The Effect of Hand Massage on Endotracheal Suctioning Pain and Hemodynamic Parameters

Endotracheal suctioning (ETS) is one of the most frequently applied care procedures in intensive care units in patients with artificial airway and mechanical ventilation. Suctioning, like all other invasive procedures, causes some complications. Various complications such as pain, hypoxemia, irregularity in blood pressure and heart rate, arrhythmia, increased respiratory frequency, and decreased respiratory depth may develop in patients. Pain is a physiological response that affects the patient's comfort and vital signs. hemodynamic parameters triggered by suctioning, as well as pain, may be positively affected by reflexology and classical hand massage.

Inclusion Criteria:Over 18 years oldThose who agreed to participate in the studyOrally intubated,Receiving mechanical ventilator support,No history of chronic pain (eg arthritis)Not addicted to alcohol and drugsDoes not have a psychological problem (such as depression, anxiety disorder),Not using anxiolytic, antidepressant or antipsychotic medicationThe sedation-analgesic levels did not change during the study,No additional sedation-analgesic medication is applied during the massage and suctioning applications,Riker Sedation Agitation Scale score is 2-4 points,Having no objections to massaging their hands (not having any skin lesions, burns, pathological diseases related to muscles and bones),Patients who need suctioning within two hours at the latest after the end of the massage will be included in the sample.Exclusion Criteria:Being under the age of 18,Having a Riker Sedation Agitation Scale score of 1, or 5 and above,Changing sedation and analgesic doses during the study,Having chronic disease pain,Being addicted to alcohol and drugs,Having a psychological problem and using antidepressant, anxiolytic or antipsychotic medication,Discharged, exitus, extubated, tracheostomy or tracheostomy opened,Having any skin lesions, burns, open wounds, pathological diseases related to muscles and bones on their hands,Needing suctioning during the massage application,Not needing suctioning within the first two hours after the massage application is finished,Patients who require suctioning within one hour after the first suctioning procedure performed between 08:00-20:00 will be excluded from the study.