Heat Application on Gastrointestinal System Functions

TC Erciyes University

Status

Not yet enrolling

Conditions

Enteral Nutrition

Gastrointestinal System--Abnormalities

Treatments

Other: Heat Application

Study type

Interventional

Funder types

Other

Identifiers

NCT06225687

HeatAppGastro

Details and patient eligibility

About

Complications related to the gastrointestinal system can occur in patients receiving enteral nutrition. These complications may include nausea, vomiting, diarrhea, constipation, decreased bowel sounds, abdominal distension, increased gastric residual volume, and abdominal pain. To prevent and treat food intolerance, as well as to increase gastric emptying, the use of prokinetic agents is often preferred. However, these drugs have various side effects, such as abdominal cramps, allergies, bronchospasm, cardiac issues, and pancreatic disorders. One non-pharmacological method that can be applied to increase bowel motility and reduce abdominal distension and constipation is heat application. The aim of this study is to determine the effect of heat application to the abdominal and lumbar regions, using a hot water bag, on gastrointestinal system functions in patients receiving continuous enteral nutrition.

Enrollment

60 estimated patients

Sex

All

Ages

18+ years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

Intensive care unit patients
Individuals aged 18 and above
Patients receiving enteral nutrition via nasogastric tube
Patients on the first day of enteral nutrition
Those receiving standard enteral nutrition solution
Patients without wounds in the abdominal region
Individuals who have not undergone abdominal surgery in the last 6 months
Patients not undergoing radiation/chemotherapy
Those with a high-output fistula without ileus problems
Patients without diarrhea and constipation
Patients with a Glasgow Coma Scale (GKS) > 3
Those with an APACHE II score > 16
Patients not taking prokinetic agents
Patients not taking laxative medications
Patients without any contraindications for the application of heat, such as neuropathy (to be determined in consultation with the primary doctor).

Exclusion criteria

Patients in whom enteral nutrition is discontinued during the study
Patients transitioning to a product other than the standard one in enteral nutrition
Patients who temporarily pause enteral nutrition
Patients who have started prokinetic agents
The study will be terminated in patients who have started taking laxative medications.