Head Up Position and Murottal Therapy in Stroke Patients
ConditionStroke
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorUniversitas Muhammadiyah Surakarta
About this trial
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.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients with a medical diagnosis of stroke (hemorrhagic and non-hemorrhagic).
Patients with systolic blood pressure above 150 mmHg.
Somnolence (GCS ≥ 9).
Muslim.
Disqualifiers
Patients who are non-Muslim.
Patients with decreased consciousness (GCS < 9).
Patients with heart problems.
Patients with psychiatric disorders.
Trial design
Design model
Parallel
Treatments tested in this trial
Combination of 30 Degree Head Up and Murottal Therapy
Other interventionParticipants 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.
Standard Care (in control arm)
Other interventionParticipants 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.
Treatment groups
112 Participants
are divided into 2 treatment groupsGroup A: Combination of 30-Degree Head-Up Positioning and Murottal TherapyExperimental treatment 1 intervention
Group B: Standard CareActive comparator 1 intervention
Trial outcomes
Primary outcomes
1
Blood Pressure
Change in systolic and diastolic blood pressure from baseline to after completion of the 3-day intervention.
Time frame
Baseline and after completion of the 3-day intervention2
Pulse Rate
Change in pulse rate from baseline to after completion of the 3-day intervention.
Time frame
Baseline and after completion of the 3-day intervention3
Respiratory Rate
Change in respiratory rate from baseline to after completion of the 3-day intervention
Time frame
Baseline and after completion of the 3-day intervention4
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.
Time frame
Baseline and after completion of the 3-day interventionSponsors and contacts
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Source ClinicalTrials.gov
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