The Effect of Abdominal Massage on Decreasing Ventilator-Associated Pneumonia in Enterally fed Patients
Moustafa Abdallah Elpasiony, N., Abdelkader M., L., M. Abdelhamid, A., S. Mohamed, S. (2017). The Effect of Abdominal Massage on Decreasing Ventilator-Associated Pneumonia in Enterally fed Patients. EKB Journal Management System, 8(4), 379-387. doi: 10.21608/ejhc.2017.419373
Nafisa Moustafa Abdallah Elpasiony; Labiba Abdelkader M.; Ahmed M. Abdelhamid; Sabah S. Mohamed. "The Effect of Abdominal Massage on Decreasing Ventilator-Associated Pneumonia in Enterally fed Patients". EKB Journal Management System, 8, 4, 2017, 379-387. doi: 10.21608/ejhc.2017.419373
Moustafa Abdallah Elpasiony, N., Abdelkader M., L., M. Abdelhamid, A., S. Mohamed, S. (2017). 'The Effect of Abdominal Massage on Decreasing Ventilator-Associated Pneumonia in Enterally fed Patients', EKB Journal Management System, 8(4), pp. 379-387. doi: 10.21608/ejhc.2017.419373
Moustafa Abdallah Elpasiony, N., Abdelkader M., L., M. Abdelhamid, A., S. Mohamed, S. The Effect of Abdominal Massage on Decreasing Ventilator-Associated Pneumonia in Enterally fed Patients. EKB Journal Management System, 2017; 8(4): 379-387. doi: 10.21608/ejhc.2017.419373

The Effect of Abdominal Massage on Decreasing Ventilator-Associated Pneumonia in Enterally fed Patients

Egyptian Journal of Health Care
Volume 8, Issue 4, December 2017, Page 379-387  XML PDF (299.07 K)
Document Type: Original Article
DOI: 10.21608/ejhc.2017.419373
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Authors
Nafisa Moustafa Abdallah Elpasiony1; Labiba Abdelkader M.2; Ahmed M. Abdelhamid3; Sabah S. Mohamed4
1Assistant lecturer in Medical Surgical Nursing, Faculty of nursing, Beni-Suef University, Egypt.
2Professor of Medical Surgical Nursing, Faculty of Nursing, Cairo University, Egypt.
3Professor of Anesthesia and Intensive Care, Faculty of Medicine, Benha University, Egypt
4Lecturer of Medical Surgical Nursing, Faculty of Nursing, Benha University, Egypt
Abstract
background ventilator associated pneumonia (VAP) is a very challenging infection as it continues to complicate the course of 8% to 28% of patients receiving mechanical ventilation. Abdominal massage is assumed to prevent enteral nutrition related causes of VAP as it decreases gastric residual volume (GRV). Aim of the study was to examine the effect of abdominal massage on decreasing VAP in enterally fed patients, determine the effect of abdominal massage on GRV seen in enterally fed patients. Design quasi- experimental design was used. Setting the study was conducted at ICU in Benha University Hospital. Study subjects: convenient sample of 60 adult male and female patients, divided into two equal groups, study and control, (30 each). Data collection tools: five tools were used: 1) Patient Assessment Tool, 2) Glasgow Coma Scale, 3) Enteral Feeding Assessment Tool, 4) Abdominal Massage Protocol and 5) VAP Assessment Tool. Results: It was found that VAP decreased among study group patients (36.7%) compared with control group patients (63.3%) with a statistically significance difference (X2 =4.266, P=0.03). Also, a statistical significance difference was found in GRV between study and control group patients when comparing changes in GRV between the first and last day of the study (X2=6.56, P=0.037). Conclusion this study concluded that abdominal massage could decrease GRV and thus decreasing the risk of VAP among intubated and enterally fed patients. Recommendations Abdominal massage as a noninvasive, inexpensive, and safe method can be used to decrease GRV and aspiration among mechanically ventilated intubated and enterally fed patients.
Keywords
Ventilator-Associated Pneumonia; Abdominal Massage; Enteral Feeding; Nursing
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