Main Article Content
MATERIAL AND METHODS: The study is a quasi-experimental nonequivalent control group pretest-posttest design. Ten respondents were assigned to the intervention group and received standard therapy (fluid and fiber intake) with effleurage abdominal massage. Another ten respondents were assigned to the control group and received only standard therapy. Massage was applied for 15 minutes a day and continued for three days. Constipation Assessment Scale (CAS) was used to measure constipation score. Data were collected three days after therapy on each groups then analized using Wilcoxon and Mann-Whitney Test.
RESULT: According to Mann-Whitney Test, there was a significant difference in constipation status after three days intervention given to each group (p = 0023). Regarding constipation status, there was no significant difference at baseline between intervention group and control group (p = 0.874). The intervention group was observed to have a lower constipation score after the effleurage abdominal massage (p = 0.047). However, the control group showed no significant difference in constipation status before and after standard intervention (p = 0.317).
CONCLUSION: Effleurage abdominal massage is observed to be effective in preventing constipation in patients undergoing orthopedic surgery.
This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Day MR. Constipation: epidemiology, assessment and treatment options. promoting continence and management of incontinence conference, 2017. (Accessed July 1, 2019, at https://www.muh.ie/images/CNE/ConstipationEpidemiology.pdf ).
Foorotan M, Bagheri N, Darvishi M. Chronic constipation a review of literature. Medicine 2018; 97:1-9.
Iovino P, Chiarioni G, Bilancio G, et al. New onset of constipation during long-term physical inactivity: a proof-of-concept study on the immobility-induced bowel change. PLos ONE 2013;8:e72608.
Pradani VR, Rahfiludin MZ, Suyatno S. Hubungan Asupan Serat, Lemak dan Posisi Buang Air Besar dengan Kejadian Konstipasi pada Lansia. JKM e-Journal 2015;3(3):257-65.
Cornell Health. Laxative Use: What to Know. 2017. (Accessed July 1, 2019, at https://health.cornell.edu/sites/health/files/pdf-library/LaxativeUse.pdf ).
Day MR, Wills T, Coffey A. Constipation and the pros and cons of laxatives for older adults. Nurs Residential Care 2014;16(4):2-5.
Muawanah, Nindya TS. Hubungan asupan serat dan cairan dengan kejadian konstipasi pada ibu pasca Melahirkan. Media Gizi Indonesia 2017;11(1):101-5.
McClurg D, Strong AL. Does abdominal massage relieve constipation? Nurs Times 2011;107:20-22.
Sinclair, M. The Use of abdominal massage to treat chronic constipation. J Bodyw Mov Ther 2010;15(4):436-45.
Dahlan MS. Besar sampel dan cara pengambilan sampel dalam penelitian kedokteran dan kesehatan. Jakarta: Salemba Medika. 2013.
MacMillan SS. Constipation Assessment Scale. 2016. (Accessed July 1, 2019, at S:Multimedia Team_TNEEL TneelWorking ContentLocked contentComfortcfm5con- stipation assessment scale.doc pada 10 Oktober 2018).
Wickham RJ. Assessment of constipation in patients with xancer. J Adv Pract Onco 2016;7(4):457-62
Rogers J. How to manage chronic constipation in adults. Nurs Times 2012:108(41):12-8.
Moyer D, Tierney A. Outpatient management of constipation in older adults. The University of Arizona. 2015 (Accessed July 1, 2019, at www.aging.arizona.edu.).
Yasmara D, Irawaty D, Kariasa IM. Konsumsi air putih pagi hari terhadap konstipasi pada pasien imobilisasi. J Ners 2013;1:72-80.
Wessel-Cessieux. Managing constpation in older people in hospital. Nurs Times 2015:111(22):19-21.
Theresia SIM, Setyani FAR, Estri AK. Pengaruh massage abdominal dalam upaya pencegahan konstipasi pada pasien yang menjalani rawat inap di rumah sakit panti nugroho Yogyakarta. 2015:17-34.
Cassoobhoy A. How drinking fluids can help you manage constipation. WebMD Medical Reference. 2017. (Accessed July 1, 2019, at
Lamas K, Lindholm L, Stenlund H, et al. Effects of abdominal massage in management of constipation—A randomized controlled trial. Int J Nurs Stud 2009;46:759-67.
McKay SL, Fravel M, Scanlon C. Evidence-based practice guideline: management of constipation. J Gerontolo Nurs 2014;38(7):9-15.