Volume : 8, Issue : 3, March - 2019

Effectiveness of coma arousal therapy on level of consciousness among patients with truamatic brain injury patients

Mrs. Deena. S. V, Sr. Rose Abraham, Mrs. Rakhi Manjooran

Abstract :

Traumatic Brain Injuries(TBI) are a leading cause of morbidity, disability and socio-economic loses in India and other developing countries [1]. It is estimated that nearly 1.5 to 2 million persons are injured and 1 million succumb to death every year in India. The aim of the study was to evaluate the effectiveness of coma arousal therapy on level of consciousness among patients with TBI at Govt. Medical college Hospital, Kottayam. A quantitatve approach was used for the study and design adopted was Sr. Callista Roy’s Adaptation Model theoretically supported by the study. A total of sixty patients with TBI, thirty each in the control and experimental group, were selected for the study by purposive sampling technique. The data were collected using socio personal-clinical data sheet and Coma Recovery Scale-Revised. Pretest was conducted by assessing the level of consciousness using Coma Recovery scale –Revised on the first day of therapy. Coma Arousal therapy was implemented on a scheduled manner in the experimental group for six consecutive days which was directed to five sensory stimulations including auditory, visual, olfactory, gustatory and tactile. Each stimulus is implemented for 4 minutes and each session lasted for 20 minutes with 4 sessions per day with a resting period of 2 hours in between and is administrated for six consecutive days. Post test was conducted by using the same scale on the seventh day of therapy in the control and experimental group. The results of the study revealed that coma arousal therapy had a statistically significant effect on level of consciousness (p<0.05) and there were a statistically significant association between the level of consciousness and pupillary reaction at the time of first assessment (p<0.05).