The Effect of Abdominal Massage and Warm Application on Excretory Activity in Patients Undergoing Total Knee Replacement With Spinal Anesthesia
Ayşe Demirtaş
84 participants
Aug 5, 2024
INTERVENTIONAL
Conditions
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
Inclusion Criteria9
- Written and verbal permission was obtained to participate in the study,
- 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 bowel disease, presence of abdominal tumors, surgical intervention or radiotherapy to the abdominal 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 fed orally will be included.
Exclusion Criteria9
- 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 bowel disease, presence of abdominal tumors, surgical intervention or radiotherapy to the abdominal 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 fed orally will not be included.
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Interventions
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.
Locations(2)
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NCT06578936