HAND MASSAGE AFTER ACUTE CORONARY SYNDROME

Study Overview
=================
Brief Summary
-----------------
Patients suffering from Acute coronary syndrome may be hospitalized again in a shorter time than expected, and after being discharged, they may live within the limitations imposed by the disease until the end of their lives. This situation causes anxiety in individuals. Today, various methods are used to reduce high levels of anxiety. Massage is the planned and purposeful application of touch and is the most common, most important and oldest complementary treatment used in traditional practices. It is also thought that the comfort levels of individuals experiencing ACS will increase by reducing their anxiety. This study was planned to determine the effect of hand massage applied to patients with ACS on comfort, anxiety level and vital signs.

Official Title
-----------------
EFFECT OF HAND MASSAGE ON PATIENTS AFTER ACUTE CORONARY SYNDROME ON THE COMFORT AND ANXIETY LEVEL

Conditions
-----------------
Acute Coronary Syndrome, Anxiety

Intervention / Treatment
-----------------
* Other: hand massage group


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Patients experiencing Acute Coronary Syndrome for the first time, Anxiety score of 16 and above (moderate and severe anxiety) 18 years and above, No psychiatric disease, Patients who do not have communication problems and are competent to answer all questions, Exclusion Criteria: Patients with uncontrolled Diabetes mellitus Patients who cannot communicate and have confusion, Those who have any limb, vascular problem or wound that prevents hand massage, Thrombophlebitis, occlusive arterial disease, fever etc. Those for whom massage therapy is inconvenient due to illness,

Ages Eligible for Study
-----------------
Minimum Age: 18 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: intervention group<br> | Other: hand massage group<br>* Each individual will receive a 10-minute hand massage, 5 minutes for each hand. Since the speed and number of repetitions of the massage movements should be at normal frequency, the massage will be performed at a speed that does not disturb the individual, is not stimulating and has a calming effect, and will not tire the practitioner. In the massage, effleurage (stroking) and friction (circular rubbing) movements will be used, which have a circulation-supporting and tissue-relaxing effect. Evaluations will be made within 30 minutes after the hand massage.<br>|
| No Intervention: Control group<br> | |

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Beck Anxiety Scale | It is a self-rating scale used to determine the frequency of anxiety symptoms experienced by individuals. | It will be done before the massage application, 24 hours after arrival in the intensive care unit. | 
| Beck Anxiety Scale | It is a self-rating scale used to determine the frequency of anxiety symptoms experienced by individuals. | It will be applied on the 4th day at the end of the application. | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| General Comfort Scale | It is used to determine the comfort level of patients. | It will be done before the massage application, 24 hours after arrival in the intensive care unit. | 
| General Comfort Scale | It is used to determine the comfort level of patients. | It will be applied on the 4th day at the end of the application. | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
acute coronary syndrome, anxiety, comfort, han massage