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?
There are 2 groups in the study: experimental and control. Patients in the control group will be subjected to the hospital's routine physical restraint practices and will not receive hand massage.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
160
* 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.
Dr. Ekrem Tok Mental Health Hospital
Adana, Turkey (Türkiye)
RECRUITINGDuring 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
Time frame: for 2 hours
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