Effect of Abdominal Massage on the Occurrence of Constipation among Critically Ill Ventilated Patients at Intensive Care Unit | ||||
Tanta Scientific Nursing Journal | ||||
Volume 28, Issue 1, March 2023, Page 11-27 PDF (678.26 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/tsnj.2023.291014 | ||||
View on SCiNiTO | ||||
Authors | ||||
Gehan Abdelhakim Younis1; Safaa Eid Sayed Ahmed1; Asmaa Ibrahem Abo Seada2 | ||||
1Assistant professor of Critical Care Nursing, Faculty of Nursing, Tanta University, Egypt | ||||
2Assistant professor of Critical Care Nursing, Faculty of Nursing, Mansoura University, Egypt | ||||
Abstract | ||||
Constipation is a major gastrointestinal and poorly recognized problem among critically ill patients. There are numerous problems associated with constipation for patients admitted to Intensive Care Unit. These complications can increase mortality and delayed weaning from mechanical ventilation. The aim of the study was to evaluate the effect of abdominal massage on the occurrence of constipation among critically ill ventilated patients at Tanta Intensive Care Unit. Setting: The study was conducted at the Intensive Care Unit (ICU) affiliated to Tanta Emergency Hospital at Tanta University Hospital. Study subjects: A purposive sample of 60 critically ill patients with mechanical ventilation admitted to the ICU. Tools: 3 tools were used. Tool I: Patients’ demographic characteristics and health related data. Tool II: Gastrointestinal Outcomes Assessment Tool. It included five parts: Part (A): Enteral feeding Assessment, Part (B): Gastric Residual Volume Assessment, Part (C): Abdominal circumference assessment, Part (D): Bowel movement Assessment Part (E): Frequency of defecation assessment. Tool III: Constipation assessment scale. Results: more than half (53.33%) of control group had severe constipation at the 7th day of the study. While severe constipation didn’t reported among any patients in intervention group at seventh day of study. Statistical differences were observed between two groups throughout three times of assessment. Conclusion: Abdominal massage is more efficient in decreasing constipation and its adverse effect such as abdominal distension, circumference pressure and residual volume in the intervention sample. Recommendations: abdominal massage should be applied as a routinely care for all patients in ICU. | ||||
Keywords | ||||
Abdominal massage; Constipation; Critically ill ventilated patients | ||||
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