The Effect of Massage in Preventing Pressure Wound Development

NCT05132634 | Completed DMC

• 1 other identifier: Giresun University
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

Pressure Wound (PW) is a chronic wound that develops in soft tissue as a result of the capillary end pressure which rising above 32 mmHg. It is the most common complication with 31% annual incidence after spinal cord injuries. Pressure wound is considered as malpractice for nursing practices. It decreases the quality of life of the elderly and patients with mobility restrictions and prolongs the length of hospital stay. Complication development risk and cost are high. Factors affecting wound opening include the amount of pressure, duration, moisture, friction, nutrition, age, weight, hemoglobin value, chronic diseases. The development of preventive actions, protocol and standard in pressure wound planning of care is among the main goals of nursing care. The research will be carried out to evaluate the effect of hand massage in preventing pressure injuries. Patient with a high risk of developing pressure wound will constitute the experimental and control group of our study. Standard nursing care applied to the control group; unlike the control group hand massage will be applied to the experiment group.when the sample group determined in both the experimental and control groups is reached the study will be terminated. The pressure wound in both groups will be compared statistically and the effectiveness of hand massage in reducing the pressure wound will be determined. H0 :The applied classical hand massage has no effect on the formation of pressure wound. H1: The applied classical hand massage has effect on the formation of pressure wound.

Conditions

Pressure Injury

Keywords

Massage; Nursing Care; Pressure Ulcer; Therapeutic touch

Outcome Measures

Primary Outcomes (1)

• Patient Information Form

  The form (22, 52) developed by the researcher in line with the literature, the patient group (experimental, control), age, gender, presence of chronic disease, current chronic disease, physical evaluation (height, weight, body mass index), hospitalization cause/diagnosis, fluid intake and nutritional status, pressure ulcer formation status, number, region, day and time of occurrence, Braden Risk Assessment Scale score. Of these statements, 11 are for all patients in both groups with and without pressure ulcers, and four for patients who only develop pressure ulcers. The data in this form were collected through observation and obtained from the nurse observation form.Sociodemographic characteristics of the patients will be measured.

  6 months

Other Outcomes (2)

• Pressure Wound Staging Form

  6 months

• Experimental and Control Group Follow-up Form

  6 months

Study Arms (1)

Arms

EXPERIMENTAL

Experimental Group: Braden Risk Assessment Scale was completed on the first day of admission to the Intensive Care Unit and every morning in the morning. Since the care hours were between 08:00\_10:00 in the morning and 20:00-22:00 at night, classical hand massage was applied to the patient by the researcher between the time zones specified daily. It was followed up with the Pressure Wound Staging Form. Control Group: The Braden Risk Assessment Scale was completed on the first day of admission to the Intensive Care Unit and every morning in the morning. It was followed up with the Pressure Wound Staging Form.

Other: Hand Massage

Interventions

Hand Massage OTHER

Like a massage, the superficial kneading technique which is included in the Swedish massage technique will be applied in a way to create a slight pressure on the patient, and it will be terminated again with the effleurage technique. The procedure was concluded in a way that each massage technique was applied and the massage was for a total of 15-20 minutes.

Arms

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Being in the intensive care unit, being 18 years or older,
• Braden Risk Assessment Scale score 12 and below,
• Patients whose position change is within the scope of the physician's request (patients whose position change is not restricted such as spinal cord injury, orthopedic surgery),
• Conscious patients willing to participate in the study or obtaining permission from family members in the unconscious.

You may not qualify if:

• Having a Braden Risk Assesment Scale (BRAS) score of 12 and above,
• Staying in the intensive care unit for less than five days, Pressure wound Stage 1 and above

Sponsors & Collaborators

• Giresun University: lead

Study Sites (1)

Giresun University

Giresun, 28000, Turkey (Türkiye)

Location

Related Links

• https://www.sciencedirect.com/science/article/pii/S0020748921001619

MeSH Terms

Conditions

Pressure Ulcer

Condition Hierarchy (Ancestors)

Skin Ulcer; Skin Diseases; Skin and Connective Tissue Diseases

Study Officials

• Esra Özkan, Lecturer

  Giresun University Health Servives Vocational School

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Lecturer

Model Details: Paralel Assignment randomized controlled trial

Study Record Dates

• First Submitted: October 27, 2021
• First Posted: November 24, 2021
• Study Start: March 1, 2021
• Primary Completion: September 1, 2021
• Study Completion: November 29, 2022
• Last Updated: February 23, 2023

Record last verified: 2023-02

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)