Effect of Auditory Stimulation on the Level of Consciousness in Comatose Patients Admitted to the Intensive Care Unit: A Randomized Controlled Trial

Çevik, Kıvan; Namık, Emre

doi:10.1097/jnn.0000000000000407

Cited by 15 publications

(8 citation statements)

References 12 publications

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“…Additionally, Sun and Chen (2015) [53] study to assess the role of music therapy on LOC among severe TBI patients revealed that the LOC were significantly higher in the music group compared to the control group. Similarly, Cevik and Namik (2018) [54] reported significant increase in the mean values of GCS among comatose patients after auditory stimulation application in comparison with GCS of patients in the control group.…”

Section: Discussionmentioning

confidence: 82%

Effect of integrative nursing practices on cognitive recovery among severe traumatic brain injury patients

Othman

Mohamed²,

El-Soussi³

et al. 2020

JNEP

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Background and objective: Cognitive recovery after severe traumatic brain injury (TBI) is the biggest challenge facing the critical care nurses (CCNs). Several studies have been reported that the majority of CCNs are concerned with providing conventional nursing practices to severe TBI patients. These practices are directed to stabilize patients’ status rather than to enhance cognitive recovery after TBI. Application of integrative nursing practices for TBI patients can help in enhancing cognitive recovery. Aim: This study aimed to determine the effect of integrative nursing practices on cognitive recovery among severe traumatic brain injury patients.Methods: A quasi experimental research design was utilized. A convenience sample was conducted on 60 adult patients suffering from severe TBI who admitted to the intensive care units of Alexandria Main University Hospital. Patients were assigned into study group (30 patients) and control group (30 patients). One tool was used for data collection namely “Cognitive Recovery Assessment Tool”. This tool was used to assess recovery of cognitive function domains. It consists of level of consciousness using Full Outline of Un-Responsiveness (FOUR) score, level of cognitive functioning using Rancho Los Amigos (RLA) scale and basic cognitive sensory recovery assessment using Western Neuro Sensory Stimulation Profile (WNSSP) scale.Results: The implementation of integrative nursing practices for the study group was associated with statistically significant positive effects. Patients in the study group showed higher means of consciousness revealed by FOUR score and cognitive function revealed by RLA scale. The basic cognitive sensory recovery revealed by WNSSP scale in the study group was also significantly improved.Conclusions: Implementation of integrative nursing practices has been shown to enhance cognitive recovery among severe TBI patients. Thus, it is recommended for use in a nurse’s daily routine of care for severe TBI patients.

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Section: Discussionmentioning

confidence: 82%

Effect of integrative nursing practices on cognitive recovery among severe traumatic brain injury patients

Othman

Mohamed²,

El-Soussi³

et al. 2020

JNEP

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“… 8 – 10 Studies show that physical or virtual visits of family members to ICU patients reduce the incidence of anxiety, depression, 8 , 11 confusion, agitation, and delirium, 12 promote oxygen saturation, 7 and result increase in the Glasgow Coma Scale (GCS) score. 4 These studies agree that visits, real or virtual, increase the satisfaction of patients and family members. 12 , 13 Mohammadi et al determined that organized auditory stimulation by a familiar voice affects BP, body temperature, and consciousness level in patients admitted to the ICU and recommended habitual use of this application.…”

Section: Introductionmentioning

confidence: 79%

“… 2 , 3 Patients experience stress and anxiety for reasons that include sensory deprivation, sensory overload, invasive procedures, excessive environmental stimuli, lack of social support systems, and an unfamiliar environment. 4 , 5 Stress can alter patients’ body temperature, cardiac contractility and output, blood pressure (BP), pulse rate (PR), respiratory rate (RR), and oxygen saturation (SpO 2 ). 1 , 3 , 6 , 7 Pharmacological and nonpharmacological methods are used to reduce these problems in ICU patients.…”

Section: Introductionmentioning

confidence: 99%

The Effect of Video Call with Family Members on Physiological Parameters of Critically Ill Patients in Intensive Care Unit: A Quasi-experimental Study

Uysal,

Vaizoğlu

2023

Indian Journal of Critical Care Medicine

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A bstract Aim and background There are not enough studies on the direct effect of virtual patient visits on patients’ vital signs in intensive care. The aim of this study is to determine the effect of video calls made between conscious patients and their families on the patient's vital signs and to determine the level of satisfaction. Materials and methods The research was carried out quasi-experimentally. Study data were collected from 135 patients and their relatives. The data were collected from the vital signs monitoring form and the Glasgow Coma Scale (GCS). Satisfaction with the video call was measured with a score scale between 0 and 5. Video calls were conducted by an intensive care unit (ICU) nurse every day between 13:00 and 15:00 for 5 days. Physiological parameters were measured 30 minutes before, during, and 30 minutes after the video calls. Results The mean patient pulse rate (PR) value was 92.04 ± 12.87, respiratory rate (RR) value was 22.89 ± 3.63, and GCS total score was 14.01 ± 0.12 during the call. There was a statistically significant difference between these values measured during the video calls and the values measured before and after the interview ( p < 0.00). The mean score of patient satisfaction with the video call was 4.80 ± 0.44; for relatives, the mean score was 4.87 ± 0.33. Conclusion This study revealed that video calls with family members affected PR, RR, and GCS of patients hospitalized in ICU. Clinical significance Video calls can be implemented in all ICUs where visits are restricted. This practice is well recognized by both families and patients. How to cite this article Uysal N, Vaizoğlu D. The Effect of Video Call with Family Members on Physiological Parameters of Critically Ill Patients in Intensive Care Unit: A Quasi-experimental Study. Indian J Crit Care Med 2023;27(10):732–736.

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“…[16,23,24] Kevic K and Namic E (2018) found that GCS becomes higher with the application of auditory stimulation in comatose patients. [30] Pape et al study, 2015 examined the effects of auditory stimulation program on level of consciousness of acute traumatic brain injured patients. They found that there is an improvement in neurobehavioral performance in the study group compared to the control group.…”

Section: Discussionmentioning

confidence: 99%

Effect of family reorientation messages on delirium prevention among critically ill patients

Elcokany

Ahmed

2019

JNEP

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Background: About 50%-80% of critically ill patients develop delirium during their intensive care unit (ICU) stay. Adverse events associated with delirium can range from functional disability, cognitive and psychological impairment, dementia and even death. Removal of invasive lines, self-extubation, prolonged sedation and ventilation therapies which delay the ICU liberation, and increase the overall hospital length of stay are also negative squeals of delirium. Delirium has series of adverse events that are not limited to the associated morbidies and mortality, but also extended to include the burden placed on caregivers, families and healthcare services, in addition to increasing the cost of care. Using auditory stimulation as a non-pharmacological intervention can stimulate the affected neural networks, accelerate brain plasticity and avoid sensory deprivation that could induce pain, agitation, and delirium and slow down the patients' recovery. It is evident that familiar auditory stimuli by a familiar voice is eliciting more responses to auditory tones as it can grasp patients' attention without much effort and disrupts ongoing cognitive activities. Accordingly, multicomponent family reorientation strategy has recently been proposed to achieve better outcomes. Methods: A quasi experimental research design was used in this study in which one tool was used for data collection: "Confusion Assessment Method-intensive care unit (CAM-ICU)". Results: During the five-day intervention period, the delirium free days was all the days in the family voice group, four days in the unfamiliar voice group and no free days in the control group which indicates a significant difference among groups on number of delirium free days ( M C p < .001*). Conclusion: Reorienting critically ill patients through recorded messages is an effective strategy to reduce the incidence of delirium. Furthermore, using a familiar family sound is more effective in reducing delirium as proved by the number of delirium free days. During the five-day intervention period, the family voice group shows more delirium free days than the unfamiliar voice group. The intervention used in this study is easy, costless and effective strategy in prevention of delirium among critically ill patients.

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Effect of Auditory Stimulation on the Level of Consciousness in Comatose Patients Admitted to the Intensive Care Unit: A Randomized Controlled Trial

Cited by 15 publications

References 12 publications

Effect of integrative nursing practices on cognitive recovery among severe traumatic brain injury patients

Effect of integrative nursing practices on cognitive recovery among severe traumatic brain injury patients

The Effect of Video Call with Family Members on Physiological Parameters of Critically Ill Patients in Intensive Care Unit: A Quasi-experimental Study

Effect of family reorientation messages on delirium prevention among critically ill patients

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