Adult ICU Patients
Conditions
Keywords
ICU, Pain, Anxiety, Thirst, Dyspnea, Sleep, Discomfort, Distress, Virtual Reality, Music Therapy
Brief summary
This is a feasibility study of electronic devices in order to reduce neuro-psychological disorders and suffering in intensive care unit (ICU) patients. A first step study is necessary to define which device is effective and safe to reduce symptom intensities, among music therapy, virtual reality with real pictures, virtual reality with artificial pictures, and common devices (radio or television). If some devices are effective to reduce patients' symptoms, a second step will be to implement and assess the impact of these tools in a multicenter trial.
Detailed description
Quality of life following intensive care unit discharge is more and more anticipated during the ICU stay. Psychological trauma during ICU stay, related to medical management, can be very deleterious at short and long term, inducing psychological troubles as post-traumatic stress disorder and delaying the return to a normal social and professional life. For this reason, managing patients' distress is particularly important in the intensive care setting. There has been an increasing number of new technologies for the distraction of patients in different settings. a Today, a large amount of electronic distraction is available. TV and radio are available in each ICU, music therapy has already been studied and it is currently used in some ICUs. Virtual reality (VR) is used to improve attention and memory in stroke patients. Furthermore, VR seems to decrease stress post trauma disorders and phobia, as well as pain and anxiety during surgical procedures and physiotherapy. Our first step study will help us to determine which electronic distraction has the most effect on the top five discomfort symptoms frequently observed in ICU: pain, anxiety dyspnea, thirst and sleep privation.
Interventions
OTHERCHOISIR
Every patient will evaluate each device after 15 minutes of distraction once or twice a day according to the patient's wishes.
Sponsors
University Hospital, Montpellier
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* patient admitted in intensive care unit, * adult, * French speaking, * awake (RASS ≥ -1), * not delirious (CAM-ICU negative),
Exclusion criteria
* patient refusal * psychosis or preexisting cognitive dysfunction * cerebral injury, * hygiene/microbiological harm, * pregnancy, * decision of withdrawal of care
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Variation of intensity of the 5 discomfort symptoms (pain, anxiety, thirst, dyspnea, insomnia) assessed by a self-report 0-10 visually enlarged numeric rating scale | Just after the use of each device (up to 20 minutes) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Variation of Respiratory rate during the use of each device | up to 20 minutes (after the device use ) | Respiratory rate : c/min |
| Variation of physiologic Blood pressure during the use of each device | up to 20 minutes (after the device use ) | Blood pressure : mmHg |
| Variation of physiologic parametres (Heart Rate, Blood pressure, Respiratory rate and Analgesia nociception Index), evaluation of feasibility and feelings concerning the distraction devices. | ICU discharge (up to Day 28) | — |
| evaluation of feasibility assessed by the Numeric Rating Scale from 0 to 10 | just after the use of each device (up to 20 minutes) | Numeric Rating Scale from 0 to 10 |
| Evaluation of the feelings concerning the distraction devices assessed by the Numeric Rating Scale from 0 to 10 | ICU discharge or up to Day 28 | Numeric Rating Scale from 0 to 10 |
| Variation of Heart Rate during the use of each device | up to 20 minutes (after the device use ) | Heart Rate : b/min |
Countries
France
Outcome results
None listed