Head Up Position and Murottal Therapy in Stroke Patients

Официальное название

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

Обзор

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.

Подробное описание

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.

Вмешательства

• Другое Combination of 30 Degree Head Up and Murottal Therapy
  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
• Другое Standard Care (in control arm)
  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.

Первичные конечные точки

• Blood Pressure [Срок оценки: Baseline and after completion of the 3-day intervention]
• Pulse Rate [Срок оценки: Baseline and after completion of the 3-day intervention]
• Respiratory Rate [Срок оценки: Baseline and after completion of the 3-day intervention]
• Pain Degree [Срок оценки: Baseline and after completion of the 3-day intervention]
• Projectile Vomiting [Срок оценки: Baseline and after completion of the 3-day intervention]

Критерии участия

Критерии включения

• Patients with a medical diagnosis of stroke (hemorrhagic and non-hemorrhagic).
• Patients with systolic blood pressure above 150 mmHg.
• Somnolence (GCS ≥ 9).
• Muslim.
• Patients without hearing impairment.
• Willingness to participate and sign informed consent.

Критерии исключения

• 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.

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Нерандомизированное

Модель

Параллельные группы

Маскирование

Открытое

Основная цель

Поддерживающая терапия

Центры проведения

Индонезия · 1 центр

• Rumah Sakit Indriati Solo Baru — Sukoharjo

Идентификаторы

NCT: NCT07405593 · FDN-HU-MUROTTAL-STROKE-2026

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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