Mathumathi, S (2017) Effect of Sensory Stimulation Assessment Measure (SSAM) on level of consciousness among clients with Total Brain Injury (TBI) at selected hospital, Chennai. Masters thesis, Indira College of Nursing, Pandur.
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Abstract
INTRODUCTION: Health is the level of functional or metabolic efficiency of a living being. In humans, it is the general condition of a person’s mind, body and spirit, to get aware of the surroundings. Unconscious is lack of response to sensory stimuli as a result of hypoxia and it can be brief lasting for a few seconds to minutes or sustained, lasting for an hour or longer. The outcome ranges from recovery to death. Glasgow coma scale (GCS) is a widely used standardized scoring system to assess the consciousness. Traumatic brain injury (TBI) is the major cause for unconsciousness. Approximately 60 percent will make a positive recovery, and an estimated 25 percent will be left with a moderate degree of disability. Death or a persistent vegetative state will be the outcome in about 7 to 10 percent of cases. The remaining patients will have a severe degree of disability. To facilitate the recovery process, Sensory Stimulation Assessment Measure (SSAM) has been developed. Sensory stimulation for Total Brain Injury clients act by increasing environmental stimulation to the part of the brain that controls the level of consciousness, attention and concentration. It has been proposed that the intense and repeated stimulation and following very precise protocols, a patient could be awakened early from unconsciousness and returned to higher level of functioning Sensory Stimulation Assessment Measure (SSAM) should commence as early as possible after development of unconsciousness. Therefore improved health outcomes would be anticipated by reducing the duration of unconscious state. SSAM course ranges from 30 minutes hour or 2 cycles of stimulation daily, lasting from 15-30 minutes for 12-14 hrs per day, six days in a week OBJECTIVE: To evaluate the effect of Sensory Stimulation Assessment Measure (SSAM) on level of consciousness among clients with Total Brain Injury (TBI). Design: Quantitative Quasi experimental design was used Setting: The study was conducted in the SIMS Hospital at Vadapalani, Chennai. Participants: 50 clients with 25 each in the experimental and control group who satisfied the inclusion criteria were selected by using purposive sampling technique. Intervention: Selected sensory stimulation Assessment Measure was administered to the client by the investigator for the clients in experimental group to improve the level of consciousness and regular treatment without Sensory Stimulation Assessment Measure (SSAM) for the control group. Measurement and Tools: The level of consciousness wasassessedby using Glasgow coma scale. Descriptive and inferential statistics were used to analyse the data. FINDINGS: The major findings of the study revealed that the overall mean difference level of consciousness in the experimental groupwas 10.72 with the t value of 7.483 which shows a statistically significant at p < 0.001 level. CONCLUSION: The study concluded that there was a significant difference in the post test level of consciousness after administering the SSAM. This revealed that the SSAM will help the clients to improve the level of consciousness in the management of Total Brain Injury which in turn will improve their quality of life. Every nurse caring for Brain Injured clients can execute the practice of SSAM in clients with unconscious state. Implications: The study can be applied to nursing practice. Nursing education and nursing research. The significant effect ofSSAMin the level of consciousness among clients with Total Brain Injury (TBI) suggested the use of safe and effective complementary therapy while taking care of clients with Total Brain Injury (TBI) to improve the recovery. This can be added to many other tools used by neurologist. Further research is suggested to determine the effect of SSAM. Recommendations: The study can be conducted on large scale for better generalization. Quality of life can be studied using such type of study. Limitations: The Sensory Stimulation Assessment Measure (SSAM) was limited for 30 minutes per session for two times a day into 6 days. Findings of the study have limitation in generalization due to low sample size that is 50 (25 in each group).
| Item Type: | Thesis (Masters) |
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| Additional Information: | (Reg.No.301511951) |
| Uncontrolled Keywords: | Sensory Stimulation Assessment Measure (SSAM) ; level of consciousness ; clients ; Total Brain Injury (TBI) ; selected hospital ; Chennai. |
| Subjects: | NURSING > Medical Surgical Nursing |
| Depositing User: | Subramani R |
| Date Deposited: | 06 Nov 2018 16:15 |
| Last Modified: | 06 Nov 2018 16:15 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/10087 |
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