Patients with severe head injury.
Conditions
Interventions
Intervention 1: First intervention group: Familiar voices were heard for thirty minutes. Which, based on the patient's family history, recorded the most intimate voice of the patient in a quiet enviro
Sponsors
Shiraz University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to 60 Years
Inclusion criteria
Inclusion criteria: People between 18 and 60 years Informed consent of the patient's family, Glasgow coma score between 3 and 8, Vital signs are constant, Intracranial pressure transducer in patient's head, It's been 4 hours since the last time a patient was given a painkiller,
Exclusion criteria
Exclusion criteria: History of cardiovascular disease Hypertension, Infection, Epilepsy, Prior Stroke or concussion history, Endocrine disorder, Cushing, Diabetes, Liver Failure, Kidney Failure, Brain Tumor, Alcoholism, Syncope, Hearing loss, Major Fractures such as Limbs, Abdomen, Chest, Injury to the patient's ears by accident, Patient's family dissatisfaction at each stage of intervention, Narcotic Addiction, otorrhea, Severe smokers, Taking drugs that lead to anesthesia, taking corticosteroids, Drug and food poisoning Concurrent with a severe head injury, Blindness, bilateral eyelid inflammation or ptosis
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The level of blood cortisol levels. Timepoint: The first morning before and after the intervention. Method of measurement: Due to the patient's rights and the high cost of this trial, it was measured twice in only one intervention.Blood sampling was performed by the same collector of outcomes in the Same way. The blood samples were immediately sent to the laboratory of Shahid Rajaee Hospital in Shiraz and put in a centrifuge. The centrifuge was set for five minutes and thirty rounds. After centrifuging the samples, the serum was removed by blood sampling. Serum samples were kept at -20 ° C until the end of the study. At the end of sampling, patients' serum samples were transferred to another laboratory due to lack of laboratory facilities at Shahid Rajaee Hospital in Shiraz. And all patient serum samples in a laboratory were measured by one person using a device with identical kits.;The level of intracranial pressure. Timepoint: Before, during, and after the intervention twice daily for three days. Method of measurement: An S1800-ER monitoring device was used to measure intracerebroventricular pressure in patients with severe head trauma admitted to critical care units. It has TFT color display.Patient-related parameters were measured momentarily and updated. Intracerebral pressure was measured using a ventriculostomy implanted by a neurosurgeon within the patient's brain ventricle. Which, due to its aggressive procedure, was used only in patients who, according to their own medical needs, were diagnosed by a neurosurgeon in order to monitor intraocular pressure,The other end of the ventriculostomy was connected to the monitoring device by a transducer.;The level of consciousness. Timepoint: Before, during, and after the intervention twice daily for twelve days. Method of measurement: Using the Glasgow Coma Scale, the level of consciousness of patients with severe head injury was measured.;Blood pressure. Timepoint: Before, during, and after the intervention twice | — |
Secondary
| Measure | Time frame |
|---|---|
| Level of consciousness, intracranial pressure level, blood cortisol level, vital signs. Timepoint: Before, during and after the intervention twice daily for two weeks. Method of measurement: Using the Glasgow Coma Scale, intracranial blood pressure transducer, cardiovascular monitoring device, blood sampling and sending to the laboratory. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public Contactabas abaszadeh
Bam University of Medical Sciences
Outcome results
None listed