Yoğun Bakım Ünitelerinde Sürekli Enteral Beslenen Entübe Hastalara Uygulanan Abdominal Masajın Ventilatör Ilişkili Pnömoni Gelişimine Etkisi

Abstract

This study was conducted as an intervention study to identify the effect of abdominal massage applied to intubated and enterally-fed patients in intensive care units on the development of ventilator-associated pneumonia. This study was carried out in the Internal Medicine Intensive Care Unit of Gazi University Research and Application Hospital between the dates of February 2013 and February 2014. The sample of the study consisted of totally 32 patients, distributed to 16 patients in intervention and 16 in control group. The intubated patients in the intervention group were administered abdominal massage for 15 minutes after the commencement of enteral feeding during day and night. Abdominal massage was not administered to patients in the control group. The gastric residual volume amounts, abdominal circumference measurements, oral care, aspiration counts and development of ventilator-associated pneumonia in both group patients were recorded day and night. The data was evaluated by using Ki-square, Mann-Whitney U tests, number, average, and percentage methods. According to the findings of the study, at the end of monitoring days, a reduction has been identified in the amount of gastric residual volume and abdominal circumference measurement of the patients in the intervention group compared to the patients in the control group. This reduction is found significant in the statistical analysis (p<0.005). Moreover, although not reached statistically significance level, ventilator-associated pneumonia was observed in 31.3% of the patients in the control group and 6.3% of the patients in the intervention group. In conclusion, abdominal massage administered to intubated and enterally-fed patients reduced gastric residual volume amount and abdominal distention. Due to take effect on abdominal distension and gastric residual volume, application of abdominal massage to intubated and enterally-fed patients was recommended.