title: The effect of abdominal massage on gastric residual volume: a randomized controlled trial.
abstract: 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.
authors.affiliation: Department of Fundamentals Nursing, Dokuz Eylül University Faculty of Nursing, Izmir, Turkey. nurcan.uysal@deu.edu.tr
authors.forename: Nurcan
authors.initials: N
authors.lastname: Uysal
authors.forename: İsmet
authors.initials: İ
authors.lastname: Eşer
authors.forename: Hale
authors.initials: H
authors.lastname: Akpinar
mesh_terms: D000005:Abdomen; D000328:Adult; D000368:Aged; D004750:Enteral Nutrition / Q000009:adverse effects* / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D005746:Gastric Emptying / Q000502:physiology*; D006785:Hospitals, University; D006801:Humans; D007362:Intensive Care Units; D007441:Intubation, Gastrointestinal / Q000009:adverse effects; D008297:Male; D008405:Massage / Q000379:methods*; D008875:Middle Aged; D011446:Prospective Studies; D012016:Reference Values; D018570:Risk Assessment; D016896:Treatment Outcome