Faghihi Amir, Najafi Sied Saeed, Hashempur Mohammad Hashem, Najafi Kalyani Majid
Student Research Committee, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
Department of Medical Surgical Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
Int J Community Based Nurs Midwifery. 2021 Oct;9(4):268-277. doi: 10.30476/ijcbnm.2021.88206.1495.
Constipation is one of the most prevalent problems during old age. Abdominal massage is a complementary method in controlling constipation. This study is conducted with the aim of determining the effect of abdominal massage with extra-virgin olive oil on constipation among the elderly.
In this single-blind randomized controlled clinical trial, 54 old individuals in Shiraz nursing homes during November 2018-March 2019 were selected randomly and then allocated to three groups of 18, based on block randomization. The first group underwent abdominal massage with olive oil for five consecutive days (each day one time for 15 minutes). The second group underwent abdominal massage with water similar to the first group. No specific intervention was applied to the control group. All three groups received their medical treatment. The constipation scores were examined using constipation assessment scale (CAS) before the intervention and on the sixth day. Data analysis was done through SPSS 22 using Chi-square, paired t-test, and ANOVA. P<0.05 was considered as the level of statistical significance.
There were no statistically significant differences among the three groups before the intervention. The results demonstrated that the mean score of constipation further decreased in the olive oil group (5.62±1.89 to 2.06±0.99) (P≤0.001) than the massage with water (5.05±1.25 to 3.11±0.99) (P=0.02), and the control group (4.44±1.38 to 5.22±1.35) (P=0.006).
Due to the greater effectiveness of abdominal massage with extra-virgin olive oil, the use of this method is recommended in treatment of constipation among the elderly.
IRCT20180923041101N.
便秘是老年人中最普遍的问题之一。腹部按摩是控制便秘的一种辅助方法。本研究旨在确定用特级初榨橄榄油进行腹部按摩对老年人便秘的影响。
在这项单盲随机对照临床试验中，于2018年11月至2019年3月期间，从设拉子养老院随机选取54名老年人，然后根据区组随机化将其分为三组，每组18人。第一组连续五天用橄榄油进行腹部按摩（每天一次，每次15分钟）。第二组用水进行与第一组类似的腹部按摩。对照组不进行任何特殊干预。三组均接受其常规治疗。在干预前和第六天使用便秘评估量表（CAS）检查便秘评分。通过SPSS 22使用卡方检验、配对t检验和方差分析进行数据分析。P<0.05被视为具有统计学意义。
干预前三组之间无统计学显著差异。结果表明，橄榄油组便秘平均评分（从5.62±1.89降至2.06±0.99）（P≤0.001）比用水按摩组（从5.05±1.25降至3.11±0.99）（P = 0.02）和对照组（从4.44±1.38升至5.22±1.35）（P = 0.006）下降得更多。
由于用特级初榨橄榄油进行腹部按摩效果更佳，建议在治疗老年人便秘时使用该方法。
IRCT20180923041101N。
