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

Inclusion Criteria: * Over 18 years old * Those who agreed to participate in the study * Orally intubated, * Receiving mechanical ventilator support, * No history of chronic pain (eg arthritis) * Not addicted to alcohol and drugs * Does not have a psychological problem (such as depression, anxiety disorder), * Not using anxiolytic, antidepressant or antipsychotic medication * The 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 …