Turan Nuray, Aşt Türkinaz Atabek
Nuray Turan, PhD, BSN, is Assistant Professor, Department of Fundamentals of Nursing, Florence Nightingale Faculty of Nursing, Istanbul University, Istanbul, Turkey. Türkinaz Atabek Aştı, PhD, BSN, is Professor, Department of Nursing, Faculty of Health Sciences, Bezmialem Vakıf University, Istanbul, Turkey.
Gastroenterol Nurs. 2016 Jan-Feb;39(1):48-59. doi: 10.1097/SGA.0000000000000202.
This study was a randomized controlled trial aimed to find the impact of abdominal massage application on constipation and quality of life among patients. The sample included 30 intervention (abdominal massage) and 30 control subjects. To collect data, the following were utilized: Patient Information Form, Gastrointestinal Symptom Rating Scale, Constipation Severity Instrument, Bristol Scale Stool Form, Patient Assessment of Constipation Quality of Life (PAC-QOL) Scale, and European Quality of Life Instrument (EQ-5D). The data were collected from among patients in the morning and evening on the fourth, fifth, and sixth days postoperatively. No significant findings were discovered between experimental and control groups in terms of individual characteristics and characteristics that might influence constipation (p > .05). It was found that patients who received abdominal massage application defecated more often following their surgery than patients in the control group, which led to a statistically high level of significant difference between the groups (p ≤ .001). It was also found that the experimental group displayed higher average PAC-QOL and EQ-5D scores on discharge. Findings indicated that abdominal massage applied to patients diagnosed with postoperative constipation reduced symptoms of constipation, decreased time intervals between defecation, and increased quality of life.
本研究是一项随机对照试验，旨在探讨腹部按摩对患者便秘及生活质量的影响。样本包括30名干预组（腹部按摩）患者和30名对照组患者。为收集数据，使用了以下工具：患者信息表、胃肠道症状评分量表、便秘严重程度量表、布里斯托大便形状量表、患者便秘生活质量评估（PAC-QOL）量表和欧洲生活质量量表（EQ-5D）。数据于术后第四、五、六天的早晚从患者中收集。在个体特征以及可能影响便秘的特征方面，实验组和对照组之间未发现显著差异（p>.05）。结果发现，接受腹部按摩的患者术后排便频率高于对照组患者，两组之间存在统计学上的高度显著差异（p≤.001）。还发现，实验组出院时的PAC-QOL和EQ-5D平均得分更高。研究结果表明，对诊断为术后便秘的患者进行腹部按摩可减轻便秘症状，缩短排便间隔时间，并提高生活质量。
