The Combination Model of 30 Degree Head Up and Murottal Therapy on Blood Pressure, Pulse Rate, Respiratory Rate, Pain Degree, and Projectile Vomiting in Stroke Patients
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 112
- 试验地点
- 1
- 主要终点
- Blood Pressure
研究概览
简要总结
This study aims to evaluate the effects of a combination of a 30-degree head-up position and murottal therapy on physiological and symptom outcomes in stroke patients. The intervention is expected to influence blood pressure, pulse rate, respiratory rate, pain level, and the incidence of projectile vomiting. Stroke patients will receive standard care with the addition of the combined intervention. The results of this study may support non-pharmacological nursing interventions to improve patient comfort and clinical stability.
详细描述
Stroke patients often experience physiological instability and discomfort, including changes in blood pressure, pulse rate, respiratory rate, pain, and nausea or vomiting. Non-pharmacological nursing interventions are needed to support patient comfort and clinical stability during acute care. Head-up positioning and murottal therapy are commonly used supportive interventions in nursing practice, but evidence regarding their combined effects remains limited.
This study aims to evaluate the effects of a combination of a 30-degree head-up position and murottal therapy on blood pressure, pulse rate, respiratory rate, pain degree, and projectile vomiting in stroke patients. The study involves stroke patients receiving standard medical and nursing care, with the addition of the combined intervention as part of supportive nursing management.
The head-up position will be applied at a 30-degree angle, while murottal therapy will be delivered through 30-minute audio recitation during for 3 days. Physiological parameters and symptom outcomes will be measured before and after the intervention according to the study protocol. The findings of this study are expected to contribute evidence for the use of simple, non-pharmacological nursing interventions to improve comfort and physiological responses in stroke patients.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
盲法说明
This study is conducted as an open-label trial because the non-pharmacological interventions, including 30-degree head-up positioning and murottal therapy, are clearly observable and cannot be feasibly blinded to participants, care providers, or investigators.
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients with a medical diagnosis of stroke (hemorrhagic and non-hemorrhagic).
- •Patients with systolic blood pressure above 150 mmHg.
- •Somnolence (GCS ≥ 9).
- •Patients without hearing impairment.
- •Willingness to participate and sign informed consent.
排除标准
- •Patients who are non-Muslim.
- •Patients with decreased consciousness (GCS < 9).
- •Patients with heart problems.
- •Patients with psychiatric disorders.
- •Patients receiving sedative therapy during the study.
研究组 & 干预措施
Combination of 30-Degree Head-Up Positioning and Murottal Therapy
Participants receive a combination of 30-degree head-up positioning and murottal therapy in addition to standard nursing care during the intervention period.
干预措施: Combination of 30 Degree Head Up and Murottal Therapy (Other)
Standard Care
Participants receive standard nursing care according to the hospital's clinical protocol without the addition of head-up positioning or murottal therapy.
干预措施: Standard Care (in control arm) (Other)
结局指标
主要结局
Blood Pressure
时间窗: Baseline and after completion of the 3-day intervention
Change in systolic and diastolic blood pressure from baseline to after completion of the 3-day intervention.
Pulse Rate
时间窗: Baseline and after completion of the 3-day intervention
Change in pulse rate from baseline to after completion of the 3-day intervention.
Respiratory Rate
时间窗: Baseline and after completion of the 3-day intervention
Change in respiratory rate from baseline to after completion of the 3-day intervention
Pain Degree
时间窗: Baseline and after completion of the 3-day intervention
Change in pain score measured using the Critical-Care Pain Observation Tool (CPOT; range 0-8), where higher scores indicate more severe pain, from baseline to after completion of the 3-day intervention.
Projectile Vomiting
时间窗: Baseline and after completion of the 3-day intervention
Change in nausea and vomiting severity measured using the Rhodes Index of Nausea, Vomiting, and Retching (RINVR; range 0-32), where higher scores indicate more severe symptoms, from baseline to after completion of the 3-day intervention.
次要结局
未报告次要终点
研究者
Fila Diana Nurhayati
Graduate Researcher
Universitas Muhammadiyah Surakarta