Trial Title:
The Effect of Hand Massage Applied to Palliative Care Oncology Patients
NCT ID:
NCT06360614
Condition:
Hand Massage
Conditions: Official terms:
Neoplasms
Conditions: Keywords:
Palliative care
Oncology
Hand massage
Pain
Comfort
Sleep quality
Study type:
Interventional
Study phase:
N/A
Overall status:
Recruiting
Study design:
Allocation:
Randomized
Intervention model:
Parallel Assignment
Intervention model description:
Before the application, data will be collected and recorded through a face-to-face
interview (8-10 minutes) by a nurse who does not know which group the patients are in.
Sleep times of patients will be measured with a smart bracelet. At this stage, the same
procedure will be continued for the intervention and control groups.
Hand massage will be applied to the intervention group for 4 weeks, 2 days a week (Monday
and Friday), 2 sessions each day. The control group will receive routine monitoring and
nursing care for 4 weeks.
In the intervention and control groups, VAS-Pain, General Comfort Scale and Pittsburgh
Sleep Quality were assessed by a face-to-face interview by a nurse who did not know which
group the patients were in, on the 7th day (Monday), 14th day (Monday) and 28th day
(Monday). Index measurement tools will be applied and patients' sleep times will be
measured with a smart bracelet.
Primary purpose:
Screening
Masking:
Single (Outcomes Assessor)
Intervention:
Intervention type:
Other
Intervention name:
Hand massage application
Description:
2 sessions of hand massage every day, 2 days a week (Monday and Friday) for 4 weeks
Arm group label:
Hand massage application
Intervention type:
Other
Intervention name:
routine monitoring and nursing care
Description:
Routine monitoring and nursing care for 4 weeks
Arm group label:
Control Group
Summary:
World Health Organization (WHO) palliative care is defined as "an approach that aims to
reduce or prevent suffering by early identification, evaluation and treatment of the
physical, psychosocial and spiritual problems of patients and families accompanying
life-threatening diseases, and thus to increase their quality of life." Palliative care
is a multidisciplinary approach that provides appropriate health care for oncology
patients, who have a wide variety of medical, functional, social and emotional needs.
Pharmacological approaches are generally used in symptom management of palliative care
patients. In addition to pharmacological approaches, non-pharmacological approaches are
also preferred. Massage is a preferred intervention among professional nursing practices
because it is reliable, has no side effects, has a direct effect on patients, and is easy
to apply.
Massage is the stimulation of the skin, subcutaneous tissue, muscles, internal organs,
metabolism, circulation and lymph systems for therapeutic purposes through mechanical and
neural means. The presence of sufficient mechanoreceptors in the hands, which stimulate
painless nerve endings, shows that the hands should be chosen as the appropriate area for
massage. Among the effects of hand massage: ensuring the regeneration of cells,
facilitating the elimination of accumulated toxins, providing relaxation, helping to
reduce pain by facilitating the release of endorphins, helping to increase circulation,
regulating respiratory functions, providing stress and anxiety control, creating a state
of well-being, strengthening the immune system, increasing general comfort, improving
sleep quality. is located. Studies in the literature have found that hand massage reduces
anxiety levels, stress and agitation levels, pain levels, and increases comfort and sleep
levels. As seen in the literature, the effectiveness of hand massage applied to different
sample groups on anxiety, stress, agitation, pain, comfort and sleep parameters was
evaluated. There are very few studies evaluating the effectiveness of hand massage
applied to oncology patients. In addition, no study has been found that evaluated the
effects of hand massage on pain, comfort and sleep in palliative oncology patients, who
constitute the majority of palliative care patients.
Detailed description:
There is a rapid increase in cancer incidence and mortality worldwide. The International
Agency for Research on Cancer (IARC) 2018 found that 18.1 million individuals were
diagnosed with cancer worldwide. Individuals diagnosed with cancer experience many
symptoms during the disease process, during the treatment phase, and in the terminal
period. In most patients, many symptoms such as pain, insomnia, nausea and vomiting,
anorexia, shortness of breath and fatigue are frequently observed, depending on the type
and stage of cancer, treatments applied and accompanying diseases. Failure to control
these symptoms affects the treatment process and may cause patients and family members to
experience difficulties in the fight against cancer. During this period, the most
effective way to meet all the needs of the patient and his family is to receive
palliative care services. Palliative care is the key to individualized and holistic care.
The scope of palliative care includes defining goals of care based on the patient's
values and beliefs and addressing patients' physical, emotional, spiritual, and social
problems. Palliative care is a multidisciplinary approach in which appropriate health
care is provided for oncology patients, who have a wide range of medical, functional,
social and emotional needs. Pharmacological approaches are generally used in symptom
management of palliative care patients. In addition to pharmacological approaches,
non-pharmacological approaches are also preferred. Practices such as reflexology, music
therapy, acupuncture, aromatherapy, pet therapy, therapeutic touch, reiki, massage, hand
massage therapy are non-pharmacological applications that can be used in palliative care
oncology patients.
Massage is a preferred intervention among professional nursing practices because it is
reliable, has no side effects, has a direct effect on patients, and is easy to apply.
Massage is the stimulation of the skin, subcutaneous tissue, muscles, internal organs,
metabolism, circulation and lymph systems for therapeutic purposes through mechanical and
neural means . The presence of sufficient mechanoreceptors in the hands, which stimulate
painless nerve endings, shows that the hands should be chosen as the appropriate area for
massage. Hand massage application changes the sensation of pain in the neuromatrix. It
increases the stimulation of large nerve fibers on the small C nerve fiber in the
spinothalamic system through the spinal cord and reduces the sensation and transmission
of pain by increasing blood flow to the hands. With the application of hand massage,
sensory information is transferred from the hands to the spinothalamic pathway via the
thalamus and somatosensory cortex via the spinal cord. While sensory information changes
within the neuromatrix structure, it also reduces chronic pain. The scope of hand massage
is limited, but it is a more accessible area. In addition, it can be applied more easily
and conveniently than whole body massage due to its pain-reducing and comfort-increasing
effect Among the effects of hand massage: ensuring the regeneration of cells,
facilitating the elimination of accumulated toxins, providing relaxation, helping to
reduce pain by facilitating the release of endorphins, helping to increase circulation,
regulating respiratory functions, providing stress and anxiety control, creating a state
of well-being, strengthening the immune system, increasing general comfort, improving
sleep quality. Studies in the literature show that hand massage reduces anxiety levels,
pain levels, stress and agitation levels; It has been stated that it is effective in
increasing the level of comfort and sleep quality.
As seen in the literature, the effectiveness of hand massage applied to different sample
groups on anxiety, stress, agitation, pain, comfort and sleep parameters was evaluated.
There are very few studies evaluating the effectiveness of hand massage applied to
oncology patients. In addition, no study has been found that evaluated the effects of
hand massage on pain, comfort and sleep in palliative oncology patients, who constitute
the majority of palliative care patients. Hand massage, which is a practical, safe and
cost-free method in symptom management, which forms the basis of palliative care and has
an important place in the treatment of oncology patients, should be used by evaluating
its effectiveness.
Criteria for eligibility:
Criteria:
Inclusion Criteria:
- Oncology patients receiving treatment for at least 2 weeks in palliative care.
- 18 years and over.
- Able to communicate clearly and effectively.
- Visual Analogue Scale-Pain score above 3.
- Pittsburgh Sleep Quality Index score above 5.
- Without a neurological medical diagnosis.
- There is no intravenous catheter on the hand and there is no deformity in the hand.
Exclusion Criteria:
- Less than 2 weeks of treatment in palliative care.
- Under 18 years of age.
- Outside the clinical protocol use analgesic medication or methods.
- A change in the standard protocol for pain and sleep.
- Visual Analogue Scale-Pain score below 3.
- Pittsburgh Sleep Quality Index score below 5.
- Unable to communicate effectively.
- Patients with diagnosed neurological problems and hand deformities.
Gender:
All
Minimum age:
18 Years
Maximum age:
N/A
Healthy volunteers:
No
Locations:
Facility:
Name:
Sultanbeyli State Hospital
Address:
City:
Istanbul
Zip:
34000
Country:
Turkey
Status:
Recruiting
Contact:
Last name:
Murat Koç
Phone:
+905436725093
Email:
mrtkoc49@gmail.com
Start date:
June 15, 2024
Completion date:
June 1, 2025
Lead sponsor:
Agency:
murat koç
Agency class:
Other
Collaborator:
Agency:
Istanbul Sultanbeyli State Hospital
Agency class:
Other
Source:
Istanbul Sultanbeyli State Hospital
Record processing date:
ClinicalTrials.gov processed this data on November 12, 2024
Source: ClinicalTrials.gov page:
https://clinicaltrials.gov/ct2/show/NCT06360614
