A Study to assess the effectiveness of Abdominal Massage on Gastric Residual Volume among critically ill patients with Nasogastric Tube Feeding in SMVMCH, Puducherry

Abstract

Nasogastric tube feeding also known as enteral feeding or enteral nutrition, refers to the administration of a nutritionally balanced liquefied food or formula, through a nasogastric tube inserted into stomach via nose. Gastric Residual Volume (GRV) is the amount of content aspirated from the stomach during the Nasogastric Tube Feeding. Gastric Residual Volume is the amount of content aspirated from the stomach during the Nasogastric Tube Feeding. An aspirated amount is less than 500ml for 6 hourly is safe and indicates that the gastro intestinal tract is functioning normally. Most of the patients will tolerate Enteral nutrition (EN) via a gastric tube. some patients will experience delayed gastric emptying and raised GRVs as a result of sedation, pain medications, hypothermia, decreased movement and the effect of being critically illintolerance of Nasogastric Tube Feeding is defined here as more than one GRV > 500ml. An aspirated amount is less than 500ml for 6 hourly is safe and indicates that the gastro intestinal tract is functioning normally. In India, 13.5% of stroke patients receive nasogastric tube feeding. The number of tube fed residents per 100 beds in each facility was 11.6% at the nursing homes, 7.4% at the long term care facilities, 36.3% at the sanatorium medical facilities and 7.9% at the rehabilitation facilities. This study was conducted in SMVMCH. The pre experimental one group pre test & post test research design was adopted for the present study. A total 30 samples were selected from the critically care units by using Purposive sampling technique. In Pre-Test 01 (3.3%) of them were in normal level, 18 (59.4%) of them were in low risk, 09 (29.7%) of them were in high risk and 02 (6.6%) of them in very high risk. Whereas in Post-Test 27 (90%) of them were in normal level, 2 (6.6%) of them were in low risk, 01 (3.3%) of them were in high risk and none of them were in very high risk.