Department of Medical Surgical nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
Department of Medical Surgical nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran; Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Complement Ther Med. 2021 Mar;57:102665. doi: 10.1016/j.ctim.2021.102665. Epub 2021 Jan 16.
Constipation and distension are dominant gastrointestinal problems after stroke in the elderly. Always they are treated by the use of laxatives and fibers. Abdominal massage along with a healthy lifestyle can be a solution.
This study aimed to investigate the effect of abdominal massage and lifestyle training on constipation and distention of the elderly with stroke.
This study was a randomized clinical trial that was conducted on elderly patients with stroke at Qaem hospital of Mashhad, Iran. 68 patients were randomly allocated into control (n = 34) and intervention (n = 34) groups in 2017-2018. Finally 29 elderly in the intervention and 34 in the control group completed the study. Intervention included the abdominal massage by using "I LOV U" method along with lifestyle education. Each abdominal massage lasted for 15 min, twice daily for ten days that was performed at first session by the researcher and then continued by the key care giver. Data were collected by the demographic form, constipation assessment score (CAS), distension measurement tool (meter), and food tolerance evaluation checklist.
The results indicated that both groups were homogeneous in demographic variables (P > 0.05). The repeated ANOVA showed a more significant decrease in abdominal circumference of the intervention group during the 10- days study (P = 0.029).The Friedman test showed a significant difference in frequency of defecation in two groups in 10- day study (P < 0.0001). Therefore the CAS Score was significantly decreased in intervention group more than the control group (0.30 < 0.98 < 1.59, P = 0.001, EF = 0.44). The food tolerance frequencies through Gavage (P = 0.20), and also orally (P < 0.001) were significantly improved in the intervention group.
According to results, the abdominal massage along with lifestyle training could improve constipation and distension and also increase food intake tolerance in the elderly patients with stroke.
便秘和腹胀是老年人中风后的主要胃肠道问题。这些问题通常通过使用泻药和纤维来治疗。腹部按摩结合健康的生活方式可能是一种解决方案。
本研究旨在探讨腹部按摩和生活方式训练对中风老年人便秘和腹胀的影响。
这是一项随机临床试验，于 2017-2018 年在伊朗马什哈德 Qaem 医院进行，共纳入 68 名中风老年患者。将患者随机分为对照组（n = 34）和干预组（n = 34）。最终有 29 名老年人进入干预组，34 名进入对照组完成了研究。干预措施包括使用“I LOV U”方法进行腹部按摩以及生活方式教育。每次腹部按摩持续 15 分钟，每天两次，共持续 10 天，由研究人员在第一阶段进行，然后由主要护理人员继续进行。数据通过人口统计学表格、便秘评估评分（CAS）、腹胀测量工具（量表）和食物耐受性评估检查表收集。
结果表明，两组在人口统计学变量方面均具有同质性（P > 0.05）。重复方差分析显示，干预组在 10 天研究期间腹部周长的下降更为显著（P = 0.029）。弗里德曼检验显示，两组在 10 天研究期间的排便频率存在显著差异（P < 0.0001）。因此，干预组的 CAS 评分显著低于对照组（0.30 < 0.98 < 1.59，P = 0.001，EF = 0.44）。干预组经胃管（P = 0.20）和口服（P < 0.001）摄入食物的频率也显著提高。
根据结果，腹部按摩结合生活方式训练可以改善中风老年人的便秘和腹胀，提高食物摄入耐受性。
