Uysal Nurcan, Eşer İsmet, Akpinar Hale
Department of Fundamentals Nursing, Dokuz Eylül University Faculty of Nursing, Izmir, Turkey.
Gastroenterol Nurs. 2012 Mar-Apr;35(2):117-23. doi: 10.1097/SGA.0b013e31824c235a.
This study is a randomized controlled trial aimed at determining the effects of abdominal massage on high gastric residual volume seen in patients intermittently fed with enteral nutrition through a nasogastric tube. The study also investigated consequent abdominal distension and vomiting complications. The study was carried out in a university hospital between January and December 2009. The sample included 40 intervention (abdominal massage) and 40 control subjects. Findings demonstrated that 2.5% of the subjects in the massage group and 30.0% of the subjects in the control group developed high gastric residual volume from enteral nutrition through a nasogastric tube. Abdominal circumference measurements of subjects on the first and last days demonstrated that 20% of the subjects in the control group and only 2.5% of the subjects in the massage group developed abdominal distension (p = .044). Vomiting was observed in 10% of the control subjects; no vomiting was observed in the intervention group. Findings suggest that nurses should apply abdominal massage to subjects receiving enteral feedings intermittently to prevent high gastric residual volume and abdominal distension.
本研究是一项随机对照试验，旨在确定腹部按摩对通过鼻胃管间歇性接受肠内营养的患者出现的高胃残余量的影响。该研究还调查了随之而来的腹胀和呕吐并发症。该研究于2009年1月至12月在一家大学医院进行。样本包括40名干预组（腹部按摩）和40名对照组受试者。结果表明，按摩组2.5%的受试者和对照组30.0%的受试者通过鼻胃管接受肠内营养时出现了高胃残余量。在第一天和最后一天对受试者进行的腹围测量表明，对照组20%的受试者出现了腹胀，而按摩组只有2.5%的受试者出现腹胀（p = 0.044）。在10%的对照组受试者中观察到呕吐；干预组未观察到呕吐。研究结果表明，护士应对间歇性接受肠内喂养的受试者进行腹部按摩，以预防高胃残余量和腹胀。
