Educating Nurses in the Intensive Care Unit About Gastrointestinal Complications

Bond, Loretta; Hallmark, Beth

doi:10.1016/j.cnc.2017.10.007

Cited by 3 publications

(5 citation statements)

References 28 publications

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“…ICU nurses have an important role in providing care to patients in the ICU. Among the tasks that ICU nurses must do was make decisions and keep patients safe and avoid complications from occurring, including complications that can occur in the gastrointestinal system (Bond & Hallmark, 2018). The role of ICU nurses that can be done to prevent complications and improve gastrointestinal function in general was to help provide nutrition at the right time by determining early enteral feeding, checking whether the patient has intolerance to the gastrointestinal system, facilitating patients to get the right type of nutrition, checking the placement of the end of the hose NGT, determine the number of calories the patient needs, and check whether the patient's GRV is still large or not (Momenfar et al, 2018).…”

Section: Implicationmentioning

confidence: 99%

“…As discussed above, abdominal massage can reduce GRV, reduce gastric distension, reduce constipation status and facilitate patient comfort, which indicates an increase in gastrointestinal function and reduce the incidence of gastrointestinal complications in patients. In this regard, it is expected that by implementing abdominal massage interventions, ICU nurses can also help prevent complications of gastrointestinal dysfunction so that the incidence of failure in saving patient complications or Failure to Rescue of the gastrointestinal system can be minimized to accelerate recovery of the patient's condition and shorten the patient's length of stay in the ICU room ( (Bond & Hallmark, 2018).…”

Section: Implicationmentioning

confidence: 99%

“…The mechanism of action of abdominal massage was to reduce contractions and tension in the abdominal muscles, increase motility and increase secretion in the gastrointestinal system and increase the effect on sphincter relaxation, so that the mechanism of gastrointestinal action was easier and facilitate the discharge of stool (Kahraman & Ozdemir, 2015). ICU nurses have an important role in facilitating the basic needs of patients related to gastrointestinal function, namely providing nutrition, facilitating elimination and preventing complications of gastrointestinal system failure in critical patients treated in the ICU (Bond & Hallmark, 2018). The neglect of ICU nurses in monitoring gastrointestinal function can increase the number of human error due to failure to rescue (FTR), so that the mortality and morbidity of ICU patients increased (Bond & Hallmark, 2018).…”

Section: Introductionmentioning

confidence: 99%

“…ICU nurses have an important role in facilitating the basic needs of patients related to gastrointestinal function, namely providing nutrition, facilitating elimination and preventing complications of gastrointestinal system failure in critical patients treated in the ICU (Bond & Hallmark, 2018). The neglect of ICU nurses in monitoring gastrointestinal function can increase the number of human error due to failure to rescue (FTR), so that the mortality and morbidity of ICU patients increased (Bond & Hallmark, 2018). Regarding to the importance of the management of gastrointestinal function in patients treated in the ICU, so researchers interested in conducting a literature review on the effects of abdominal massage to overcome gastrointestinal dysfunction in patients treated in the Intensive Care Unit.…”

Section: Introductionmentioning

confidence: 99%

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Effects of Abdominal Massage to Overcome Gastrointestinal Dysfunction in Patients in Intensive Care Unit: A Literature Review

Kosasih¹,

Andriani²,

Lestari³

et al. 2019

PACNJ

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Patients who are receiving treatment at the ICU have at least one symptom of gastrointestinal dysfunction including decreased bowel noise, abdominal distension, constipation, decreased frequency of defecation, and increased GRV (gastric residual volume). Non-pharmacological interventions that can be done to improve gastrointestinal function include abdominal massage. This paper aimed to conduct a literature review on the effects of abdominal massage to overcome gastrointestinal dysfunction in patients in the ICU. Articles taken from the Google Scholar and Science Direct electronic databases with the keywords abdominal massage, gastrointestinal function, bowel function, and ICU were published from 2015 to 2019. There were four research articles discussing abdominal massage to improve gastrointestinal function. Three articles used the Randomized Controlled Design method and one article used the Quasi Experimental method. Abdominal massage has a positive effect to improve gastrointestinal function in patients receiving treatment in the ICU. Improved gastrointestinal function that can be seen from the existence of a faster time in the reduction in gastric residual volume (GRV), decreased abdominal circumference, decreased gastric distension, and decreased the incidence of constipation. It is expected that abdominal massage can be applied by ICU nurses considering this intervention has the effectiveness in terms of time and funding.Keywords: Abdominal Massage, Gastrointestinal Function, Intensive Care Unit

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Section: Implicationmentioning

confidence: 99%

Section: Implicationmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Effects of Abdominal Massage to Overcome Gastrointestinal Dysfunction in Patients in Intensive Care Unit: A Literature Review

Kosasih¹,

Andriani²,

Lestari³

et al. 2019

PACNJ

View full text Add to dashboard Cite

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“…They are an important link in nutritional support as they play a fundamental role in facilitating the basic needs of patients related to gastrointestinal function, especially nutrition, elimination and preventing gastrointestinal complications in critically ill patients. Also, their responsibility includes assessment and evaluation of the side effects of enteral feeding by measuring GRV and monitoring the incidence of vomits and its frequencies as well as existence of abdomen distension and constipation [19][20][21]. Uysal et al (2012) indicated that abdominal massage is effective in prevention of high GRV, vomiting, abdominal distension, and constipation [22].…”

Section: Introductionmentioning

confidence: 99%

Untitled

Aldugiem¹,

Abdelkader

El-Soussi

et al. 2021

J. Med. Chem. Sci.

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Background: Life-threatening problems are risks for critically ill patients. Moreover, they need complex care with carful coordination. In addition, nutritional support considered as fundamental aspect of a standard care of critically ill patients. Objectives: We aimed at evaluating the abdominal massage effect on gastrointestinal outcomes of critical ill patients with enteral feeding. Methods: Quasi-experimental research design was used in this study. The Swedish massage technique for abdomen was carried out twice daily for five consecutive days by the trained researcher. A convenience sample of 60 critically adult males with enteral feeding participated voluntarily in the study. Results:The results of this study revealed that, gastric residual volume was low with the study group than the control group during intervention period after abdominal massage. Also, a significant difference was noticed in last three days of the intervention between the study and control groups. Moreover, it was indicated that abdominal distension, vomiting, and constipation were low with the study group than the control group during the five consecutive days of intervention. Conclusion:This study provides promising evidence that massage of abdomen can be used with entirely fed critically ill patients to improve their gastrointestinal outcomes. This leads to a reduction in residual volume of gastric, distension of abdomen, constipation, and vomiting.

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