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The Effect of Abdominal Massage on Gastric Residual Volume: A Randomized Controlled Trial

Uysal, Nurcan PhD, RN; Eşer, İsmet PhD, RN; Akpinar, Hale MD

doi: 10.1097/SGA.0b013e31824c235a
Features

This study is a randomized controlled trial aimed at determining the effects of abdominal massage on high gastric residual volume seen in patients intermittently fed with enteral nutrition through a nasogastric tube. The study also investigated consequent abdominal distension and vomiting complications. The study was carried out in a university hospital between January and December 2009. The sample included 40 intervention (abdominal massage) and 40 control subjects. Findings demonstrated that 2.5% of the subjects in the massage group and 30.0% of the subjects in the control group developed high gastric residual volume from enteral nutrition through a nasogastric tube. Abdominal circumference measurements of subjects on the first and last days demonstrated that 20% of the subjects in the control group and only 2.5% of the subjects in the massage group developed abdominal distension (p = .044). Vomiting was observed in 10% of the control subjects; no vomiting was observed in the intervention group. Findings suggest that nurses should apply abdominal massage to subjects receiving enteral feedings intermittently to prevent high gastric residual volume and abdominal distension.

Nurcan Uysal, PhD, RN, is Associate Professor, Department of Fundamentals Nursing, Dokuz Eylül University Faculty of Nursing, Izmir, Turkey.

İsmet Eşer, PhD, RN, is Professor, Department of Fundamentals Nursing, Ege University School of Nursing, I·zmir, Turkey.

Hale Akpinar, MD, is Professor, Gastroenterology Department, Dokuz Eylül University Hospital, I·zmir, Turkey.

Correspondence to: Nurcan Uysal, PhD, RN, Department of Fundamentals Nursing, Dokuz Eylül University Faculty of Nursing, 35340 Balçova, Izmir, Turkey (e-mail: nurcan.uysal@deu.edu.tr).

The authors declare no conflict of interest.

Received August 26, 2010

Accepted February 03, 2011

© The Society of Gastroenterology Nurses & Associates 2012. All Rights Reserved.