Effects of Organized Auditory Stimulation by Familiar Voice on Blood Pressure and Body Temperature in Comatose Patients

Introduction: Brain injury induced coma is the main cause of hospitalization of patients in the intensive care unit (ICU) and their consequent stressful physiological complications, which can be prevented using sensory stimulation as a therapeutic method. Nevertheless, identifying and using the opti...

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Main Authors: Mohammad Kazem Mohammadi, Mohammad Reza Yeganeh Rasteh Kenari, Tahereh Khaleghdoost Mohammadi, Zahra Atrkare Roshan, Ayda Mohammad Ebrahimzadeh
Format: Article
Language:English
Published: Guilan University of Medical Sciences 2017-04-01
Series:Journal of Holistic Nursing and Midwifery
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Online Access:http://hnmj.gums.ac.ir/browse.php?a_code=A-10-359-2&slc_lang=en&sid=1
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author Mohammad Kazem Mohammadi
Mohammad Reza Yeganeh Rasteh Kenari
Tahereh Khaleghdoost Mohammadi
Zahra Atrkare Roshan
Ayda Mohammad Ebrahimzadeh
author_facet Mohammad Kazem Mohammadi
Mohammad Reza Yeganeh Rasteh Kenari
Tahereh Khaleghdoost Mohammadi
Zahra Atrkare Roshan
Ayda Mohammad Ebrahimzadeh
author_sort Mohammad Kazem Mohammadi
collection DOAJ
description Introduction: Brain injury induced coma is the main cause of hospitalization of patients in the intensive care unit (ICU) and their consequent stressful physiological complications, which can be prevented using sensory stimulation as a therapeutic method. Nevertheless, identifying and using the optimal sensory stimulation program is crucial. Objective: The present study was conducted to determine the effects of organized auditory stimulation by familiar voice on blood pressure and body temperature in patients admitted to ICUs. Materials and Methods: The present clinical trial was conducted on 60 comatose patients with traumatic brain injury (TBI) admitted to the ICU of Poursina Teaching Hospital, Rasht, Iran. The patients were randomly assigned to the intervention group (N=30) and the control group. In the intervention group, auditory stimulation was conducted using significant others voices in three consecutive evening shifts, 10 minutes each time. Blood pressure and body temperature were evaluated using a checklist, and the findings obtained were analyzed using ANOVA, the t-test and the Chi-square test. Results: The results obtained revealed significant differences in the mean blood pressure and body temperature before and after auditory stimulation in the intervention group (P<0.001), while these differences were insignificant in the controls. The two groups were also found to be insignificantly different in terms of the three-day variations in the mean blood pressure and the mean body temperature. Conclusion: Given the significant effects of auditory stimulation on hemodynamic indicators, auditory stimulation by familiar voice is recommended in comatose patients admitted to ICUs through face-to-face visits with their family members or by playing their recorded voice. uld also be designed to provide the patients with counseling services. level of empathy diminished with a higher level of father's education (&beta;=-0.142). Conclusion: The results obtained showed no significant difference between first- and final-year students in terms of empathy score. Since reinforcing predicting factors leads to greater student empathy with patients, empathy skills education in the course of study and generating interest among students appears to increase their sense of empathy
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publisher Guilan University of Medical Sciences
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spelling doaj-art-c944dc6c20f04fc99462ddc09e4575b12025-08-20T02:38:56ZengGuilan University of Medical SciencesJournal of Holistic Nursing and Midwifery2588-37122588-37202017-04-0127195102Effects of Organized Auditory Stimulation by Familiar Voice on Blood Pressure and Body Temperature in Comatose PatientsMohammad Kazem Mohammadi0Mohammad Reza Yeganeh Rasteh Kenari1Tahereh Khaleghdoost Mohammadi2Zahra Atrkare Roshan3Ayda Mohammad Ebrahimzadeh4 Depatment of Nursing (Critical Care), Guilan Province the Social Security Organization, RasoulAkram Hospital, Rasht,Iran Department of Nursing(Medical-Sergical),Instructor, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht,Iran Social determinants of Health Research Center (SDHRC), Instructor, Department of Nursing (Medical-Surgical), Guilan University of Medical Sciences, Rasht, Iran Biostatistics, Assistant professor, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran Department of Nursing (Critical Care), Doctor Heshmat Educational Medical Center, Guilan University of Medical Sciences, Rasht, Iran Introduction: Brain injury induced coma is the main cause of hospitalization of patients in the intensive care unit (ICU) and their consequent stressful physiological complications, which can be prevented using sensory stimulation as a therapeutic method. Nevertheless, identifying and using the optimal sensory stimulation program is crucial. Objective: The present study was conducted to determine the effects of organized auditory stimulation by familiar voice on blood pressure and body temperature in patients admitted to ICUs. Materials and Methods: The present clinical trial was conducted on 60 comatose patients with traumatic brain injury (TBI) admitted to the ICU of Poursina Teaching Hospital, Rasht, Iran. The patients were randomly assigned to the intervention group (N=30) and the control group. In the intervention group, auditory stimulation was conducted using significant others voices in three consecutive evening shifts, 10 minutes each time. Blood pressure and body temperature were evaluated using a checklist, and the findings obtained were analyzed using ANOVA, the t-test and the Chi-square test. Results: The results obtained revealed significant differences in the mean blood pressure and body temperature before and after auditory stimulation in the intervention group (P<0.001), while these differences were insignificant in the controls. The two groups were also found to be insignificantly different in terms of the three-day variations in the mean blood pressure and the mean body temperature. Conclusion: Given the significant effects of auditory stimulation on hemodynamic indicators, auditory stimulation by familiar voice is recommended in comatose patients admitted to ICUs through face-to-face visits with their family members or by playing their recorded voice. uld also be designed to provide the patients with counseling services. level of empathy diminished with a higher level of father's education (&beta;=-0.142). Conclusion: The results obtained showed no significant difference between first- and final-year students in terms of empathy score. Since reinforcing predicting factors leads to greater student empathy with patients, empathy skills education in the course of study and generating interest among students appears to increase their sense of empathyhttp://hnmj.gums.ac.ir/browse.php?a_code=A-10-359-2&slc_lang=en&sid=1Acoustic Stimulation Physiological Stress Blood Pressure Body Temperature Coma
spellingShingle Mohammad Kazem Mohammadi
Mohammad Reza Yeganeh Rasteh Kenari
Tahereh Khaleghdoost Mohammadi
Zahra Atrkare Roshan
Ayda Mohammad Ebrahimzadeh
Effects of Organized Auditory Stimulation by Familiar Voice on Blood Pressure and Body Temperature in Comatose Patients
Journal of Holistic Nursing and Midwifery
Acoustic Stimulation
Physiological Stress
Blood Pressure
Body Temperature
Coma
title Effects of Organized Auditory Stimulation by Familiar Voice on Blood Pressure and Body Temperature in Comatose Patients
title_full Effects of Organized Auditory Stimulation by Familiar Voice on Blood Pressure and Body Temperature in Comatose Patients
title_fullStr Effects of Organized Auditory Stimulation by Familiar Voice on Blood Pressure and Body Temperature in Comatose Patients
title_full_unstemmed Effects of Organized Auditory Stimulation by Familiar Voice on Blood Pressure and Body Temperature in Comatose Patients
title_short Effects of Organized Auditory Stimulation by Familiar Voice on Blood Pressure and Body Temperature in Comatose Patients
title_sort effects of organized auditory stimulation by familiar voice on blood pressure and body temperature in comatose patients
topic Acoustic Stimulation
Physiological Stress
Blood Pressure
Body Temperature
Coma
url http://hnmj.gums.ac.ir/browse.php?a_code=A-10-359-2&slc_lang=en&sid=1
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