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The Effects of Abdominal Meridian Massage on Abdominal Distention, Pain, and Recovery of Bowel Motility after Sedated Colonoscopy

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KMID : 0388320220290010012
Á¶¿ìÇö ( Jo Woo-Hyun ) - Dong-Eui Hospital

±è¹¦¼º ( Kim Myo-Sung ) - Dong-Eui University Department of Nursing

Abstract

Purpose: This study investigated the effects of abdominal meridian massage on abdominal distention, abdominalpain, and bowel motility recovery after sedated colonoscopy.

Methods: This quasi-experimental study wasconducted from July 29, 2019 to September 10, 2019. Participants who underwent sedated colonoscopy at ageneral hospital in B city were assigned to experimental and control groups (n=27 each). The experimental groupreceived abdominal meridian massage for 10 minutes at five acupoints (cheonchu, jungwan, gwanwon, gihae,daehoeng) post-colonoscopy. As outcomes, abdominal distention (subjective sensation of abdominal bloatingand abdominal circumference), abdominal pain, and recovery of bowel movement (time of return of bowel soundsand passing gas post-colonoscopy) were measured. Data were analyzed using the independent t-test, x2 test,Fisher's exact test, analysis of covariance (ANCOVA), and repeated-measures ANCOVA using SPSS forWindows version 25.0.

Results: Statistically significant between-group differences were found for subjectivesensation of abdominal bloating (F=3.89, p<.024), abdominal circumference (F=11.05, p<.001), time of returnof bowel sounds (x2=33.40, p<.001) and passing gas (x2=32.88, p<.001), but not abdominal pain.

Conclusion:Abdominal meridian massage reduced abdominal distention and was effective for the early return of bowelfunction. Therefore, abdominal meridian massage can be used as a nursing intervention for relieving abdominaldiscomfort post-colonoscopy.
KeyWords
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Abdominal pain, Colonoscopy, Gastrointestinal motility, Massage, Meridians
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