Effect of Early Abdominal Mobilization Exercise on Gastrointestinal Outcomes among Mechanical Ventilation Patients | ||
| Tanta Scientific Nursing Journal | ||
| Volume 34, Issue 3, August 2024 PDF (735.12 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/tsnj.2024.384584 | ||
| Authors | ||
| Fayza Ahmed Abdou Mohammed Komsan1; Marwa Mohammad Abd elbaky2; Warda Ramadan Abou Zied3; Naglaa Ahmed Ahmed4 | ||
| 1Assistant professor, Critical Care and Emergency Nursing Department, Faculty of Nursing, Assuit University, Assuit, Egypt | ||
| 2Assistant Professor, Critical Care Nursing and Emergency, Faculty of Nursing. Minia University, Egypt | ||
| 33Assistant professor, Critical Care and Emergency Nursing Department, Faculty of Nursing South Valley University, Qena, Egypt | ||
| 44Assistant professor, Critical Care and Emergency Nursing Department, Faculty of Nursing, Assuit University, Assuit, Egypt | ||
| Abstract | ||
| Background: Critically ill intubated and mechanically ventilated patients are usually kept sedated and their mobility is limited, with only passive movement provided through routine nursing care and regular repositioning. Early mobilization of critically ill patients seeks to improve management outcomes and enhance the quality of life for the patients. Aim of the study: to assess the effect of early abdominal mobilization exercise on gastrointestinal outcomes among mechanical ventilation patients. Design: a quasiexperimental research design. Setting: The study was conducted at the Intensive Care Unit in Qena Main University Hospital. Subjects: a purposive sample of approximately thirty critically ill patients attached with invasive mechanical ventilation for more than 24 hours. Tools: Gastrointestinal outcomes assessment sheet used to assess gastrointestinal outcomes after the abdominal mobilization exercise program. Results: 86.7% of the participants experienced reduced distention after abdominal exercises. 83.3% of them had a softer abdomen after the intervention. Concerning abdominal characteristics, 83.3% of the study sample had a soft abdomen after the intervention, and only 16.7% had a tense abdomen after the intervention. Regarding of gastric residual volume, 100.0% of the study sample had less than 50 ml after the early abdominal exercise intervention. Conclusion: early abdominal mobilization showed significant improvement in gastrointestinal functions and reduced the signs of enteral feeding intolerance as distension, tense abdomen, vomiting, constipation, and gastric residual volume which means improvement in the digestion process and gastric emptying time. Recommendations: early abdominal exercise and massage should be included in the routine patient’s care at the ICU and further researches are needed. | ||
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