Delirium, Sleep Disturbance
Conditions
Keywords
Therapeutic Touch, Pain, Sleep Quality, Delirium Level
Brief summary
The study was conducted to determine the effects of therapeutic touch applied to intensive care patients on pain, delirium, sleep and physiological parameters.
Detailed description
This study aims to evaluate the effects of therapeutic touch on pain, delirium, sleep, and physiological parameters in surgical intensive care patients. Patients will be assessed at 24, 48, and 72 hours. The intervention and control groups will be randomized. The intervention group will receive routine care and therapeutic touch, while the control group will receive only routine care. Parameters will be assessed before and after each measurement.
Interventions
OTHERtherapeutic touch
therapeutic touch
Sponsors
Sibel Oksuz
Aksaray University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Subject)
Masking description
Participants do not know which group they are in the study.
Intervention model description
Randomized control
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients who volunteer to participate in the study, * Patients aged 18 and over who receive post-surgical treatment at the Surgical Intensive Care Unit of Aksaray Education and Research Hospital, * Patients who do not have communication problems (hearing, speaking, understanding, etc.), * Patients who have received treatment in the surgical intensive care unit for at least 72 hours, * Patients with RASS: between -3 and +4 and Glasgow coma scale: 10 and above, * Patients who use only non-steroidal drugs as analgesics, * Patients whose medical diagnosis is not dementia, * Patients who do not have a mental state disorder/psychological disease and do not use sleeping pills.
Exclusion criteria
* Patients who developed complications in the ICU after surgery, * Patients who received treatment in the surgical intensive care unit for less than 72 hours.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Blood pressure | At 24 hours, 48 hours, and 72 hours after ICU admission (pre-intervention). | Systolic and diastolic blood pressure measured using standard bedside monitoring in the intensive care unit. |
| VAS (Visual Analog Scale) | At 24 hours, 48 hours, and 72 hours after ICU admission (pre-intervention). | Pain intensity measured using a 0-10 Visual Analog Scale (0 = no pain, 10 = worst pain). |
| RASS (Richmond Agitation and Sedation Scale) | At 24 hours, 48 hours, and 72 hours after ICU admission (pre-intervention). | Sedation/agitation level scored from +4 (combative) to -5 (unarousable). |
| RCSQ (Richards-Campbell Sleep Questionnaire) | At 24 hours, 48 hours, and 72 hours after ICU admission (pre-intervention). | Sleep quality assessed with RCSQ, range 0-100. |
| Heart rate | At 24 hours, 48 hours, and 72 hours after ICU admission (pre-intervention). | Heart rate measured using continuous bedside cardiac monitoring in the intensive care unit. |
| Respiratory rate | At 24 hours, 48 hours, and 72 hours after ICU admission (pre-intervention). | Respiratory rate measured and recorded as breaths per minute using bedside monitoring. |
| Body temperature | At 24 hours, 48 hours, and 72 hours after ICU admission (pre-intervention). | Body temperature measured using a standard clinical thermometer in the intensive care unit. |
| Oxygen saturation | At 24 hours, 48 hours, and 72 hours after ICU admission (pre-intervention). | Peripheral oxygen saturation measured by pulse oximetry. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| VAS (Visual Analog Scale) | At 24 hours, 48 hours, and 72 hours after ICU admission (post-intervention). | Pain intensity measured using a 0-10 Visual Analog Scale. |
| RASS (Richmond Agitation and Sedation Scale) | At 24 hours, 48 hours, and 72 hours after ICU admission (post-intervention). | Sedation/agitation scored from +4 to -5. |
| RCSQ (Richards-Campbell Sleep Questionnaire) | At 24 hours, 48 hours, and 72 hours after ICU admission (post-intervention). | Sleep quality assessed with RCSQ, range 0-100. |
| Blood pressure | At 24 hours, 48 hours, and 72 hours after ICU admission (post-intervention). | Systolic and diastolic blood pressure measured using standard bedside monitoring in the intensive care unit. |
| Heart rate | At 24 hours, 48 hours, and 72 hours after ICU admission (post-intervention). | Heart rate measured using continuous bedside cardiac monitoring in the intensive care unit. |
| Respiratory rate | At 24 hours, 48 hours, and 72 hours after ICU admission (post-intervention). | Respiratory rate measured and recorded as breaths per minute using bedside monitoring. |
| Body temperature | At 24 hours, 48 hours, and 72 hours after ICU admission (post-intervention). | Body temperature measured using a standard clinical thermometer in the intensive care unit. |
| Oxygen saturation | At 24 hours, 48 hours, and 72 hours after ICU admission (post-intervention). | Peripheral oxygen saturation measured by pulse oximetry. |
Countries
Turkey (Türkiye)
Contacts
STUDY_DIRECTORSibel Öksüz
Aksaray University
Outcome results
None listed