Abdominal message therapy to solve constipation in patients with stroke

Abstract

Stroke often leads to mobility impairments that adversely affect elimination, frequently resulting in constipation. This condition is a common complication among stroke patients due to prolonged immobilization and reduced physical activity. While pharmacological options exist, non-pharmacological interventions such as abdominal massage provide a viable and effective alternative. This case study aimed to evaluate the effectiveness of abdominal massage in managing constipation for a stroke patient experiencing immobilization. The subject, Mrs. F, presented with a defecation frequency of less than twice per week, hard stool consistency, and diminished bowel sounds (7 times/min). Her baseline Constipation Scoring System (CSS) score was 19. The intervention consisted of abdominal massage using effleurage and kneading techniques, administered for 15 minutes daily over three consecutive days. Post-intervention results demonstrated a gradual decrease in CSS scores alongside an increase in bowel sound frequency and improved patient comfort. By the third day, the patient successfully achieved defecation and flatus, although stool consistency remained firm. These findings suggest that abdominal massage is an effective, safe, and easily applicable complementary therapy for reducing constipation in stroke patients within nursing care settings.

Keywords: Abdominal message, complementary therapy, constipation, nursing care, stroke