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The aim of this study is to examine the effect of Su Jok Therapy, applied to patients receiving mechanical ventilation support in the intensive care unit, on pain and physiological parameters.
Mechanical ventilation (MV), one of the most common treatment methods in Intensive Care Units (ICUs), is a critical treatment approach to ensure adequate respiratory function in patients.
Although mechanical ventilation is a life-saving treatment method in ICUs, it can cause many physiological and psychological problems for patients. Furthermore, excessive exposure to physical, psychosocial, and environmental stressors can affect the patient's autonomic response and vital parameters (tachycardia, hypertension, tachypnea), leading to hemodynamic instability
The World Health Organization (WHO) defines Integrated, Complementary, and Alternative Medicine Practices as the provision of healthcare services that are not part of a country's own tradition or conventional medicine and are not fully integrated into the dominant healthcare system In intensive care patients, non-pharmacological methods such as aromatherapy, music therapy, massage, reflexology, acupressure, and Reiki are used as complementary and alternative treatments. Su Jok, one of these non-pharmacological methods, is an alternative treatment method based on traditional Korean medicine. Su Jok is a treatment method that uses the feet and hands, derived from the Korean words Su (hand) and Jok (foot). In the literature, it is argued that nurses can apply Su Jok therapy as an integrative method in symptom management due to its simplicity of application, lack of side effects, and non-invasiveness, which is similar to the philosophy of integrative nursing. Looking at the literature, very few studies on Su Jok therapy have been found. No studies have been found in the literature regarding the effect of Su Jok therapy on intensive care patients and patients on mechanical ventilation support.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervetion group | Experimental | In the intervention group, su-jok seed therapy will be applied to the su-jok reflection zones on the hands. |
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| Placebo group | Placebo Comparator | In the placebo group, su-jok seed therapy will be applied to areas on the hands that are different from the reflection zones. |
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| Control group | No Intervention | No intervention will be applied to the control group. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| su jok therapy group | Other | In the intervention group, the reflex zones on the hands were identified with a probe. Buckwheat seeds were fixed to these areas with adhesive tape and massaged. The seeds remained in place for 4 hours. After 2 hours, these areas were stimulated with a 1-2 minute massage. Measurements were recorded on a data collection form. The application was carried out for 3 days. |
| Measure | Description | Time Frame |
|---|---|---|
| Systolic Blood Pressure | Hemodynamic response measured by systolic blood pressure | baseline, 15 minutes, 60 minutes, 4 hours after intervention |
| Heart Rate (Pulse Rate) | Heart rate measured in beats per minute | baseline, 15 minutes, 60 minutes, 4 hours after intervention |
| Oxygen Saturation (SpOâ‚‚) | Peripheral oxygen saturation | baseline, 15 minutes, 60 minutes, 4 hours after intervention |
| Body Temperature | Core body temperature | baseline, 15 minutes, 60 minutes, 4 hours after intervention |
| Respiratory Rate | Number of breaths per minute | baseline, 15 minutes, 60 minutes, 4 hours after intervention |
| Richmond Agitation-Sedation Scale (RASS) | Negative scores indicate sedation, positive scores indicate agitation | baseline, 1 hour, 4 hours after intervention |
| Behavioral Pain Scale (BPS) | Higher scores indicate more severe pain | baseline, 1 hour, 4 hours after intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Hemodynamic Stability Index (Systolic/Diastolic Blood Pressure Change) | Change in systolic and diastolic blood pressure from baseline to post-intervention measurements. | baseline, 15 minutes, 60 minutes, 4 hours after intervention |
| Oxygenation Trend (SpOâ‚‚ Change Over Time) |
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Inclusion Criteria:
Patients who are in intensive care,
Exclusion Criteria:
• Patients in the ward,
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| Name | Affiliation | Role |
|---|---|---|
| NERMÄ°N OLGUN, Prof. Dr. | Hasan Kalyoncu University | Study Chair |
| MELTEM KALAYCI | Hasan Kalyoncu University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kahramanmaraş | Kahramanmaraş | Kahramanmaraş | 46050 | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D010146 | Pain |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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Outcome assessors are blinded to group allocation. Due to the nature of the intervention, participants and care providers cannot be blinded.
|
| Placebo Group | Other | In the placebo group, reflex zones on the hand were identified using a probe. Buckwheat seeds were fixed to a different area near these zones with a seed patch and massaged. The seeds remained in place for 4 hours. After 2 hours, these areas were stimulated with a 1-2 minute massage. Measurements were recorded on a data collection form. The application was carried out for 3 days. |
|
hanges in peripheral oxygen saturation over the intervention period. |
| baseline, 15 minutes, 60 minutes, 4 hours after intervention |
| Heart Rate Variability (Clinical Pulse Trend) | Changes in heart rate measured in beats per minute during and after intervention. | baseline, 15 minutes, 60 minutes, 4 hours after intervention |
| Sedation-Agitation Level Stability (RASS Trend) | Changes in Richmond Agitation-Sedation Scale (RASS) scores over time indicating sedation or agitation level. | baseline, 1 hour, 4 hours after intervention |
| Pain Intensity Change (Behavioral Pain Scale Trend) | Changes in Behavioral Pain Scale (BPS) scores indicating pain severity over time. | baseline, 1 hour, 4 hours after intervention |
| Respiratory Stability (Respiratory Rate Change) | Changes in respiratory rate indicating respiratory stability during intervention. | baseline, 15 minutes, 60 minutes, 4 hours after intervention |
| Temperature Stability | hanges in body temperature over time following intervention. | baseline, 15 minutes, 60 minutes, 4 hours after intervention |
| Non-pharmacological Intervention Effectiveness (Overall Clinical Stability Score) | Composite assessment of physiological stability based on vital signs and sedation/pain scores. | baseline, 4 hours after intervention |