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.
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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
60
Every patient will evaluate each device after 15 minutes of distraction once or twice a day according to the patient's wishes.
University of Montpellier Hospital
Montpellier, France
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
Time frame: Just after the use of each device (up to 20 minutes)
Variation of physiologic parametres (Heart Rate, Blood pressure, Respiratory rate and Analgesia nociception Index), evaluation of feasibility and feelings concerning the distraction devices.
Time frame: ICU discharge (up to Day 28)
Variation of Respiratory rate during the use of each device
Respiratory rate : c/min
Time frame: up to 20 minutes (after the device use )
Variation of physiologic Blood pressure during the use of each device
Blood pressure : mmHg
Time frame: up to 20 minutes (after the device use )
Variation of Heart Rate during the use of each device
Heart Rate : b/min
Time frame: up to 20 minutes (after the device use )
evaluation of feasibility assessed by the Numeric Rating Scale from 0 to 10
Numeric Rating Scale from 0 to 10
Time frame: just after the use of each device (up to 20 minutes)
Evaluation of the feelings concerning the distraction devices assessed by the Numeric Rating Scale from 0 to 10
Numeric Rating Scale from 0 to 10
Time frame: ICU discharge or up to Day 28
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