Outcomes of family‐centred auditory and tactile stimulation implementation on traumatic brain injured patients

Abstract Aim To determine the outcomes of Family‐centred Auditory and Tactile Stimulation Implementation on Traumatic Brain Injured Patients in Egypt. Background Family engagement in the care of their relatives in the Intensive care units is limited due to patients' life‐threatening conditions,...

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Main Authors: Fatma Refaat Ahmed, Amal Kadry Attia, Hamada Mansour, Mohamed Megahed
Format: Article
Language:English
Published: Wiley 2023-03-01
Series:Nursing Open
Subjects:
Online Access:https://doi.org/10.1002/nop2.1412
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author Fatma Refaat Ahmed
Amal Kadry Attia
Hamada Mansour
Mohamed Megahed
author_facet Fatma Refaat Ahmed
Amal Kadry Attia
Hamada Mansour
Mohamed Megahed
author_sort Fatma Refaat Ahmed
collection DOAJ
description Abstract Aim To determine the outcomes of Family‐centred Auditory and Tactile Stimulation Implementation on Traumatic Brain Injured Patients in Egypt. Background Family engagement in the care of their relatives in the Intensive care units is limited due to patients' life‐threatening conditions, in addition to the use of high technology in these settings. Auditory and tactile sensory stimulations are among the diverse sensory stimulations that have received more attention in brain injured patients than other senses as being considered safe, and effective measures. Design A Quasi‐experimental design was used to test the hypotheses of this study. Methods A convenience sample of 60 adult patients suffering from Traumatic Brain Injury and admitted to the intensive care units of two University Hospitals in Egypt was included in the study. Patients were assigned into two equal groups: control and study groups (30 patients each). The auditory and tactile stimulations were provided by trained family members, once daily for 2 weeks for the study group. Whereas routine communication was provided by the family of traumatic brain injured patients in the ICU for the control group. Two tools were used for data collection; tool one, the “Glasgow Coma Scale” to assess patient's level of consciousness, and tool two the “Physiological Adverse Events Assessment” to monitor patients for the occurrence of physiological adverse events. Data collection: January to October 2019. Results The implementation of an organized auditory and tactile stimulation by trained family members is associated with highly statistically significant positive effects . Patients in the study group showed a higher mean of consciousness, lower incidence rate of physiological adverse events, and a lower mean duration of ICU stay. Conclusions Implementation of an organized auditory and tactile stimulation by trained family members enhanced the consciousness level of comatose Traumatic Brain Injured patients, decreased the occurrence of physiological adverse events, and ICU length of stay. Thus, it is recommended for use in the daily routine nursing care of comatose Traumatic Brain Injured patients. Relevance to Clinical Practice This study gives a deeper understanding of how family engagement in the care of their critically ill relative enhances their recovery and improve their level of consciousness.
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spelling doaj.art-22928d910aab499faf972c8b06b332042023-02-10T12:27:02ZengWileyNursing Open2054-10582023-03-011031601161010.1002/nop2.1412Outcomes of family‐centred auditory and tactile stimulation implementation on traumatic brain injured patientsFatma Refaat Ahmed0Amal Kadry Attia1Hamada Mansour2Mohamed Megahed3Department of Nursing, College of Health Sciences University of Sharjah Sharjah United Arab EmiratesDepartment of Critical Care and Emergency Nursing, Faculty of Nursing Alexandria University Alexandria EgyptDepartment of Medical‐Surgical and Critical Care Nursing, Faculty of Nursing Beni‐Sueif University Beni Sueif EgyptDepartment of Critical Care Medicine, Faculty of Medicine Alexandria University Alexandria EgyptAbstract Aim To determine the outcomes of Family‐centred Auditory and Tactile Stimulation Implementation on Traumatic Brain Injured Patients in Egypt. Background Family engagement in the care of their relatives in the Intensive care units is limited due to patients' life‐threatening conditions, in addition to the use of high technology in these settings. Auditory and tactile sensory stimulations are among the diverse sensory stimulations that have received more attention in brain injured patients than other senses as being considered safe, and effective measures. Design A Quasi‐experimental design was used to test the hypotheses of this study. Methods A convenience sample of 60 adult patients suffering from Traumatic Brain Injury and admitted to the intensive care units of two University Hospitals in Egypt was included in the study. Patients were assigned into two equal groups: control and study groups (30 patients each). The auditory and tactile stimulations were provided by trained family members, once daily for 2 weeks for the study group. Whereas routine communication was provided by the family of traumatic brain injured patients in the ICU for the control group. Two tools were used for data collection; tool one, the “Glasgow Coma Scale” to assess patient's level of consciousness, and tool two the “Physiological Adverse Events Assessment” to monitor patients for the occurrence of physiological adverse events. Data collection: January to October 2019. Results The implementation of an organized auditory and tactile stimulation by trained family members is associated with highly statistically significant positive effects . Patients in the study group showed a higher mean of consciousness, lower incidence rate of physiological adverse events, and a lower mean duration of ICU stay. Conclusions Implementation of an organized auditory and tactile stimulation by trained family members enhanced the consciousness level of comatose Traumatic Brain Injured patients, decreased the occurrence of physiological adverse events, and ICU length of stay. Thus, it is recommended for use in the daily routine nursing care of comatose Traumatic Brain Injured patients. Relevance to Clinical Practice This study gives a deeper understanding of how family engagement in the care of their critically ill relative enhances their recovery and improve their level of consciousness.https://doi.org/10.1002/nop2.1412auditory stimulationEgyptfamily‐centred careoutcomestactile stimulationtraumatic brain injury
spellingShingle Fatma Refaat Ahmed
Amal Kadry Attia
Hamada Mansour
Mohamed Megahed
Outcomes of family‐centred auditory and tactile stimulation implementation on traumatic brain injured patients
Nursing Open
auditory stimulation
Egypt
family‐centred care
outcomes
tactile stimulation
traumatic brain injury
title Outcomes of family‐centred auditory and tactile stimulation implementation on traumatic brain injured patients
title_full Outcomes of family‐centred auditory and tactile stimulation implementation on traumatic brain injured patients
title_fullStr Outcomes of family‐centred auditory and tactile stimulation implementation on traumatic brain injured patients
title_full_unstemmed Outcomes of family‐centred auditory and tactile stimulation implementation on traumatic brain injured patients
title_short Outcomes of family‐centred auditory and tactile stimulation implementation on traumatic brain injured patients
title_sort outcomes of family centred auditory and tactile stimulation implementation on traumatic brain injured patients
topic auditory stimulation
Egypt
family‐centred care
outcomes
tactile stimulation
traumatic brain injury
url https://doi.org/10.1002/nop2.1412
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