The Effect of Abdominal Massage and In-bed Exercise on Enteral Nutrition
The Effect of Abdominal Massage and In-bed Exercise on Enteral Nutrition
Enteral nutrition is often preferred in intensive care units, but it brings some potential
 complications in addition to its benefits. It is stated that abdominal massage and in-bed
 exercise in intensive care patients can reduce complications related to the gastrointestinal
 system when performed under appropriate conditions. Considering the ease of application, low
 cost and non-invasive nature of abdominal massage and in-bed exercises, it is predicted that
 patients will benefit in case of gastrointestinal complications and positive effects on
 comfort. It is also thought that these interventions that support independent nursing roles
 will contribute to the establishment of standards of care and the professionalization process
 by using evidence-based practices.

 This study is conducted to evaluate the effects of abdominal massage and in-bed exercise on
 gastrointestinal complications and patient comfort in intensive care patients who are fed
 enterally.
Enteral nutrition is often preferred in intensive care units, but it brings some potential
 complications in addition to its benefits. It is stated that abdominal massage and in-bed
 exercise in intensive care patients can reduce complications related to the gastrointestinal
 system when performed under appropriate conditions. Considering the ease of application, low
 cost and non-invasive nature of abdominal massage and in-bed exercises, it is predicted that
 patients will benefit in case of gastrointestinal complications and positive effects on
 comfort. It is also thought that these interventions that support independent nursing roles
 will contribute to the establishment of standards of care and the professionalization process
 by using evidence-based practices.

 This study is conducted to evaluate the effects of abdominal massage and in-bed exercise on
 gastrointestinal complications and patient comfort in intensive care patients who are fed
 enterally.

 The research is planned to be completed between April 15, 2021 and July 15, 2022. The
 universe of the study, which was conducted as a randomized controlled study model, consisted
 of patients with intubated enteral nutrition in the internal intensive care units of
 Diyarbakır Gazi Yaşargil Training and Research Hospital and Dicle University Medical Faculty.
 Participants were planned to be assigned to the experimental and control groups by
 stratification and block randomization (Abdominal massage group = 46 participant, in-bed
 exercise group = 46 participant and control group = 46 participant). Demographic
 Characteristics Form, Enteral Nutrition Follow-up Form, Richmond Agitation-Sedation Scale,
 Intensive Care Pain Observation Scale and Comfort Behavior Checklist were used to collect
 data. According to the characteristics of the data, t test, ANOVA test, Mann Whitney U test
 and correlation were measured in independent groups.
Inclusion Criteria:

 -  • Patients connected to a mechanical ventilator

 -  Patients who started enteral feeding with a nasogastric tube at least 24 hours
 ago

 -  Patients with no injuries to the extremity and abdominal area

 -  Patients without intestinal obstruction

 -  Patients who have not received abdominal radiotherapy and have not undergone
 abdominal surgery during the last six weeks

 -  Patients with Glasgow Coma Score (GCS) > 3

 -  Patients with Acute Physiology and Chronic Health Evaluation (APACHE II)> 16

 -  Patients given consent by their first-degree relative

 Exclusion Criteria:

 -  • Patients whose enteral feeding was discontinued during the study

 -  Patients who show signs of infection due to VAP or other infections during or
 before the study