The aim of this study was to determine the effect of abdominal massage and warm application on the excretory activity (time of first bowel sounds, defecation time and the amount of laxative used until discharge) after total knee replacement surgery performed with spinal anesthesia.
Written and verbal permission was obtained to participate in the study,
18 years of age or older,
Conscious, oriented and cooperative,
Speaks and understands Turkish,
Written and verbal permission to participate in the research could not be obtained,
Under 18 years of age,
Unconscious, disoriented and uncooperative,
Can speak Turkish but cannot understand it,
Parallel
abdominal massage andwarm application
Other interventionAbdominal massage and hot application will be applied to the patients at least 30 minutes after the morning and evening meals (08:30 am, 20:30 pm) for 15 minutes each, similar to the literature. The hot application will be applied to the abdominal area with a hot water thermophore for 15 minutes before the abdominal massage. After the hot application, abdominal massage will be started. In the abdominal massage, which will be applied clockwise to stimulate bowel movements, four basic movements will be used: superficial exertion, deep exertion, petrisage and vibration.
time for bowel sounds to return
The time of return of bowel sounds in the morning and evening will be assessed and recorded on the Excretory Activities Form.
time to defecate
the effect of abdominal massage and warm application on defecation time after total knee replacement
risk of constipation
postoperative defecation status will be recorded on the excretory activity form and the risk of constipation will be assessed
laxative use
The amount of medication used to facilitate defecation is assessed in the morning and evening and recorded on the Excretory Activities Form.
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Ayşe Demirtaş
Lead sponsor
Mersin University
Sponsor institution
