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KMID : 0367020210330060649
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Journal of Korean Academic of Adult Nursing
2021 Volume.33 No. 6 p.649 ~ p.656
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Effects of a Multimodal Sensory Stimulation Intervention on Glasgow Coma Scale Scores in Stroke Patients with Unconsciousness
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Faozi Ekan
Fadlilah Siti
Dwiyanto Yusup
Retnaningsih Listyana Natalia
Krisnanto Paulinus Deny
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Abstract
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Purpose: This study investigated how multimodal sensory stimulation affected Glasgow Coma Scale (GCS) scores in stroke patients with decreased consciousness at Dr. Moewardi Hospital in Surakarta, Indonesia.
Methods: We employed a quasi-experimental approach with a pretest and posttest control group design. The control and intervention groups each contained 22 participants, all of whom were recruited via convenience sampling. The intervention group was given multimodal sensory stimulation (auditory, visual, olfactory, gustatory, and tactile) five times daily for a total of five days, with each session lasting 25 minutes. By contrast, the control group only received routine care from the hospital (i.e., no intervention). For statistical analysis, we used both the Wilcoxon test and Mann-Whitney test.
Results: We found a significant increase in posttest GCS scores for the intervention group (from 9.63 to 13.18, p=.001), but there was no significant increase for the control group (from 10.09 to 10.54, p=.085).
Conclusion: In this study, multimodal sensory stimulation effectively increased GCS scores in stroke patients with decreased consciousness. Nurses can use this intervention to improve sensory and GCS scores for such patients while in the intensive care unit.
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KEYWORD
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Glasgow coma scale, Combined modality therapy, Stroke, Unconsciousness
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