Effects of abdominal massage on gastrointestinal tolerance in critically ill patients fed by nasogastric tube: a systematic review and Meta-analysis
10.3760/cma.j.issn.1672-7088.2020.01.015
- VernacularTitle: 腹部按摩对鼻胃管喂养的危重患者胃肠道耐受性影响的系统评价与Meta分析
- Author:
Guixiao SHENG
1
;
Fang SHEN
2
;
Feifei CUI
3
;
Meifen SHEN
1
Author Information
1. Neurosurgical Department, the First Affiliated Hospital of Soochow University, Suzhou 215006, China
2. Nursing School of Soochow University, Suzhou 215006, China
3. Emergency ICU Department, the First Affiliated Hospital of Soochow University, Suzhou 215006, China
- Publication Type:Journal Article
- Keywords:
Abdomen;
Massage;
Critical care;
Enteral nutrition;
Meta-analysis
- From:
Chinese Journal of Practical Nursing
2020;36(1):71-77
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the effect of abdominal massage on gastrointestinal tolerance in critically patients with nasogastric tube feeding.
Methods:The Chinese Biomedical Literature Database, China National Knowledge Infrastructure, The Wang fang database, Chinese Science and Technology Periodical Database, Cochrane Libraty, PubMed, Embase, CENTRAL were searched. Two researchers conducted quality evaluation and data extraction on studies that met the inclusion criteria. Data were analyzed with RevMan5.3 software.
Results:Eight randomized controlled trials were included, including 628 patients. The results of Meta-analysis showed that abdominal massage could reduce the gastric residual volume of critically ill patients (WMD=-45.45, 95%CI -56.62--34.28, P<0.01), and reduce the incidence of gastric retention (OR=0.13, 95%CI 0.06 -0.29, P<0.01), incidence of abdominal distension (OR=0.23, 95% CI 0.13-0.43, P<0.01), incidence of vomiting (OR=0.14, 95% CI 0.06-0.36, P<0.01).
Conclusions:For critically ill patients with nasogastric tube feeding, abdominal massage can reduce the gastric residual volume and reduce the incidence of gastric retention, distension and vomiting.
