Intensive Care Unit Patients
Conditions
Keywords
SU-JOK THERAPY, Intensive Care Unit, pain, PHYSIOLOGICAL PARAMETERS
Brief summary
The aim of this study is to examine the effect of Su Jok Therapy, applied to patients receiving mechanical ventilation support in the intensive care unit, on pain and physiological parameters.
Detailed description
Mechanical ventilation (MV), one of the most common treatment methods in Intensive Care Units (ICUs), is a critical treatment approach to ensure adequate respiratory function in patients. Although mechanical ventilation is a life-saving treatment method in ICUs, it can cause many physiological and psychological problems for patients. Furthermore, excessive exposure to physical, psychosocial, and environmental stressors can affect the patient's autonomic response and vital parameters (tachycardia, hypertension, tachypnea), leading to hemodynamic instability The World Health Organization (WHO) defines Integrated, Complementary, and Alternative Medicine Practices as the provision of healthcare services that are not part of a country's own tradition or conventional medicine and are not fully integrated into the dominant healthcare system In intensive care patients, non-pharmacological methods such as aromatherapy, music therapy, massage, reflexology, acupressure, and Reiki are used as complementary and alternative treatments. Su Jok, one of these non-pharmacological methods, is an alternative treatment method based on traditional Korean medicine. Su Jok is a treatment method that uses the feet and hands, derived from the Korean words Su (hand) and Jok (foot). In the literature, it is argued that nurses can apply Su Jok therapy as an integrative method in symptom management due to its simplicity of application, lack of side effects, and non-invasiveness, which is similar to the philosophy of integrative nursing. Looking at the literature, very few studies on Su Jok therapy have been found. No studies have been found in the literature regarding the effect of Su Jok therapy on intensive care patients and patients on mechanical ventilation support.
Interventions
OTHERsu jok therapy group
In the intervention group, the reflex zones on the hands were identified with a probe. Buckwheat seeds were fixed to these areas with adhesive tape and massaged. The seeds remained in place for 4 hours. After 2 hours, these areas were stimulated with a 1-2 minute massage. Measurements were recorded on a data collection form. The application was carried out for 3 days.
OTHERPlacebo Group
In the placebo group, reflex zones on the hand were identified using a probe. Buckwheat seeds were fixed to a different area near these zones with a seed patch and massaged. The seeds remained in place for 4 hours. After 2 hours, these areas were stimulated with a 1-2 minute massage. Measurements were recorded on a data collection form. The application was carried out for 3 days.
Sponsors
Hasan Kalyoncu University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Masking description
Outcome assessors are blinded to group allocation. Due to the nature of the intervention, participants and care providers cannot be blinded.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients who are in intensive care, * Patients receiving IMV support, * Patients who were admitted to the ICU from the start date of the study and are planned to be monitored for at least 24 hours, * Patients without any problems in the area where Su-Jok will be applied, * Patients with GCS \> 3, RASS between +1 and +4, BPS \> 3
Exclusion criteria
* • Patients in the ward, * Patients with any problems such as fungal infections or wounds in the area where Su Jok will be applied, * Patients with a GCS of 3, * Patients not receiving IMV support will not be included in the study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Systolic Blood Pressure | baseline, 15 minutes, 60 minutes, 4 hours after intervention | Hemodynamic response measured by systolic blood pressure |
| Heart Rate (Pulse Rate) | baseline, 15 minutes, 60 minutes, 4 hours after intervention | Heart rate measured in beats per minute |
| Oxygen Saturation (SpO₂) | baseline, 15 minutes, 60 minutes, 4 hours after intervention | Peripheral oxygen saturation |
| Body Temperature | baseline, 15 minutes, 60 minutes, 4 hours after intervention | Core body temperature |
| Respiratory Rate | baseline, 15 minutes, 60 minutes, 4 hours after intervention | Number of breaths per minute |
| Richmond Agitation-Sedation Scale (RASS) | baseline, 1 hour, 4 hours after intervention | Negative scores indicate sedation, positive scores indicate agitation |
| Behavioral Pain Scale (BPS) | baseline, 1 hour, 4 hours after intervention | Higher scores indicate more severe pain |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Hemodynamic Stability Index (Systolic/Diastolic Blood Pressure Change) | baseline, 15 minutes, 60 minutes, 4 hours after intervention | Change in systolic and diastolic blood pressure from baseline to post-intervention measurements. |
| Oxygenation Trend (SpO₂ Change Over Time) | baseline, 15 minutes, 60 minutes, 4 hours after intervention | hanges in peripheral oxygen saturation over the intervention period. |
| Heart Rate Variability (Clinical Pulse Trend) | baseline, 15 minutes, 60 minutes, 4 hours after intervention | Changes in heart rate measured in beats per minute during and after intervention. |
| Sedation-Agitation Level Stability (RASS Trend) | baseline, 1 hour, 4 hours after intervention | Changes in Richmond Agitation-Sedation Scale (RASS) scores over time indicating sedation or agitation level. |
| Pain Intensity Change (Behavioral Pain Scale Trend) | baseline, 1 hour, 4 hours after intervention | Changes in Behavioral Pain Scale (BPS) scores indicating pain severity over time. |
| Respiratory Stability (Respiratory Rate Change) | baseline, 15 minutes, 60 minutes, 4 hours after intervention | Changes in respiratory rate indicating respiratory stability during intervention. |
| Temperature Stability | baseline, 15 minutes, 60 minutes, 4 hours after intervention | hanges in body temperature over time following intervention. |
| Non-pharmacological Intervention Effectiveness (Overall Clinical Stability Score) | baseline, 4 hours after intervention | Composite assessment of physiological stability based on vital signs and sedation/pain scores. |
Countries
Turkey (Türkiye)
Contacts
STUDY_CHAIRNERMİN OLGUN, Prof. Dr.
Hasan Kalyoncu University
PRINCIPAL_INVESTIGATORMELTEM KALAYCI
Hasan Kalyoncu University
Outcome results
None listed