Çevik Kivan, Namik Emre
Questions or comments about this article may be directed to Kivan Çevik, PhD, at
J Neurosci Nurs. 2018 Dec;50(6):375-380. doi: 10.1097/JNN.0000000000000407.
Comatose patients are exposed to sensory deprivation in the intensive care units. Auditory stimulation of patients who are unconscious is a nonmedical procedure. This study examines the effect of organized voice, performed by a nurse, on the state of consciousness of comatose patients in intensive care units.
This randomized controlled trial study of 60 patients was conducted fitting between August 2017 and February 2018. For 10 days, patients received the voice of a male nurse twice a day in the morning and night shifts, recorded on MP3 and repeated at least 3 to 4 times. Glasgow Coma Scale (GCS) scores were recorded by the researcher before and after auditory stimulation.
Patient mean age was 69.2 years; 56.7% of the experimental group and 53.3% of the control group were male. On the first day in the morning and evening after auditory stimulation, the mean GCS was 4.8 in the experimental group and 4.7 in the control group. Before and after the intervention on the 10th day after auditory stimulation, the mean GCS of patients was 9.5 in the experimental group and 7.1 in the control group in the morning and 9.6 and 7.2, respectively, in the evening. No significant differences in mean GCS by group were observed for the first 3 days (P > .05). However, the difference in mean GCS scores of the 2 groups was statistically significant after the third day (P < .05).
Auditory stimulation is associated with higher GCS in comatose patients.
昏迷患者在重症监护病房中会面临感觉剥夺。对无意识患者进行听觉刺激是一种非医疗程序。本研究探讨护士进行的有组织语音对重症监护病房昏迷患者意识状态的影响。
这项随机对照试验研究于2017年8月至2018年2月对60例患者进行。在10天时间里，患者每天早晚各听一次男护士的语音，该语音录制在MP3上，且至少重复播放3至4次。研究人员在听觉刺激前后记录格拉斯哥昏迷量表（GCS）评分。
患者平均年龄为69.2岁；实验组56.7%为男性，对照组53.3%为男性。在听觉刺激后的第一天早晚，实验组的平均GCS为4.8，对照组为4.7。在听觉刺激后第10天干预前后，患者的平均GCS在实验组早晨为9.5，晚上为9.6，对照组早晨为7.1，晚上为7.2。在最初3天，两组的平均GCS无显著差异（P > 0.05）。然而，第三天后两组的平均GCS评分差异具有统计学意义（P < 0.05）。
听觉刺激与昏迷患者更高的GCS相关。
