Stroke
Conditions
Keywords
Head Up, Murottal Therapy
Brief summary
This study aims to evaluate the effects of a combination of a 30-degree head-up position and murottal therapy on physiological and symptom outcomes in stroke patients. The intervention is expected to influence blood pressure, pulse rate, respiratory rate, pain level, and the incidence of projectile vomiting. Stroke patients will receive standard care with the addition of the combined intervention. The results of this study may support non-pharmacological nursing interventions to improve patient comfort and clinical stability.
Detailed description
Stroke patients often experience physiological instability and discomfort, including changes in blood pressure, pulse rate, respiratory rate, pain, and nausea or vomiting. Non-pharmacological nursing interventions are needed to support patient comfort and clinical stability during acute care. Head-up positioning and murottal therapy are commonly used supportive interventions in nursing practice, but evidence regarding their combined effects remains limited. This study aims to evaluate the effects of a combination of a 30-degree head-up position and murottal therapy on blood pressure, pulse rate, respiratory rate, pain degree, and projectile vomiting in stroke patients. The study involves stroke patients receiving standard medical and nursing care, with the addition of the combined intervention as part of supportive nursing management. The head-up position will be applied at a 30-degree angle, while murottal therapy will be delivered through 30-minute audio recitation during for 3 days. Physiological parameters and symptom outcomes will be measured before and after the intervention according to the study protocol. The findings of this study are expected to contribute evidence for the use of simple, non-pharmacological nursing interventions to improve comfort and physiological responses in stroke patients.
Interventions
OTHERCombination of 30 Degree Head Up and Murottal Therapy
Participants in this group received a combination of two non-pharmacological interventions during the study period. First, participants were positioned with their heads elevated at a 30-degree angle while lying in bed to support physiological stability, including monitoring of blood pressure, pulse rate, respiratory rate, pain level, and projectile vomiting. Second, participants listened to Quranic recitation (murottal therapy) via audio recording in a quiet environment. Both interventions were administered simultaneously. Intervention sessions lasted 30 minutes for 3 days (a consistent duration and frequency for all participants in this group). Outcomes such as vital signs, pain level, and episodes of severe vomiting were monitored before and after the intervention period.
OTHERStandard Care (in control arm)
Participants in this arm receive standard nursing care according to the hospital protocol without additional head-up positioning or murottal therapy. Standard care includes routine monitoring of vital signs, medication administration, and basic supportive nursing interventions.
Sponsors
Universitas Muhammadiyah Surakarta
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Masking description
This study is conducted as an open-label trial because the non-pharmacological interventions, including 30-degree head-up positioning and murottal therapy, are clearly observable and cannot be feasibly blinded to participants, care providers, or investigators.
Intervention model description
Participants are assigned in parallel to an intervention group receiving 30-degree head-up positioning and murottal therapy or to a control group receiving standard care.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
: 1. Patients with a medical diagnosis of stroke (hemorrhagic and non-hemorrhagic). 2. Patients with systolic blood pressure above 150 mmHg. 3. Somnolence (GCS ≥ 9). 4. Muslim. 5. Patients without hearing impairment. 6. Willingness to participate and sign informed consent.
Exclusion criteria
: 1. Patients who are non-Muslim. 2. Patients with decreased consciousness (GCS \< 9). 3. Patients with heart problems. 4. Patients with psychiatric disorders. 5. Patients receiving sedative therapy during the study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Blood Pressure | Baseline and after completion of the 3-day intervention | Change in systolic and diastolic blood pressure from baseline to after completion of the 3-day intervention. |
| Pulse Rate | Baseline and after completion of the 3-day intervention | Change in pulse rate from baseline to after completion of the 3-day intervention. |
| Respiratory Rate | Baseline and after completion of the 3-day intervention | Change in respiratory rate from baseline to after completion of the 3-day intervention |
| Pain Degree | Baseline and after completion of the 3-day intervention | Change in pain score measured using the Critical-Care Pain Observation Tool (CPOT; range 0-8), where higher scores indicate more severe pain, from baseline to after completion of the 3-day intervention. |
| Projectile Vomiting | Baseline and after completion of the 3-day intervention | Change in nausea and vomiting severity measured using the Rhodes Index of Nausea, Vomiting, and Retching (RINVR; range 0-32), where higher scores indicate more severe symptoms, from baseline to after completion of the 3-day intervention. |
Countries
Indonesia
Contacts
CONTACTFila Diana Nurhayati, S.Kep.,Ns
Outcome results
None listed