The effect of abdominal massage administered by caregivers on gastric complications occurring in patients intermittent enteral feeding - A randomized controlled trial
The effect of abdominal massage administered by caregivers on gastric complications occurring in patients intermittent enteral feeding - A randomized controlled trial
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DOI：
10.1016/j.eujim.2017.01.014
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发表时间：
2017-02-01
影响因子：
2.5
通讯作者：
Uysal, Nurcan
中科院分区：
文献类型：
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作者：
Uysal, Nurcan
前言：胃不耐受是危重病人肠内营养过程中的主要胃肠道并发症。腹部按摩被认为是通过减少残余胃容量来防止胃不耐受的发展。本研究旨在分析腹部按摩对间歇性肠内营养患者发生的胃残留量过多、腹胀、呕吐的影响。方法：在某大学医院神经内科和脑外科进行随机对照试验。研究样本由总共100名患者组成，随机选择接受腹部按摩（干预组（n = 50））或常规治疗（对照组（n = 50））。干预组50例，由家属照顾者指导研究者进行腹部按摩。15分钟的腹部按摩管理干预组的患者，每天两次由carefuls.Results：调查结果表明，8.0%的干预组患者与34.0%的对照组患者相比，开发高胃残留量（p = 0.001）。两组第一天和最后一天腹围测量结果比较，对照组腹围大于对照组（p < 0.05）。对照组呕吐发生率为16.0%，干预组呕吐发生率为2.0%，两组比较差异有统计学意义（P < 0.05）。结论：腹部按摩可减少间断性肠内营养患者的胃残留量、呕吐和腹胀。腹部按摩可以教给护理人员，并可以成功地应用于患者。(C)2017 Elsevier GmbH. All rights reserved.
Introduction: Gastric intolerance is the main gastrointestinal complication during the course of enteral nutrition in critically ill patients. Abdominal massage is assumed to prevent the development of gastric intolerance by reducing residual gastric volume. This study aimed to analyze the effects of abdominal massage on excess gastric residual volume, abdominal distension, vomiting occurring in patients intermittent enteral feeding.Methods: A randomized controlled trial was conducted in the neurology and brain surgery units of a university hospital. The study sample consisted of a total of 100 patients, selected randomly to receive either abdominal massage (intervention group (n = 50)) or treatment as normal (control group (n = 50)). The family caregivers of the patients in the intervention group (n = 50) taught abdominal massage by the researcher. Fifteen-minute abdominal massage was administered to the patients in the intervention group twice daily by the caregivers.Results: Findings demonstrated that 8.0% of the intervention group patients compared with 34.0% of the control group patients developed high gastric residual volume (p = 0.001). When the first day and last day abdominal circumference measurement results of both groups were compared, abdominal circumference was greater in the control group (p < 0.05). Vomiting developed in 16.0% of the patients in the control group and in 2.0% of patients in the intervention group, and the difference between them was statistically significant (p < 0.05).Conclusions: This study revealed that abdominal massage administered to intermittent enteral fed patients reduced gastric residual volume, vomiting and abdominal distention. Abdominal massage can be taught to caregivers and can be successfully applied to patients. (C) 2017 Elsevier GmbH. All rights reserved.