an average of 3 days
Number of bowel sounds
The number of bowel sounds will be evaluated morning and evening and recorded in the Excretory Activities Form.
Time frame: up to first defecation an average of 3 days
First defecation time
The time to first defecation will be asked morning and evening after surgery and recorded in the Excretory Activities Form.
Time frame: up to first defecation an average of 3 days
Amount of laxative use
The amount of drug use to assist with defecation will be evaluated morning and evening and recorded in the Excretory Activities Form.
Time frame: up to first defecation an average of 3 days
Pulmonary Function Tests- FVC
The FVC value obtained using the Respiratory Function Test device will be recorded in the Pulmonary Function Tests Form.
Time frame: up to first defecation an average of 3 days
Pulmonary Function Tests- FEV-1
The FEV-1 value obtained using the Respiratory Function Test device will be recorded in the Pulmonary Function Tests Form.
Time frame: up to first defecation an average of 3 days
Pulmonary Function Tests- FEV1/FVC
The FEV1/FVC value obtained using the Respiratory Function Test device will be recorded in the Pulmonary Function Tests Form.
Time frame: up to first defecation an average of 3 days
Ran from Dec 2021 to primary completion in Sep 2022, 9 months.
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This study is completed, as verified in Mar 2023. You cannot join it, but the record below documents what was studied.
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