The Effect of Abdominal Massage and Warm Application on Excretory Activity in Patients Undergoing Total Knee Replacement With Spinal Anesthesia

Inclusion Criteria: * Written and verbal permission was obtained to participate in the study, * 18 years of age or older, * Conscious, oriented and cooperative, * Speaks and understands Turkish, * Total knee replacement with spinal anesthesia planned, * No condition in which abdominal massage is contraindicated (inflammatory bowel disease, presence of abdominal tumors, surgical intervention or radiotherapy to the abdominal area, presence or suspicion of ileus, and pregnancy), * No physician-diagnosed chronic constipation, * Mobilized, * Patients who do not have problems with transition to oral feeding and can be fed orally will be included. Exclusion Criteria: * Written and verbal permission to participate in the research could not be obtained, * Under 18 years of age, * Unconscious, disoriented and uncooperative, * Can speak Turkish but cannot understand it, * Total knee replacement with general anesthesia planned, * Any condition in which abdominal massage is contraindicated (inflammatory bowel disease, presence of abdominal tumors, surgical intervention or radiotherapy to the abdominal area, presence or suspicion of ileus, and pregnancy), * Physician-diagnosed chronic constipation, * Non-mobilized, * Patients who have problems with transition to oral feeding and who cannot be fed orally will not be included.