İstanbul Sabahattin Zaim University, Faculty of Health Sciences, Department of Nursing, Halkalı Central Campus, Halkalı Street. No: 2 Halkalı, Küçükçekmece, İstanbul, Turkey.
İstanbul University- Cerrahpaşa, Florence Nightingale Faculty of Nursing, Department of Medical Nursing, Abide-i Hürriyet Street, Şişli, İstanbul, Turkey.
Eur J Oncol Nurs. 2019 Aug;41:110-119. doi: 10.1016/j.ejon.2019.05.013. Epub 2019 Jun 1.
This study was conducted to determine the effects of abdominal massage in managing opioid-induced constipation.
Designed as a randomized controlled trial, this study was conducted between February 2017 and January 2018 with the participation of 204 patients who had complaints of opioid-induced constipation. The experimental and control group, each of which included 102 patients, were randomised using a previously prepared randomization checklist. Patients in the experimental group were given a 15-min video-guided abdominal massage training by the researcher, and the patients in this group were asked to perform abdominal massage for 4 weeks, twice a day, 30 min after breakfast and dinner. In the control group, the standard approach of the clinic was applied. A patient data form, the Defecation Diary, Visual Analogue Scale, and Patient Assessment of Constipation Quality of Life Questionnaire were used to the study.
The data from the study showed that abdominal massage decreased the severity of constipation, the feeling of incomplete bowel emptying, the severity of straining, the severity of anal pain, and bloating (p < 0.05), provided better stool consistency (p < 0.05) and increased the number of defecations as well as quality of life scores (p < 0.05).
The abdominal massage application increased the number of defecations by 13% and was an effective approach for managing opioid-induced constipation symptoms.
本研究旨在确定腹部按摩在治疗阿片类药物诱导性便秘中的作用。
本研究为随机对照试验，于 2017 年 2 月至 2018 年 1 月进行，共纳入 204 例有阿片类药物诱导性便秘症状的患者。采用预先准备的随机分组清单将实验和对照组各 102 例患者随机分组。实验组患者由研究者进行 15 分钟的视频指导腹部按摩训练，并要求该组患者每天进行两次腹部按摩，早餐和晚餐后 30 分钟各一次，持续 4 周。对照组采用常规方法。使用患者数据表、排便日记、视觉模拟量表和患者便秘生活质量评估问卷进行研究。
研究数据显示，腹部按摩可减轻便秘严重程度、排便不尽感、排便费力程度、肛门疼痛程度和腹胀（p<0.05），改善粪便稠度（p<0.05），增加排便次数和生活质量评分（p<0.05）。
腹部按摩可增加 13%的排便次数，是治疗阿片类药物诱导性便秘症状的有效方法。
