Hand massage; behavioral and reduce psychological symptoms, enable individuals to calm down and relax, and provide individual and care It is applied to contribute to communication between donors, to ensure reliability and ease of application, to improve the quality of life and to reduce symptoms such as sleep problems, fatigue, pain, stress, anxiety and depression that the individual frequently experiences.

This study will be carried out to determine the effect of hand massage on the sleep quality and anxiety level of elderly people living in nursing homes.

The number of samples of the research G-Power 3.1.9.7 program was used in the calculation. In the analysis, the average scores of the Pittsburgh Sleep Quality Scale were used and 58 individuals (29 experimental, 29 control) were required.

In the research, it was aimed to assign 30 people to each group, taking into account the high power of the test and the losses.

Hand massage in the literature Although there is no standard duration for how long to apply, studies have shown that the massage is applied for an average of 5-10 times, and in this study, the massage application time was It was determined as 10 minutes in total, 5 minutes for each hand. Hand massage with baby oil will be performed 3 times a week for 4 weeks, for a total of 12 sessions.

Research data, Diagnostic Information Form, Pittsburgh Sleep Quality Index (PSQI), Trait Anxiety Scale It will be collected using (STAI-TX). The data obtained from the research were analyzed in the Statistical Package for Social Science (SPSS) 21 statistical program.

will be done. Variables covering the descriptive characteristics of individuals with chronic diseases are expressed in numbers and percentages.

will be done. Whether the data has a normal distribution will be determined by the Shapiro-Wilk test and parametric and/or non-parametric tests will be used depending on the results obtained. Statistical significance value will be accepted as p<05.

Hand massage application consists of five basic classical massages including efflorage, petrissage, friction, tapotman and vibration.

It is a massage that includes manipulation and is performed with western technique. Hand massage; behavioral and psychological symptoms, to enable individuals to calm down and relax, to contribute to communication between individuals and caregivers, to ensure ease of application, to improve quality of life, and to reduce symptoms such as sleep problems, fatigue, pain, stress, anxiety and depression that the individual frequently experiences. is implemented. Easily learned Its important advantages are that it is applicable, non-invasive, does not require position changes and does not cause privacy violations.

Inclusion Criteria:

• Being suitable for participation in the study according to the institution's psychosocial report
• Being a nursing home resident and being 60 years of age or older
• Not having been diagnosed with Alzheimer's or dementia
• Being able to speak and understand Turkish
• Not having problems with sensory perception and communication skills
• Not having any problems with applying hand massage
• Giving consent to participate in the study.

Exclusion Criteria:

• Having a cognitive problem
• Hand and nail deformities with thrombus, phlebitis, ecchymosis, hematoma, impaired skin integrity to be,
• Using antidepressant, hypnotic, benzodiazepine and narcotic derivative drugs that affect sleep quality.

Criteria for Discontinuation from Follow-up:

• Wanting to leave after the research has started.