Çetinkaya Onur, Ovayolu Özlem
About the authors: Onur Çetinkaya, PhD, is a Lecturer, Vocational School of Health Services, Osmaniye Korkut Ata University, Osmaniye, Turkey.
Özlem Ovayolu is affiliated with Faculty of Health Science, Department of Nursing, Gaziantep University, Gaziantep, Turkey.
Gastroenterol Nurs. 2024;47(6):413-427. doi: 10.1097/SGA.0000000000000830. Epub 2024 Nov 26.
The aim of this study was to evaluate how abdominal massage affects the constipation of the elderly in the nursing home. This randomized controlled experimental study was conducted with an intervention group ( n = 30) and a control group ( n = 31) in the nursing home of a government institution. A 15-minute abdominal massage was applied to the intervention group once a day, 5 days a week for 1 month. The control group received only routine treatment. The data were collected with a questionnaire, the Constipation Severity Instrument, the Visual Analogue Scale, the Bristol Stool Scale, and the defecation diary. It was determined that the Constipation Severity Instrument mean score, which was 40.6 ± 10.0 before the massage in the intervention group, decreased to 16.0 ± 11.6 after the application. The Visual Analogue Scale total score of the intervention and control groups, which was 40.2 ± 8.4 and 33.2 ± 5.9 before the massage, decreased to 18.7 ± 9.3 and 29.1 ± 6.58, respectively, at the end of the fourth week; the decrease was higher in the intervention group, and this difference between the groups was significant ( p < .05). It was determined that abdominal massage applied to elderly individuals residing in a nursing home reduced constipation. In this sense, it is recommended for nurses to implement abdominal massage in the management of constipation for elderly individuals.
本研究的目的是评估腹部按摩如何影响养老院老年人的便秘情况。这项随机对照实验研究在一家政府机构的养老院中进行，分为干预组（n = 30）和对照组（n = 31）。对干预组每天进行一次15分钟的腹部按摩，每周5天，持续1个月。对照组仅接受常规治疗。通过问卷调查、便秘严重程度量表、视觉模拟量表、布里斯托大便分类法和排便日记收集数据。结果显示，干预组按摩前便秘严重程度量表的平均评分为40.6±10.0，按摩后降至16.0±11.6。干预组和对照组在按摩前视觉模拟量表的总分分别为40.2±8.4和33.2±5.9，在第四周结束时分别降至18.7±9.3和29.1±6.58；干预组的下降幅度更大，两组之间的差异具有统计学意义（p < .05）。研究确定，对居住在养老院的老年人进行腹部按摩可减轻便秘。从这个意义上说，建议护士在管理老年人便秘时实施腹部按摩。
