Implementation of Abdominal Massage in Nursing Care for Older Adults with Constipation at Katsuren Hospital, Okinawa, Japan
DOI:
https://doi.org/10.37287/picnhs.v6i2.1537Keywords:
abdominal massage, constipation, elderly, nursing careAbstract
Constipation is a common problem among the elderly caused by physiological aging, reduced mobility, and side effects of medication. At Katsuren Hospital, this condition frequently occurs in elderly patients with limited mobility, low fluid intake, and decreased appetite. Abdominal massage, is believed to stimulate peristalsis and promote natural defecation, offering a safer alternative than laxatives. Objective: To identify the implementation of abdominal massage in nursing care for elderly patients with constipation. Method: This descriptive qualitative case study evaluated the effectiveness of abdominal massage in a 77-year-old elderly patient with constipation at Katsuren Hospital, Okinawa, Japan. The intervention was performed twice daily for six days (±15 minutes per session). Data were collected through observation, physical examination, interviews, and the Bristol Stool Chart. Results and Discussion: The patient showed significant improvement: bowel movement frequency increased, stool consistency improved from hard (type 1–2) to soft (type 3–4), abdominal pain decreased, bloating resolved, and overall comfort improved. These findings are consistent with the theory that abdominal massage stimulates bowel peristalsis and reduces abdominal muscle tension. Conclusion: Abdominal massage is effective as a non-pharmacological nursing intervention to manage constipation in the elderly.
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