Impact of familiar sensory stimulation on level of Consciousness in patients with head injury in ICU

Hasanzadeh, Farzaneh; Azizi, Tooba Hoseini; Esmaily, H; Ehsaee, M R

doi:10.29252/jnkums.4.1.121

Cited by 11 publications

(9 citation statements)

References 9 publications

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“…Accordingly, patients' families are not just visitors, but they act as caregivers and partners in the treatment team, especially when making decisions (45). Hasanzadeh et al (46) stressed that the sensory stimulation of comatose patients by family members is an integral part of care that is overlooked in ICUs. As one of the resources available to perform sensory stimulations, patients' family members can voluntarily spend their time and energy for the recovery of their loved ones.…”

Section: Discussionmentioning

confidence: 99%

The Effect of Auditory and Tactile Stimulation by a Family Member on the Level of Agitation in Patients with Traumatic Brain Injury and Decreased Consciousness: A Quasi-Experimental Study

et al. 2020

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Background: Agitation in mechanically ventilated patients with decreased consciousness is a challenge in the ICU and a threat to the process of mechanical ventilation. On the other hand, controlling agitation through medication and imposing physical limitations is associated with a number of undesirable side effects. Objectives: This study aimed to determine the effect of auditory and tactile stimulation by a family member on the level of agitation in patients with traumatic brain injury (TBI) and decreased consciousness. Methods: This quasi-experimental study was performed on 80 TBI patients with decreased consciousness who were admitted to the ICU of two teaching hospitals in southeastern Iran in 2019. Qualified patients were selected by convenience sampling and then randomized into the intervention (n = 40) and control (n = 40) groups. Data collection tools included a demographic form and the Richmond Agitation and Sedation Scale (RASS). For patients in the intervention group, the researcher first completed the demographic form and the RASS. Then, they underwent the experiment, which consisted of auditory and sensory stimulation by a family member for 10 minutes. After 30 minutes, the agitation level was measured again. This experiment was performed for seven consecutive days between 16:00 and 18:00 o’clock. Patients in the control group, however, did not receive any intervention other than routine care in the ICU. Data were analyzed in SPSS version 21 by using descriptive statistical tests and independent t-test, paired t-test, [analysis of] covariance, and chi-square test at the significance level of P < 0.05. Results: The results indicated no significant difference in the level of agitation in the intervention and control groups between the first and fifth days; however, independent t-tests and analysis of covariance revealed that the patients who received auditory and tactile stimulation on the sixth and seventh days experienced significantly lower levels of agitation than the control group (P < 0.01). Conclusions: Auditory and tactile stimulation by family members is effective in decreasing the agitation of TBI patients with decreased consciousness. Therefore, it is suggested as a helpful intervention in nursing care programs.

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Section: Discussionmentioning

confidence: 99%

The Effect of Auditory and Tactile Stimulation by a Family Member on the Level of Agitation in Patients with Traumatic Brain Injury and Decreased Consciousness: A Quasi-Experimental Study

et al. 2020

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“…Bahonar et al showed that foot reflexology massage increased the level of consciousness of patients and reduced the duration of coma (19). Moreover, Hasanzadeh et al showed that familiar and early sensory stimulations increased the level of consciousness of TBI patients (20). Azimian et al also showed that foot massage increased the level of consciousness of comatose patients with TBI, and thus it can be used to increase the level of consciousness of comatose patients (21).…”

Section: Introductionmentioning

confidence: 99%

Comparing the Effect of Foot Reflexology Massage and Familiar Sensory Stimulation on the Level of Consciousness of Trauma Patients Admitted to Intensive Care Units: A Clinical Trial Study

Rooin,

Navidian,

Sarani

et al. 2023

Med Surg Nurs J

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Background: Traumatic brain injury (TBI) is an acquired brain tissue injury with different severities that leads to a change in the patient’s level of consciousness. Objectives: The present study aimed to compare the impact of foot reflexology massage and familiar sensory stimulation on the level of consciousness of trauma patients admitted to the intensive care units (ICUs) of Khatam Al-Anbia Hospital in Zahedan in 2021. Methods: This quasi-experimental study was conducted with a pretest-posttest design on 135 trauma patients with an altered level of consciousness admitted to the ICUs of Khatam Al-Anbia Hospital in Zahedan in 2021. The participants were selected using convenience sampling from the patients who met the inclusion criteria and were randomly assigned to 3 groups: Foot reflexology massage, familiar sensory stimulation, and control groups (each with 45 patients). The foot reflexology massage group received reflex massage on both feet for 30 minutes, the familiar sensory stimulation group received familiar sensory stimulation for 45 minutes, and the control group received ICU routine care. The interventions were carried out for 1 week in 2 morning and evening shifts. The patient’s consciousness level was measured and recorded using the Glasgow Coma Scale (GCS) 5 minutes before and 30 minutes after the intervention. The data were analyzed using SPSS version 22, as well as using analysis of variance (ANOVA), paired samples t-test, independent samples t-test, and analysis of covariance (ANCOVA) at a significance level of 0.05 (P < 0.05). Results: The data showed that the average consciousness score for the patients in both foot reflexology massage and familiar sensory stimulation groups increased significantly after the intervention compared to the control group (P = 0.001), but the 2 interventions were not significantly different in improving the level of consciousness of the patients. Conclusions: Foot reflexology massage and familiar sensory stimulation were both equally effective in increasing the level of consciousness of trauma patients with an altered level of consciousness, and none of them was superior to the other. Thus, nurses can use these 2 complementary medicine methods to speed up the improvement of consciousness of patients with TBI.

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“…It may result in faster enhancement of the patient's cognitive status, improve the prognosis, and decrease the length of ICU stay. 39,40 However, there are still concerns about negative attitudes towards the family presence in the intensive care units and strict visiting policies that are applying in the almost Iranian hospitals. Therefore, more comprehensive studies in this regard can make grounds for changing the current attitude and providing more emotional support for patients and their families.…”

Section: Introductionmentioning

confidence: 99%

Effect of Programmed Family Presence in Coronary Care Units on Patients’ and Families’ Anxiety

et al. 2020

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Introduction: Hospitalization of patients in the intensive care units always has negative consequences such as anxiety and concern for patients and their families. This study aimed to investigate the effect of programmed family presence in intensive care units on patients’ and families’ anxiety. Methods: This was a quasi-experimental study conducted in Iran. The eligible patients and a member of their families were assigned into two groups (N = 80) through convenience sampling. The family members in the experimental group were allowed to attend twice a day for 15 minutes in a planned way beside the patient and contribute to their clinical primary care. In the control group, the family members had a strict limitation to visit their patients based on the usual policy. Anxiety in both groups at the beginning and on the third day of patient’s admission was measured, using Spielberger’s questionnaire. The data were analyzed with SPSS version13. Results: The mean score of anxiety in the control group did not show significant difference in patients and in families, however it had decreased significantly in the experimental group after the intervention for both patients and families. The results showed that mean differences between the two groups was statistically significant in patients and families. Conclusion: The planned presence of the family of patients in coronary care unit (CCU) played a crucial role in reducing the anxiety of patients and their family. Furthermore, it is recommended that strategies of visiting policy in intensive care units (ICUs) should be revised and the possibility be provided for the families’ planned presence and participation in the patient care.

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Impact of familiar sensory stimulation on level of Consciousness in patients with head injury in ICU

Cited by 11 publications

References 9 publications

The Effect of Auditory and Tactile Stimulation by a Family Member on the Level of Agitation in Patients with Traumatic Brain Injury and Decreased Consciousness: A Quasi-Experimental Study

The Effect of Auditory and Tactile Stimulation by a Family Member on the Level of Agitation in Patients with Traumatic Brain Injury and Decreased Consciousness: A Quasi-Experimental Study

Comparing the Effect of Foot Reflexology Massage and Familiar Sensory Stimulation on the Level of Consciousness of Trauma Patients Admitted to Intensive Care Units: A Clinical Trial Study

Effect of Programmed Family Presence in Coronary Care Units on Patients’ and Families’ Anxiety

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