Subarachnoid Haemorrhagic Stroke
Conditions
Keywords
Body Awareness Therapy, Communication, Delirium
Brief summary
As part of this study, an intervention program aimed at preventing delirium in patients with subarachnoid hemorrhage treated in the intensive care unit will be implemented. Routine medical treatments, environmental adjustments, and a video-based communication program will be implemented to prevent delirium. In addition, basic body awareness training will be administered. Patients will be divided into two groups. One group will receive only the routine treatment program recommended by international guidelines (medical, enviromental adjustment and face-to-face interview etc.), while the other group will receive body awareness therapy addition to routine interventions.
Interventions
OTHERRoutine Therapy (Medical, environmental accodamation, face-to-face commucation)
In the treatment of delirium, a treatment program will be implemented in line with the recommendations of international guidelines.
PROCEDUREBiopsychosocial-Based Multimodal Approach
Delirium treatment will be implemented in accordance with international guidelines. Additionally, a basic body awareness therapy and communication program will be implemented.
Sponsors
Emre Şenocak
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 85 Years
Healthy volunteers
No
Inclusion criteria
* Aged 18-85, * Patients scheduled for intensive care for at least 15 days due to SAH, unruptured intracranial aneurysm, and/or Arterovenous Malformation, * Those with a Mini Mental State Examination score of \> 24, * Those with a Glasgow Coma Score of 15, * Those with motor function in at least one extremity, * Those with pain \< 5/10 (according to the NRS)
Exclusion criteria
* Patients whose GCS fell to 14 or below for any reason during the study period; * Patients who developed septic shock and MODS; * Patients requiring endotrachial intubation and mechanical ventilation due to ARDS; * Those requiring vasopressors such as NE at a rate of \>0.25 mcg/kg/min; * Terminal cancer cases; * Patients with advanced chronic heart and lung failure and COPD; * Those with a METS (exercise capacity) of \<4; * Those with a history of dementia, Alzheimer's disease, or psychiatric illness; * Those with vision, hearing, or speech problems that would interfere with communication; * Those with a history of epilepsy;
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Numeric Rating Scale | During everyday she was admitted to the ICU |
| Charlson Comorbidity Index | Baseline |
| Mini-Mental State Examination Test | Baseline |
| APACHE II Score | Baseline |
| SOFA Score | Baseline |
| Glaskow Coma Score | During everyday she was admitted to the ICU |
| Modified Rankin Scale | Baseline |
| Simple five-item questionnaire (SARC-F) | Baseline |
| Medical Research Council Muscle Strenght | Baseline |
| Physical Function in Intensive Care Test (PFIT-s) | Baseline |
| Hospital Anxiety and Depression Scale | Baseline |
| Montreal Cognitive Assessment | Baseline |
| Nothingham Health Profile | Baseline |
| Barthel Index | Baseline |
| Modified Borg Test | During everyday she was admitted to the ICU |
| Confusion Assessment Method for the intensive care unit (CAM-ICU) | During everyday she was admitted to the ICU |
| Richmond Ajitation-Sedation Scale | During everyday she was admitted to the ICU |
Countries
Turkey (Türkiye)
Contacts
Primary ContactArzu Erden Güner, PhD
Outcome results
None listed