This study aims to evaluate the effects of abdominal massage on gastrointestinal functions in mechanically ventilated patients receiving enteral nutrition in intensive care units.
Patients over 18 years of age.
Patients who have been intubated and are on enteral feeding for at least 5 days.
Patients without wounds on the extremities or abdominal area.
Patients without a history of surgical intervention or radiotherapy in the abdominal area.
Patients receiving intermittent enteral nutrition
Patients not on mechanical ventilation
Patients with contraindications for abdominal massage
Patients fed via Percutaneous Endoscopic Gastrostomy
Parallel
Abdominal Massage
Other interventionAbdominal massage will be administered twice a day for 15 minutes over three days. This intervention aims to evaluate its effects on defecation frequency, gastric residual volume, and abdominal distension.
Bowel Movements: This measure will assess the frequency of defecation during the intervention period.
he frequency of bowel movements will be recorded to assess gastrointestinal function, where increased frequency is considered a positive outcome.
This measure will be used to determine the amount of stomach content remaining after feeding.
Gastric residual volume will be measured twice daily (morning and evening) for 3 consecutive days, with values ranging from 0 ml to 500 ml, where higher values indicate worse outcomes due to impaired gastric emptying
This measure will be used to determine abdominal distension after feeding.
This measure will be used to determine the degree of abdominal distension during the intervention period, which may indicate gastrointestinal dysfunction.
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