The efficacy of abdominal massage in managing opioid-induced constipation

• Published in: European journal of oncology nursing : the official journal of European Oncology Nursing Society Vol. 41; pp. 110 - 119
• Main Authors: Yıldırım, Dilek, Can, Gülbeyaz, Köknel Talu, Gül
• Format: Journal Article
• Language: English
• Published: Scotland Elsevier Ltd 01.08.2019
• Subjects: Abdominal massage; Constipation management; Nursing; Opioid-induced constipation; Quality of life; Opioid-induced constipation; Constipation management; Abdominal massage; Quality of life
• ISSN: 1462-3889; 1532-2122
• DOI: 10.1016/j.ejon.2019.05.013

This study was conducted to determine the effects of abdominal massage in managing opioid-induced constipation. Designed as a randomized controlled trial, this study was conducted between February 2017 and January 2018 with the participation of 204 patients who had complaints of opioid-induced constipation. The experimental and control group, each of which included 102 patients, were randomised using a previously prepared randomization checklist. Patients in the experimental group were given a 15-min video-guided abdominal massage training by the researcher, and the patients in this group were asked to perform abdominal massage for 4 weeks, twice a day, 30 min after breakfast and dinner. In the control group, the standard approach of the clinic was applied. A patient data form, the Defecation Diary, Visual Analogue Scale, and Patient Assessment of Constipation Quality of Life Questionnaire were used to the study. The data from the study showed that abdominal massage decreased the severity of constipation, the feeling of incomplete bowel emptying, the severity of straining, the severity of anal pain, and bloating (p < 0.05), provided better stool consistency (p < 0.05) and increased the number of defecations as well as quality of life scores (p < 0.05). The abdominal massage application increased the number of defecations by 13% and was an effective approach for managing opioid-induced constipation symptoms. •The abdominal massage is effective in the management of opioid-induced constipation.•The abdominal massage is an effective approach to improve the quality of life.•The abdominal massage is not effective on defecation diary stool amount.•The sample size one of the larger.•Patients followed for the longest period in this study.•When clinician, patient or carer are trained the abdominal massage can be used in management of opioid-induced constipation.