Research Article
Volume 3 Issue 2 - 2021
Effectiveness of Structured Communication by Family Member on Clinical Parameters among Unconscious Patients Admitted in Intensive Care Unit: A Randomized Controlled Trial
Ranjana1*, Ujjwal Dahiya2, Smita Das2 and Bikash Ray 3
1MSc (Critical Care Nursing), All India Institute of Medical Science, New Delhi, India
2Faculty of College of Nursing in All India Institute of Medical Science, New Delhi, India
3Faculty of Anesthesiology in All India Institute of Medical Science, New Delhi, India
*Corresponding Author:Ranjana, MSc (Critical Care Nursing), College of Nursing, All India Institute of Medical Science, New Delhi, India.
Received: September 15, 2020; Published: January 27, 2021




Abstract

Background: Patients who stay in ICU suffer cognitive, emotional and behavioural impairments that remain in a long duration of coma state. Unconscious patients experience sensory deprivation because their ability to respond internal as well external stimuli threshold of the reticular activating system gets disturbed. One of the easy ways to prevent sensory deprivation of unconscious patients is to use the auditory stimulation.

Aim: To evaluate the effectiveness of structured communication by family member on clinical parameters among unconscious patients admitted in ICU.

Method: A prospective, randomized controlled trial of 60 unconscious patients aged 18 years and older, with more than 24 hour on mechanical ventilation were recruited. Structured communication was recorded by closest family member in his/her voice in a separate room and was played on headphones for 10 minutes, two times daily for four days for subjects in the experimental group. The data collection tools were assessed at pre and post intervention. The main outcome were Level of consciousness and physiological parameter.

Results: There was statistically significant difference (p = 0.003) on the level of consciousness on the fourth day of intervention between experimental and control group. There was no statistically significant difference found in physiological parameters, duration of ICU stay (p = 0.33) and mechanical ventilation (p = 0.32) between experimental and control group.

Conclusion: The study concluded that nurse could use the structured communication as a protocol in Intensive care unit along with treatment and nursing care to improve the patients level of consciousness.

Clinical Implication: Structured communication found effective on the level of consciousness so nurse should use structured communication as a protocol in ICU which help in recording the family member’s voice.

Nurses should encourage and motivate caregivers to communicate with the patients admitted in ICU.

 

Keywords: Auditory Stimulation; Family Member; Level of Consciousness; Mechanical Ventilation; Physiological Parameters; Structured Communication; Unconscious Patients

References

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Citation: Ranjana.,et al. “Effectiveness of Structured Communication by Family Member on Clinical Parameters among Unconscious Patients Admitted in Intensive Care Unit: A Randomized Controlled Trial”. EC Nursing and Healthcare 3.2 (2021): 147-155.

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