Enteral Nutrition and Abdominal Massage

Intensive Care Unit Syndrome Clinical Trial

Official title:

The Effect of Abdominal Massage on Feeding Intolerance and Blood Sugar Level in Intensive Care Patients With Diabetes and Continuous Enteral Feeding

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT06075121
• Other study ID #: AmasyaU-EY-208
• Status: Recruiting
• Phase: N/A
• Start date: June 12, 2023
• Est. completion date: June 2024

Study information

• Verified date: October 2023
• Source: Amasya University
• Contact: Nese Uysal
• Phone: (90)3582181767
• Email: nese.uysal[@]amasya.edu.tr
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This study will be conducted to determine the effect of abominal massage on feeding intolerance and blood sugar levels in intensive care patients who are continuously feeding enterally and have diabetes.

Description:

Introduction: Many multiple and challenging problems are encountered in patients followed in intensive care. The most important of these symptoms is nutritional problems. One of the most commonly used methods in the treatment of nutritional problems is enteral nutrition. In addition to its beneficial results, gastrointestinal problems such as abdominal distension, constipation, diarrhea, nausea and vomiting may be encountered in enteral fed individuals in intensive care units. Although different methods are used in the management of complications that may develop in enterally fed patients, abdominal massage, which is one of the non-invasive nursing practices, has been shown to reduce feeding intolerance and balance blood glucose levels.

Purpose: This study will be conducted to determine the effect of abominal massage applied to intensive care patients who are continuously fed enterally and have diabetes, on feeding intolerance and blood sugar levels.

Method: This study will be conducted using a randomized controlled research design. The research sample will consist of 64 patients hospitalized in the intensive care units of a state hospital in Merzifon and who meet the inclusion criteria. Research data will be collected using the clinical status information form, patient parameters monitoring form, and Bristol stool scale. Patients in the massage group will receive an abdominal massage twice a day for 5 days, between 10.00 in the morning and 22.00 in the evening. For the control group, routine treatment and care practices in the hospital will continue without any additional intervention for these 5 days, and the same data will be evaluated at the same time.

Conclusion: It is thought that abdominal massage applied to intensive care patients with diabetes who are continuously fed enterally will reduce feeding intolerance and affect blood sugar levels.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 64
• Est. completion date: June 2024
• Est. primary completion date: May 2024
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

The age of 18 years and over

Diagnosed with diabetes mellitus

Having just started continuous enteral feeding via nasogastric tube

Glasgow coma scale >3

Patients who do not have a wound in the abdominal area

Patients without current diarrhea, constipation, vomiting, abdominal distension

Patients who gave their consent to participate in the research

Exclusion Criteria:

Patients who had started enteral feeding before starting the study

Patients who received radiotherapy to the abdominal area

Abdominal surgery within the last three months

Patients with ileus

Patients using medications that affect gastrointestinal motility

Related Conditions & MeSH terms

• Intensive Care Unit Syndrome

Intervention

Other:
• Abdominal massage
Patients in the massage group will receive an abdominal massage twice a day for 5 days, between 10.00 in the morning and 22.00 in the evening. Enteral nutrition will be interrupted twice a day for 5 days, between 09.30-10.00 in the morning and 21.30-22.00 in the evening, and patients will receive an abdominal massage for 15 minutes.

Locations

Country	Name	City	State
Turkey	Amasya U	Amasya

Sponsors (1)

Lead Sponsor	Collaborator
Amasya University

Country where clinical trial is conducted

Turkey, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Gastric residual volume	Gastric residual volume will be done every four hours. GRV measurement will be made 30 minutes after stopping feeding.	5 days
Primary	Abdominal Distension	Abdominal Distension be evaluated 30 minutes after stopping feeding. Abdominal distention control will be done using the palpation method.	5 days
Primary	Bristol stool scale scale	This scale is designed to classify an individual's bowel movements into seven separate categories of stool. According to the "Bristol Stool Consistency Scale", Type 1 and Type 2 indicate constipation, Type 3 and Type 4 indicate normal defecation, and Type 5, Type 6 and Type 7 indicate diarrhea.	5 days
Primary	Blood sugar	Blood sugar levels will be checked twice a day, at 10:00 in the morning and at 22:00 in the evening	5 days