Heart Failure, Symptoms and Signs, Quality of Life
Conditions
Keywords
Classical massage,heart failure,nursing,relaxation
Brief summary
Patients with heart failure will be entered. Participants will be randomized to one of three study arms: Arm 1: Classical massage, Arm 2: Relaxation, Arm 3: Control Hypothesis: Classical Massage and Benson Muscle Relaxation will decrease frequency, severity, discomfort of symptoms and improve quality of life.
Detailed description
Previous reports have revealed that classical massage and Benson relaxation exercise are promising for physiological parameters such as respiratory rate, pulse, blood pressure in heart failure patients. On the other hand, research examining effects of these approaches on physical symptom status that is including dyspnea, orthopnea, fatigue, chest pain, peripheral edema, sleep problems and dizziness and quality of life is limited. The present study investigates the effects of classical massage and Benson relaxation exercise in a single-site, 3-arm, randomized, controlled study of 96 patients with heart failure. Arm 1: Classical massage; Arm 2: Benson relaxation exercise; Arm 3: Control. The investigators hypothesize that Classical Massage and Benson relaxation exercise will decrease frequency, severity, discomfort of symptoms and improve quality of life.
Interventions
BEHAVIORALClassical Massage
During the first interview, a booklet explaining the introduction, purpose, benefits and application steps of hand-foot massage will be given to the patients in the classical massage group. Hand and foot massage will be applied to the patients for 30 minutes in the form of right hand five minutes, left hand five minutes, right foot ten minutes, left foot ten minutes, using liquid vaseline in each session twice a day in the patient's own bed with individual applied sessions by the researcher. Patients will receive a total of 14 sessions of classical massage, twice a day, for seven days.
BEHAVIORALBenson Relaxation Exercise
During the first interview, patients will be given a booklet explaining the description, purpose, benefits and application steps of the Benson relaxation exercise. With individual counseling sessions, a total of 14 sessions of Benson relaxation exercises will be performed in a quiet room, twice a day for seven days, each session lasting 20 minutes. At the beginning of the application, patients will focus on their breaths by taking slow and natural breaths with the researchers' commands and will quietly say to yourself the words of the focus, sound, sentence or prayer they choose, which are meaningful to them.
OTHERControl
Patients will continue to receive standard nursing care and no further intervention will be made during the research.
Sponsors
Hacettepe University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Being at least primary school graduates, * Being over 18 years old * Being diagnosed Stage III-IV with heart failure * Not using any other complementary or integrative therapy during the study period
Exclusion criteria
* Having an additional disease such as advanced stage chronic obstructive pulmonary disease, asthma, cancer * Stage I-II diagnosed with heart failure * Having an active thrombosis * Having a coagulation problem * Not volunteering to participate in the research * Patients who have been hospitalized for 5 days or less and discharged before five days after the start of the application.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in symptom status | Baseline measurements, at the end of 7th day and two weeks after the completion of the interventions | Symptom status will be measured based on patient report by the Symptom Status Questionnaire-Heart Failure . Higher score means increase in symptom burden. |
| Change in quality of life | Baseline measurements, at the end of 7th day and two weeks after the completion of the interventions | Quality of live will be measured by the Minnesota Living with Heart Failure Questionnaire. Higher scores on the scale mean worse quality of life. |
Countries
Turkey (Türkiye)
Outcome results
None listed