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| Author(s): |
Ana Cláudia Giesbrecht Puggina
Total Authors: 1
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| Document type: | Master's Dissertation |
| Press: | São Paulo. |
| Institution: | Universidade de São Paulo (USP). Escola de Enfermagem (EE/SBD) |
| Defense date: | 2006-07-24 |
| Examining board members: |
Maria Julia Paes da Silva;
Kazuko Uchikawa Graziano;
Eliseth Ribeiro Leão
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| Advisor: | Maria Julia Paes da Silva |
| Abstract | |
The objectives of this work was: (1) to check the music and verbal message influence on the vital signs and face expression of the patients in physiological or induced coma; (2) connect the existence of patients responsiveness with Glasgow Coma Scale or with Ramsay Sedation Scale, considering the musical and verbal stimuli. It is a randomized controlled clinical trial. The sample consisted of 30 patients of intensive care unit, who were divided in 2 groups: control group (without auditory stimulus) and experimental group (with auditory stimulus). The relatives elaborated a voice recorded message and choose a music according to the patient preference, which were recorded in the same Compact Disc. Two identical CD\'s were made at the same recorded time; one with and another one without stimulus in order to make the random division of the groups. The patients were evaluated according to one of the Scales; they used earphones and were submitted to three sessions in consecutive days. During the sessions, the data relating to the vital signs and the face expression were recorded in a data collection instrument. We found out significant statistics alterations on the vital signs (O2 saturation - session 1; O2 saturation - session 3; respiratory frequency - session 3) during the message and at the face expression, session 1, during the music and the message. Apparently, the message was a stimulus stronger than the music in respect to the capacity to produce suggestive physiological auditory answers. In respect to the pulse, already mentioned in similar studies, we did not find significant statistic data, or tendency marks. We observed responsiveness to the auditory stimulus in all the Glasgow scores in the experimental group, at the moment when we got significant differences; therefore, we may assert that this variable poorly influenced the answers in this study. About the Ramsay Sedation Scale, just 1 of these patients was evaluated by that, which makes any analysis difficult. This study suggests the necessity and the importance of other researches in this line. (AU) | |