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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Combination of 30-Degree Head-Up Positioning and Murottal Therapy | Experimental | Participants receive a combination of 30-degree head-up positioning and murottal therapy in addition to standard nursing care during the intervention period. |
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| Standard Care | Active Comparator | Participants receive standard nursing care according to the hospital's clinical protocol without the addition of head-up positioning or murottal therapy. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Combination of 30 Degree Head Up and Murottal Therapy | Other | Participants in this group received a combination of two non-pharmacological interventions during the study period. First, participants were positioned with their heads elevated at a 30-degree angle while lying in bed to support physiological stability, including monitoring of blood pressure, pulse rate, respiratory rate, pain level, and projectile vomiting. Second, participants listened to Quranic recitation (murottal therapy) via audio recording in a quiet environment. Both interventions were administered simultaneously. Intervention sessions lasted 30 minutes for 3 days (a consistent duration and frequency for all participants in this group). Outcomes such as vital signs, pain level, and episodes of severe vomiting were monitored before and after the intervention period. |
| Measure | Description | Time Frame |
|---|---|---|
| Blood Pressure | Change in systolic and diastolic blood pressure from baseline to after completion of the 3-day intervention. | Baseline and after completion of the 3-day intervention |
| Pulse Rate | Change in pulse rate from baseline to after completion of the 3-day intervention. | Baseline and after completion of the 3-day intervention |
| Respiratory Rate | Change in respiratory rate from baseline to after completion of the 3-day intervention | Baseline and after completion of the 3-day intervention |
| Pain Degree | 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. | Baseline and after completion of the 3-day intervention |
| Projectile Vomiting | 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. | Baseline and after completion of the 3-day intervention |
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Inclusion Criteria :
Exclusion criteria :
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Fila Diana Nurhayati, S.Kep.,Ns | Contact | +6281228527848 | j218250001@student.ums.ac.id |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Rumah Sakit Indriati Solo Baru | Sukoharjo | Central Java | 57571 | Indonesia |
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| Label | URL |
|---|---|
| Intracranial Pressure Monitoring and Management in Aneurysmal Subarachnoid Hemorrhage | View source |
| Adherence to Head-of-Bed Elevation in Traumatic Brain Injury: An Audit. | View source |
| The Effect of Listening to Holy Quran Recital on Pain and Length of Stay Post-CABG: A Randomized Control Trial |
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| ID | Term |
|---|---|
| D020521 | Stroke |
| ID | Term |
|---|---|
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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| ID | Term |
|---|---|
| D059039 | Standard of Care |
| ID | Term |
|---|---|
| D019984 | Quality Indicators, Health Care |
| D011787 | Quality of Health Care |
| D006298 | Health Services Administration |
| D017530 | Health Care Quality, Access, and Evaluation |
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Participants are assigned in parallel to an intervention group receiving 30-degree head-up positioning and murottal therapy or to a control group receiving standard care.
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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.
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| Standard Care (in control arm) | Other | Participants in this arm receive standard nursing care according to the hospital protocol without additional head-up positioning or murottal therapy. Standard care includes routine monitoring of vital signs, medication administration, and basic supportive nursing interventions. |
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| View source |
| Interdisciplinary Neurosurgery : Advanced Techniques and Case Management Position-dependent hemodynamic changes in neurosurgery patients : A narrative review. | View source |
| Nausea and vomiting in pregnancy ( NVP ) in Chinese pregnant women : a cross-sectional study | View source |
| Associations between computed tomography markers of cerebral small vessel disease and hemorrhagic transformation after intravenous thrombolysis in acute ischemic stroke patients. | View source |
| Blood Pressure Management Pre- and Post-Reperfusion in Acute Ischemic Stroke: Evidence and Insights from Recent Studies. | View source |
| Measuring pain intensity in older patients : a comparison of five scales. | View source |
| The Impact of Listening to , Reciting , or Memorizing the Quran on Physical and Mental Health of Muslims : Evidence From Systematic Review | View source |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |