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The effects of a sensory stimulation intervention on psychosocial and clinical outcomes of critically ill patients and their families: A randomised controlled trial.

Authors :
Liang S
Pak Chun Chau J
Hoi Shan Lo S
Chow Choi K
Bai L
Cai W
Source :
Intensive & critical care nursing [Intensive Crit Care Nurs] 2023 Apr; Vol. 75, pp. 103369. Date of Electronic Publication: 2022 Dec 15.
Publication Year :
2023

Abstract

Objectives: To explore the effectiveness of a sensory stimulation intervention on intensive care unit patients' psychosocial, clinical, and family outcomes.<br />Design: A prospective, assessor-blind, parallel-group randomised controlled trial.<br />Setting: A surgical intensive care unit of one tertiary hospital in Guangzhou, mainland China.<br />Intervention: Participants in the intervention group received a daily 30-minute auditory and visual stimulation session starting from recruitment and for a maximum of seven days while in the intensive care unit.<br />Measurement and Main Results: One hundred fifty-two patients and family caregiver dyads were recruited. Patients in the intervention group showed lower total scores of post-traumatic stress disorder (21.92 ± 6.34 vs 27.62 ± 10.35,p = 0.001), depressive symptoms (3.76 ± 3.99 vs 6.78 ± 4.75,p = 0.001) and delusional memories (0.47 ± 0.92 vs 0.82 ± 1.23,p = 0.001) collected immediately post-intervention than those in the control group, while not on depressive symptoms at one-month post-intervention (3.32 ± 4.03 vs 3.28 ± 3.77,p = 0.800). Sensory stimulation did not significantly impact patients' unit length of stay and 30-day mortality (allp > 0.05). For family outcomes, family caregivers in the intervention group had greater satisfaction with care (127.12 ± 14.14 vs 114.38 ± 21.97,p = 0.001) and a lower level of anxiety (28.49 ± 6.48 vs 34.64 ± 7.68,p = 0.001) than family caregivers in the control group.<br />Conclusions: Sensory stimulation may benefit patients' and family caregivers' psychological well-being, and further well-designed multi-centre clustered randomized controlled trials could be considered to strengthen the evidence.<br />Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.<br /> (Copyright © 2022 Elsevier Ltd. All rights reserved.)

Details

Language :
English
ISSN :
1532-4036
Volume :
75
Database :
MEDLINE
Journal :
Intensive & critical care nursing
Publication Type :
Academic Journal
Accession number :
36528458
Full Text :
https://doi.org/10.1016/j.iccn.2022.103369