Effect of Abdominal Massageon Clinical OutcomesofEnterallyFed Mechanically Ventilated Patients | ||
| Tanta Scientific Nursing Journal | ||
| Article 7, Volume 21, Issue 2, May 2021, Pages 142-181 PDF (737.36 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/tsnj.2021.179398 | ||
| Authors | ||
| Sheren M. Diab1; Zeinab Faried Bahgat2; Sabry Mohamed Amin3; Sohair. M. weheda4 | ||
| 1Lecturer of Critical Care and Emergency Nursing, Faculty of Nursing, Tanta University, Egypt | ||
| 2Lecturer of Medical Surgical Nursing, Faculty of Nursing, Tanta University, Egypt | ||
| 3Professor of Anesthesia, Surgical Intensive Care and Pain Medicine, Faculty of Medicine, Tanta University, Egypt | ||
| 4Professor of Medical Surgical Nursing, Faculty of Nursing, Alexandria University, Egypt | ||
| Abstract | ||
| Background: Ventilator-associated pneumonia was a severe healthcare associated infectionin intensive care units. Abdominal massage is non-pharmacological nursing intervention for decreasing elevated gastric residual, vomiting frequency and abdominal distension. Gastric distension and increased gastric residual are important risks for developing ventilator-associated pneumonia. Mechanically ventilated patients who are enterally fed, abdominal massage decreases the duration of the nutrition passage through the gastrointestinal tract, induces peristaltic movement, and thus lowers intra-abdominal pressure and the risk of aspiration. Aim: Was to assess the effect of abdominal massage on Clinical Outcomes of Enterally Fed Mechanically Ventilated Patients. Method: a quasi-experimental study, purposive sample of 60 adult's patient will be enrolled sequentially into two groups, each group consists of (30) patients. Four tools were used to conduct the study. Tool I: Patient Assessment Tool, Tool II: Glasgow coma scale, Tool III: Enteral nutrition Assessment Tools which include five parts and Tool IV: Clinical Pulmonary Infection Score (CPIS) to assess Ventilator-Associated Pneumonia (VAP). Results: The present study showed that there was a significant differences found among the intervention group throughout 1st, 3rd and 7th day of follow up regarding gastric residual volume assessments score pre and one hour post abdominal massage since p= 0.000*, 0.003*, 0.000* respectively. In addition; the study showed that 6.7% of the control group had≤6 Negative VAP compared to majority 86.7% of the study group have≤6 Negative VAP in the 7thday of follow up. Conclusion: Based on the results of the current research, it can be argued that abdominal massage is beneficial on decreasing abdominal distension; nasogastric tube feeds side effects, gastric residual volume (GRV) and reducing Ventilator-Associated Pneumonia (VAP) in the study than control group. Moreover, the results established that minority of the control group have ≤6 Negative VAP compared to majority of the study group have ≤6 Negative VAP in the 7th day of follow up. Recommendations: Abdominal massage for mechanically ventilated patients with enteral nutrition should be performed as routine nursing care if not contraindicated to lower the aspiration risk and consequently Ventilator Associated Pneumonia (VAP). | ||
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