Hand Massage for Physical Restraint

NCT07070505 | Recruiting

• 1 other identifier: Adana City Hospital
• Study Type: interventional
• Target: 160
• Locations: 1 country
• Sites: 1

Brief Summary

In this study, nurses will apply hand massage to patients who are physically restrained. It will be examined whether massage has a positive effect on patients' skin color, blood circulation, skin temperature and pain. Physical restraint will be applied to patients only in the presence of medical indications and with the decision of a physician. Research question: Does hand massage applied to patients in physical restraint have an effect on preventing complications related to restraint?

Conditions

Physical Restraints; Hand Massage

Outcome Measures

Primary Outcomes (1)

• During the 30. 60th. 90. 120. minutes follow-up, the patient's peripheral capillary refill time, skin integrity, skin color, skin temperature and pain will be evaluated.

  Peripheral capillary refill time ( 0-2 sec : + ) ( \>2 sec : ++ ) Skin integrity + yes \- no If yes, specify: * abrasion * irritation * laceration Specify skin color * Pale/white * red * bruised * pink Skin temperature Compared to unrestricted area * warmer * colder * no difference Pain (0-10 points) Ask the patient about the restricted area 0: I have no pain 10: Unbearable pain 30th min 60th min 90th min 120th min

  for 2 hours

Study Arms (2)

Control group

NO INTERVENTION

Patients in this group will be subjected to routine monitoring, which is included in the hospital procedure, every 30 minutes. Routine monitoring includes ensuring physical well-being, taking pulse, feeding, giving water, and meeting toilet needs. Records are kept by the nurse regarding these practices. During monitoring every 30 minutes, the patient's peripheral capillary refill time, skin integrity, skin color, skin temperature, and pain will be evaluated and recorded on the Patient Information and Restriction Monitoring Form.

Experimental group

EXPERIMENTAL

* Before applying hand massage, the individual/patient's hand or arm will be evaluated for thrombus, phlebitis, ecchymosis, hematoma, deterioration in skin integrity and change in skin color in order to determine whether there is a risk. * Hand massage application is a massage performed with western technique that includes five basic classical massage manipulations including efflorescence, petrissage, friction, tapotment and vibration. * Massage should be performed in a way that creates light pressure on the individual, then the applied pressure should be gradually increased.

Other: Experimental

Interventions

Experimental OTHER

* Before applying hand massage, the individual/patient's hand or arm will be evaluated for thrombus, phlebitis, ecchymosis, hematoma, deterioration in skin integrity and change in skin color in order to determine whether there is a risk. * Hand massage application is a massage performed with western technique that includes five basic classical massage manipulations including efflorescence, petrissage, friction, tapotment and vibration. * Massage should be performed in a way that creates light pressure on the individual, then the applied pressure should be gradually increased.

Experimental group

Eligibility Criteria

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

You may qualify if:

• Both physical and chemical restraint must be applied, a written request for restraint must be given by the physician, both upper extremities must be restrained, and verbal permission must be obtained from the relatives.

Sponsors & Collaborators

• Cukurova University: lead

Study Sites (1)

Dr. Ekrem Tok Mental Health Hospital

Adana, Turkey (Türkiye)

RECRUITING

Central Study Contacts

Ece Kurt

CONTACT

90 0541 272 13 06; ece_ece3543@hotmail.com

Study Design

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

Model Details: Patients in this group will be subjected to routine monitoring as per the hospital procedure every 30 minutes. In addition, one of the patient's wrists that is under restraint will be opened for 5 minutes every 30 minutes and a hand massage will be applied. The open wrist will be restricted again after the 5 minutes are completed. This application will be repeated every 30 minutes until the total restriction period requested by the physician is completed. During the monitoring performed every 30 minutes, the patient's peripheral capillary refill time, skin integrity, skin color, skin temperature and pain will be evaluated and recorded in the Patient Information and Restriction Monitoring Form.

Study Record Dates

• First Submitted: June 3, 2025
• First Posted: July 17, 2025
• Study Start: June 10, 2025
• Primary Completion: September 10, 2025
• Study Completion: October 10, 2025
• Last Updated: July 17, 2025

Record last verified: 2025-07

Locations

TU (1)