The effect of post colonoscopy abdominal massage on abdominal pain, distension, discomfort and patient satisfaction: a randomized controlled study protocol
Background: Abdominal pain, distension, and discomfort are the most frequently seen side effects after colonoscopy. These side effects can cause physical and mental results and increased workloads and care costs. Additionally, the satisfaction of the patients with the colonoscopy process may affect their willingness to undergo repeated colonoscopies in the future which may be required for the surveillance of colon malignity. Currently, there are no studies evaluating the effects of abdominal massage on post colonoscopy these abdominal symptoms. The aim of the study was to evaluate the effect of post colonoscopy abdominal massage on abdominal pain, distension, discomfort, and patient satisfaction.
Methods: This study was designed as a prospective randomized controlled study. Participants meeting inclusion criteria will be assigned to intervention and control groups using a random number generator. Participants assigned to the intervention group will receive abdominal massages twice a day after colonoscopy, and participants assigned to the control group will receive only ‘routine care’. The abdominal pain, distension, discomfort, and satisfaction levels of the patients will be evaluated using the Visual analogue scale.
Conclusions: New approaches are needed to improve the physiological and psychological health levels of patients after colonoscopy and help them return to their daily life activities and social lives faster. The trial will provide valuable evidence to inform clinical application and help evaluate the effects of the use of the relevant intervention.
Trial registration: Clinical trials registration number NCT04979351.
Steffenssen MW, Najami I, Nielsen E, Baatrup G. Patient-reported complications related to colonoscopy: a prospective feasibility study of an email-based survey. Acta Oncol. 2019;58(1):65-70.
Sumanac K, Zealley I, Fox BM, Rawlinson J, Salena B, Marshall JK, et al. Minimizing postcolonoscopy abdominal pain by using CO(2) insufflation: a prospective, randomized, double blind, controlled trial evaluating a new commercially available CO(2) delivery system. Gastrointest Endosc. 2002;56(2):190-4.
Erstad DJ, Krowsoski LS, Kaafarani HM. Abdominal Pain After Colonoscopy. Gastroenterology. 2017;152(3):486-7.
Yi CH, Liu TT, Lei WY, Hung JS, Chen CL. Influence of Rectal Decompression on Abdominal Symptoms and Anorectal Physiology following Colonoscopy in Healthy Adults. Gastroenterol Res Pract. 2016;4101248.
Liu TT, Yi CH, Lei WY, Yu HC, Hung JS, Chen CL. Comparison of rectal suction versus rectal tube insertion for reducing abdominal symptoms immediately after unsedated colonoscopy. Endosc Int Open. 2016;4(6):725-9.
Devitt J, Shellman L, Gardner K, Nichols LW. Using positioning after a colonoscopy for patient comfort management. Gastroenterol Nurs. 2011;34(2):93-100.
Kim SY, Kim HS, Park HJ. Adverse events related to colonoscopy: Global trends and future challenges. World J Gastroenterol. 2019;25(2):190-204.
Ozkan N, Kayaoglu HA, Ersoy OF, Çelik A. The effect of desufflation points on the pain cause by insufflated air during colonoscopy. Turkey Clinical J Med Sci. 2007;27:672-6.
Lynch I, Hayes A, Buffum MD, Conners EE. Insufflation using carbon dioxide versus room air during colonoscopy: Comparison of patient comfort, recovery time, and nursing resources. Gastroenterol Nurs. 2015;38(3):211-7.
Steinberg EN, Howden CW. Randomized controlled trial of rectal tube placement for the management of abdominal distension following colonoscopy. Gastrointest Endosc. 1997;46(5):444-6.
Hilzenrat N, Fich A, Odes HS, Krugliak P, Eidelman L, Gaspar N, et al. Does insertion of a rectal tube after colonoscopy reduce patient discomfort and improve satisfaction?. Gastrointest Endosc. 2003;57(1):54-7.
Lee JG, Vigil H, Leung JW. A randomized controlled trial of total colonic decompression after colonoscopy to improve patient comfort. Am J Gastroenterol. 2001;96(1):95-100.
Lamas K, Lindholm L, Stenlund H, Engstrom B, Jacobsson C. Effects of abdominal massage in management of constipation - A randomized controlled trial. Int J Nurs Stud. 2009;46(6):759-67.
Liu Z, Sakakibara R, Odaka T, Uchiyama T, Yamamoto T, Ito T, et al. Mechanism of abdominal massage for difficult defecation in a patient with myelopathy (HAM/TSP). J Neurol. 2005;252(10):1280-2.
Turan N, Astı TA. The ımportance of abdominal massage in management of constipation. J Anatolia Nurs Health Sci. 2015;18(2):148-54.
McClurg D, Hagen S, Dickinson L. Abdominal massage for the treatment of constipation (protocol). Cochrane. 2011;4.
Sinclair M. The use of abdominal massage to treat chronic constipation. J Bodyw Mov Ther. 2011;15(4):436-45.
Dehghan M, Fatehi Poor A, Mehdipoor R, Ahmadinejad M. Does abdominal massage improve gastrointestinal functions of intensive care patients with an endotracheal tube?: A randomized clinical trial. Complement Ther Clin Pract. 2018;30:122-8.
McClurg D, Lowe-Strong A. Does abdominal massage relieve constipation? Nurs Times. 2011;107(12):20-2.
Arabul M, Kandemır A, Çelık M, Alper E, Akpinar Z, Aslan F, et al. Impact of an information video before colonoscopy on patient satisfaction and anxiety. Turk J Gastroenterol. 2012;23(5):523-9.
Aygin D, Var G. Pain management in trauma patients and nursing approaches. Sakarya Med J. 2012;2(2):61-70.
Çetinkaya F, Karabulut N. The impact on the level of anxiety and pain of the training before operation given to adult patients who will have abdominal operation. J Anatolia Nurs Health Sci. 2010;13(2):20-6.
Chou R, Gordon DB, Casasola OA, Rosenberg JM, Bickler S, Brennan T, et al. Management of Postoperative Pain: A Clinical Practice Guideline From the American Pain Society, the American Society of Regional Anesthesia and Pain Medicine, and the American Society of Anesthesiologists' Committee on Regional Anesthesia, Executive Committee, and Administrative Council. J Pain. 2016;17(2):131-57.
Aydın A, Araz A, Asan A. Visual analog scale and affect grid: An application to Turkish Culture. Turkish Psychol. 2011;14(27):1-13.
Ayan M, Taş U, Söğüt E, Arıcı S, Karaman S, Esen M, Demirtürk F. Comparing efficiencies of diclofenac sodium and paracetamol in patients with primary dysmenorrhea pain by using Visual Analog Scale. Agri. 2013;25(2):78-82.
Gallagher EJ, Liebman M, Bijur PE. Prospective validation of clinically important changes in pain severity measured on a visual analog scale. Ann Emerg Med. 2001;38(6):633-8.
Kjeldsen HB, Klausen TW, Rosenberg J. Preferred Presentation of the Visual Analog Scale for Measurement of Postoperative Pain. Pain Pract. 2016;16(8):980-4.
Gagliese L, Weizblit N, Ellis W, Chan VWS. The measurement of postoperative pain: A comparison of intensity scales in younger and older surgical patients. Pain. 2005;117(3):412-20.
Aslan F. Visual comparison and comparison of sensitivity and selectivity of simple descriptive scales in postoperative pain assessment. Nat Nurs Cong. 1998;178-86.
Uysal N, Eşer İ, Akpinar H. The effect of abdominal massage on gastric residual volume: A randomized controlled trial. Gastroenterol Nurs. 2012;35(2):117-23.
Olgun S. Abdominal massage application in management of constipation. Ege Uni Fac Nurs J. 2016;32(3):118-26.
Altun Ugras G, Yüksel S, Isik MT, Tasdelen B, Dogan H, Mutluay O. Effect of abdominal massage on bowel evacuation in neurosurgical intensive care patients. Nurs Crit Care. 2020:1-9.
Preece J. Introducing abdominal massage in palliative care for the relief of constipation. Complement Ther Nurs Midwifery. 2002;8(2):101-5.