The Effect of Abdomınal Massage and Warm Water Consumptıon on Postoperatıve Constıpatıon Development and Qualıty of Recovery in Patıents Undergoıng Hıp Fractures Surgery

The Effect of Abdomınal Massage and Warm Water Consumptıon on Postoperatıve Constıpatıon Development and Qualıty of Recovery in Patıents Undergoıng Hıp Fractures Surgery: A Randomızed Comparatıve Study

There is a need for studies investigating the effects of abdominal massage and warm water consumption on the development of postoperative constipation and quality of recovery in patients who have undergone hip fracture surgery. The aim of the study is to investigate the effects of abdominal massage and warm water consumption on the development of postoperative constipation quality of recovery in patients who have undergone hip fracture surgery. The study will be conducted as a prospective, parallel, three-group (1:1:1) randomized controlled trial to determine the effect of abdominal massage alone versus standard care in preventing the development of postoperative constipation in patients who underwent surgery for hip fracture. The following instruments will be used to collect study data: "Patient Demographic Information Form", "Constipation Risk Assessment Scale" for determining the constipation risk group and for randomization, "Bristol Stool Scale" for determining the type of constipation, "Constipation Assessment Scale" for determining the severity of constipation, and "Quality of Recovery-40 Questionnaire". For data analysis, parametric (Independent Samples T-Test, ANOVA) or non-parametric tests (Mann-Whitney U, Kruskal-Wallis H) will be used for pairwise and multiple group comparisons, depending on the distribution of the data. The Chi-Square test will be used for categorical data, and logistic regression analysis will be performed to determine the effect of continuous variables obtained from constipation development status and patient follow-up on the development or absence of constipation.

Study Overview

• Status: Not yet recruiting
• Conditions: Hip Fracture Surgeries
• Intervention / Treatment: Behavioral: ABDOMINAL MASSAGE AND WARM WATER CONSUMPTION; Other: abdominal massage; Other: Control (Standard treatment)

• Study Type: Interventional
• Enrollment (Estimated): 81
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: melek sarı, PhD Candidate; Phone Number: +905447133701; Email: meleksari8195@hotmail.com
• Study Contact Backup: Name: Zeliha Özdemir Köken, Doçent Dr; Phone Number: +905055866346; Email: ozdemir.z@hotmail.com

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• Being 18 years of age or older
• Agreeing to participate in the study
• Undergoing open surgical treatment due to a hip fracture classified as 31A, 31B, or 31C according to the AO/OTA classification
• Initiation of postoperative oral feeding

Exclusion Criteria:

• Communication problems (speech and hearing impairments)
• Neurological and psychiatric problems such as Alzheimer's or dementia
• Problems preventing abdominal massage (surgery, wound site)
• Regular laxative use before surgery
• Previous colon surgery - physiological and structural abnormalities in the anal region that may hinder bowel movements
• Use of medications that reduce bowel motility before surgery (antipsychotics, antidepressants, etc.)
• Diagnosis of chronic constipation made by a physician before surgery
• Difficulty transitioning to oral feeding and inability to eat orally
• Multiple traumas affecting mobilization in addition to a hip fracture
• Surgery for hip fracture performed using a minimally invasive method

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Prevention
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

3

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Placebo Comparator: Control group	Other: Control (Standard treatment); standart protocol on the development of postoperative constipation
Active Comparator: Abdominal massage and warm water consumption group	Behavioral: ABDOMINAL MASSAGE AND WARM WATER CONSUMPTION; The effect of abdominal massage and warm water consumptione on postoperative constipation.
Active Comparator: abdominal massage group	Other: abdominal massage; abdominal massage on postoperative constipation.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
constipation risk assessment	The following instruments will be used to collect study data: "Constipation Risk Assessment Scale" for determining the constipation risk group and for randomization. The overall score is categorized into three constipation risk groups: 1 through 10 refers to "low risk"; a score between 11 and 15 refers to "moderate risk"; and 16 and over indicates "high risk". Higher scores indicating more severe constipation risk factors.	baseline (day 0)
Occurrence of postoperative constipation	Postoperative constipation development will assessed based on the absence of bowel movement for ≥3 consecutive postoperative days. Higher frequency indicates greater occurrence of postoperative constipation. Participants meeting criteria (Yes/No)	Postoperative Days 1-15
Postoperative Constipation Severity	Postoperative constipation severity will assessed using the Constipation Severity Scale, which ranges from 0 to 16, with higher scores indicating more severe constipation.	postoperative daily from Day 1 to Day 15"
classify faeces	Postoperative stool type will be assessed using the Bristol Stool Scale, which ranges from 1 to 7. Type 1-2 indicate constipation, type 3-4 are ideal stools as they are easier to pass, and type 5-7 may indicate diarrhoea and urgency. A low score indicates constipation. The assessment will performed at each defecation during the postoperative period	Postoperative Days 1-15

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
quality of recovery	Quality of life was assessed using the Quality of Recovery-40 Questionnaire, which ranges from 40-200, with higher scores indicating better recovery of life.	postoperative day 15

Collaborators and Investigators

• Sponsor: Hacettepe University

Study record dates

Study Major Dates

• Study Start (Estimated): February 20, 2026
• Primary Completion (Estimated): December 1, 2026
• Study Completion (Estimated): March 1, 2028

Study Registration Dates

• First Submitted: February 20, 2026
• First Submitted That Met QC Criteria: February 20, 2026
• First Posted (Actual): February 27, 2026

Study Record Updates

• Last Update Posted (Actual): March 4, 2026
• Last Update Submitted That Met QC Criteria: March 1, 2026
• Last Verified: February 1, 2026

More Information

Terms related to this study

• Other Study ID Numbers: E2-26-14078

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No