Effect of Abdominal Massage on Bowel Movements in Patients With Subarachnoid Hemorrhage

Inclusion Criteria: * • 18 years of age or older * Underwent neurovascular surgery * Received general anesthesia * Have no wounds, surgical intervention, or radiotherapy in the abdominal region * Have no bowel obstruction, irritable bowel syndrome, inflammatory bowel disease, abdominal herniation, or bowel cancer * Began oral feeding at the 6th hour post-surgery * Stayed in the intensive care unit for 3 or more days * Have a Glasgow Coma Scale (GCS) score of 9 or above * Have no signs of acute abdomen * Have no intra-abdominal infection * No mechanical ventilation * Mobilezed in the preoperative period * Unable to mobilize after surgery * Evaluated by the intensive care physician with no contraindications for abdominal massage * Have a first-degree relative who has given consent Exclusion Criteria: * Patients with the following conditions will be excluded from the sample: * Those with chronic constipation, fecal incontinence, or diarrhea * Those fed with a fiber-enriched nutritional solution (e.g., Nutrison Protein Plus Multifibre®, Fresubin Original Fibre®, Isosource Fiber®, Jevity Plus®) * Those fed via nasogastric enteral tube * Those receiving parenteral nutrition * Patients with a BMI \> 40 (morbid obesity)