Çevik Kıvan, Çetinkaya Aynur, Yiğit Gökbel Kübra, Menekşe Başak, Saza Saadet, Tıkız Canan
Kıvan Çevik, is Assistant Professor, Department of Nursing, Faculty of Health Sciences, Manisa Celal Bayar University, Manisa, Turkey. Aynur Çetinkaya, is Assistant Professor, Department of Nursing, Faculty of Health Sciences, Manisa Celal Bayar University, Manisa, Turkey. Kübra Yiğit Gökbel, is at Manisa Celal Bayar University Hafsa Sultan Hospital, Manisa, Turkey. Başak Menekşe, is at Manisa State Hospital, Manisa, Turkey. Saadet Saza, is at Manisa Celal Bayar University Hafsa Sultan Hospital, Manisa, Turkey. Canan Tıkız, is at Department of Physical Medicine and Rehabilitation, Medical Faculty, Manisa Celal Bayar University, Manisa, Turkey.
Gastroenterol Nurs. 2018 Sep/Oct;41(5):396-402. doi: 10.1097/SGA.0000000000000343.
Constipation is a health problem commonly seen in the elderly. In the present study, the effect of abdominal massage on constipation in the elderly was examined. The study sample consisted of 22 elderly people residing in a nursing home in the province of Manisa who were suffering from constipation in June 2014 to February 2015. The following were used to collect data: a case identification form; the Rome III Functional Constipation Diagnosis Criteria Form; the Bristol Stool Scale, consisting of the Recall Bias and Visual Scale Analog; and the Standard Diary Constipation Monitoring Form. The comparison of the mean scores obtained before, during, and after the implementation of abdominal massage in the elderly revealed that the number of bowel movements, stool weight, and stool consistency scores increased during and after the implementation. The differences between the mean intra- and postimplementation scores in terms of stool weight and between the pre- and postimplementation mean scores in terms of stool consistency were not statistically significant. There was a statistically significant difference between straining scores except for those obtained during intra- and postimplementation application. It was determined that abdominal massage increased the number of bowel movements, stool weight, and stool consistency, decreased the mean scores for straining, and decreased inability to completely empty the bowels (except on the implementation days).
便秘是老年人中常见的健康问题。在本研究中，对腹部按摩对老年人便秘的影响进行了检查。研究样本包括2014年6月至2015年2月期间居住在马尼萨省一家养老院且患有便秘的22名老年人。使用以下工具收集数据：病例识别表；罗马III型功能性便秘诊断标准表；由回忆偏倚和视觉模拟量表组成的布里斯托大便分类法；以及标准便秘监测日记表。对老年人进行腹部按摩前后及按摩期间获得的平均分数进行比较，结果显示，排便次数、粪便重量和粪便稠度评分在按摩期间及之后均有所增加。实施前后粪便重量的平均分数之间以及实施前后粪便稠度的平均分数之间的差异无统计学意义。除了实施期间和实施后获得的分数外，用力排便评分之间存在统计学显著差异。结果确定，腹部按摩增加了排便次数、粪便重量和粪便稠度，降低了用力排便的平均分数，并减少了排便不尽的情况（实施当天除外）。
