scholarly journals Effects of Holy Quran Listening on Physiological Stress Response in Intensive Care Unit Patients

2019 ◽  
pp. 36
Author(s):  
Naeemah Abd Aziz ◽  
Saedah Ali ◽  
Mohamad Hasyizan Hassan
Keyword(s):  
Blood Pressure ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Stress Response ◽  
Cortisol Level ◽  
Serum Cortisol ◽  
Serum Cortisol Level ◽  
Sick Person ◽  
Holy Quran ◽  
Total Usage

Introduction: The intensive care unit (ICU) is one of the most stressful environments among various clinical settings. ICU patients are not only compromised by the illness, but they also faced with a wide range of stressors such as pain, unfamiliar environment and loss of interaction with family and friends. Stress and anxiety will increase the sympathetic tone (sympathet ic nervous system) and stimulate the hypothalamus-pituitary-adrenal (HPA) axis response. Stressful circumstances as well as chronic diseases may alter the normal cortisol mechanisms resulting in marked increases in plasma levels. Thus, high stress response will lead to delayed healing and prolong stays in ICU. Recitation of Quran by the sick person or for the sick person has shown to have direct healing effect on the sick person. Holy Quran Listening is the most suitable way for the patients in reduces stress responses during ICU stay.Objectives: To examine the effectiveness of Holy Quran Listening (HQL) in reducing stress response among ICU patients.Methods: A randomized controlled clinical trial was conducted in the Intensive Care Unit. Total 94 subjects were recruited and randomly assigned to either Control (n=49) or Holy Quran Listening (n=45) group respectively. The HQL given via headphone for 7 hours while control group given no music. Primary measures include mean blood pressure, heart rate, systolic blood pressure, diastolic blood pressure, serum cortisol level and serum blood sugar. Secondary outcomes include duration of stay in intensive care unit, total usage of insulin and sedation.Results: The HQL group show clinically significant in reducing HR and SBP over time. Serum cortisol level is stable in HQL group. However, there are no significantt reduction in duration of stay, total usage of sedation and insulin.Conclusion: HQL is one of the adjunct methods that can be used to reduce stress response among ICU patients.International Journal of Human and Health Sciences Supplementary Issue: 2019 Page: 36

scholarly journals Relation between Baseline Total Serum Cortisol Level and Outcome in Pediatric Intensive Care Unit

2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Osama E. Bekhit ◽  
Shereen A. Mohamed ◽  
Remon M. Yousef ◽  
Hoiyda A. AbdelRasol ◽  
Nirvana A. Khalaf ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Pediatric Intensive Care Unit ◽  
Cortisol Level ◽  
Pediatric Intensive Care ◽  
Serum Cortisol ◽  
Serum Cortisol Level ◽  
Total Serum

Adrenal Insufficiency in Hemorrhagic Shock

2006 ◽  
Vol 72 (6) ◽  
pp. 552-554 ◽  
Author(s):  
G.D. Rushing ◽  
R.C. Britt ◽  
J.N. Collins ◽  
F.J. Cole ◽  
L.J. Weireter ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Length Of Stay ◽  
Hemorrhagic Shock ◽  
Adrenal Insufficiency ◽  
Serum Cortisol ◽  
Serum Cortisol Level ◽  
Apache Ii Score ◽  
Relative Adrenal Insufficiency ◽  
Tract Infections

Adrenal insufficiency during sepsis is well documented. The association between hemorrhagic shock and adrenal insufficiency is unclear and may be related to ischemia, necrosis, or resuscitation. This study was designed to determine the incidence of relative adrenal insufficiency in hemorrhagic shock. A retrospective review of a prospectively gathered database for patients admitted to the trauma intensive care unit with hemorrhagic shock was undertaken. A random serum cortisol of <25 mcg/dL defined relative adrenal insufficiency. All of the cortisol levels were drawn within the first 24 hours of admission. Data analyzed included demographics, length of stay, injury mechanism, infections, and mortality. Fifteen patients presented with hemorrhagic shock, with 14 of 15 meeting the criteria for relative adrenal insufficiency. The average serum cortisol level was 15.8 (9–26.8). The average APACHE II score was 18.3 (4–33), and the average Injury Severity Score was 22.5 (8–41). The mechanism was blunt trauma in 10 patients and penetrating trauma in 5. The average intensive care unit and hospital length of stay were 13.2 and 27.4 days, respectively. There were five urinary tract infections, four blood stream infections, and two wound infections. Two of the 15 patients died. Relative adrenal insufficiency appears to be common in hemorrhagic shock. Future research is warranted to elucidate the pathophysiology, as well as to prospectively determine which patients may benefit from steroid replacement.

scholarly journals Body Mass Index, Blood Pressure and Serum Cortisol Level as Stress Index in Symptomatic HIV/AIDS Male Subjects on Antiretroviral Therapy Negative to Malaria Parasite in Nnewi, Anambra State, Nigeria

2019 ◽  
pp. 19-23
Author(s):  
Ezeugwunne I P ◽  
Ogbodo E C ◽  
Analike R A ◽  
Onuora I J ◽  
Obi-Ezeani C N ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Cortisol Level ◽  
Serum Cortisol ◽  
Stress Index ◽  
Serum Cortisol Level ◽  
Anambra State ◽  
As Stress ◽  
Male Subjects ◽  
Asymptomatic Hiv ◽  
Hiv Aids

Background: HIV infection is a risk factor for a variety of endocrine problems. Objectives: This study investigated the body mass index (BMI), Systolic blood pressure (SBP), Diastolic blood pressure (DBP) and serum cortisol level as stress factor/index symptomatic HIV/AIDS male subjects on ART who are negative to malaria parasite in Nnewi, Anambra State, Nigeria. Methods: A total of 274 adult male participants aged between 18 and 60 (42 ±13) years were randomly recruited at the Voluntary Counseling and Testing (VCT) Centre in Nnamdi Azikiwe University Teaching Hospital and grouped based on WHO criteria for staging HIV into symptomatic HIV (stage 11) infected male participants on ART (A: n=69), Symptomatic HIV subjects not on ART (B: n= 69), Asymptomatic HIV positive subjects (C: n= 68) and HIV seronegative subjects (D: n= 68). Blood samples were collected from the participants for the determination of HIV status by immunochromatography and HIV confirmation by Western Blot. Enzyme-Linked Immunosorbent Assay (ELISA) was used to assay for cortisol level. Results: The results showed a significantly increased BMI and decreased mean serum cortisol level in HIV/AIDS seropositive participants on ART than in those, not on ART (p<0.05). Also, the BMI and mean serum cortisol level were significantly decreased and increased respectively in  HIV/AIDS seropositive participants not on ART than in Asymptomatic HIV positive subjects and control respectively (p<0.05). However, the mean SBP and DBP did not differ significantly between the groups studied (p>0.05). Conclusion: This study revealed a decreased stress index in HIV/AIDS subjects on ART with hypercortisolism and lower BMI in symptomatic HIV participants, not on ART. Keywords: HIV; AIDS; Malaria uninfected male subjects; Cortisol; Blood pressure; Antiretroviral therapy.

Nighttime serum cortisol level for diagnosis of hypercortisolism in hospitalized patients

2019 ◽  
Author(s):  
Liana Khatsimova ◽  
Uliana Tsoy ◽  
Natalia Kuritsyna ◽  
Elena Grineva ◽  
Elena Litvinenko ◽  
...  
Keyword(s):  
Cortisol Level ◽  
Serum Cortisol ◽  
Hospitalized Patients ◽  
Serum Cortisol Level

scholarly journals MOBILISASI PROGRESIF TERHADAP PERUBAHAN TEKANAN DARAH PASIEN DI INTENSIVE CARE UNIT (ICU)

2016 ◽  
Vol 12 (1) ◽  
Author(s):  
Ainnur Rahmanti ◽  
Dyah Kartika Putri
Keyword(s):  
Blood Pressure ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Mortality Rate ◽  
Respiratory Function ◽  
Lateral Position ◽  
High Morbidity ◽  
Left Lateral Position ◽  
Critical Patients

Patient with critical condition had high morbidity and mortality rate. This condition is worsened by long term immobilization. Instability vital sign made nurses stationed delayed mobilization activities in ICU. Progressive mobilization must be started for ICU patient to decrease respiratory function, level of awareness and cardiovascular function. The objective of this study was to identify progressive mobilization activities on blood pressure parameters among critical patients in ICU. The design of this study was quai experiment design. Thirty respondents were included to the study using concequtive sampling. Progressive mobilization was given with head of bed 300 (HOB 300), head of bed450 (HOB 450) with  passive range of motion, continued with right and left lateral position. Anova repeated measurement was used to identify mean difference each of blood pressure. The result of this study show there is two moment sistolic change between HOB 300 to HOB 450 and HOB 450 to right lateral position (3,3%). There is nine moment diastolic change between HOB 450 to right lateral position (16,7%).   Keywords: blood pressure, ICU, Progressive mobilization

Cardiac Arrest in Infants After Congenital Heart Surgery

Circulation ◽  
1999 ◽  
Vol 100 (suppl_2) ◽  
Author(s):  
John F. Rhodes ◽  
Andrew D. Blaufox ◽  
Howard S. Seiden ◽  
Jeremy D. Asnes ◽  
Ronda P. Gross ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Intensive Care Unit ◽  
Cardiac Arrest ◽  
Intensive Care ◽  
Pediatric Intensive Care Unit ◽  
Congenital Heart ◽  
Heart Surgery ◽  
Pediatric Intensive Care ◽  
Congenital Heart Surgery ◽  
Inotropic Support

Background —The survival rate to discharge after a cardiac arrest in a patient in the pediatric intensive care unit is reported to be as low as 7%. The survival rates and markers for survival strictly regarding infants with cardiac arrest after congenital heart surgery are unknown. Methods and Results —Infants in our pediatric cardiac intensive care unit database were identified who had a postoperative cardiac arrest between January 1994 and June 1998. Parameters from the perioperative, prearrest, and resuscitation periods were analyzed for these patients. Comparisons were made between survivors and nonsurvivors. Of 575 infants who underwent congenital heart surgery, 34 (6%) sustained a documented cardiac arrest; of these, 14 (41%) survived to discharge. Perioperative parameters, ventricular physiology, and primary rhythm at the time of arrest did not influence outcome. Prearrest blood pressure was lower in nonsurvivors than in survivors ( P <0.001). A high level of inotropic support prearrest was associated with death ( P =0.06). Survivors had a shorter duration of resuscitation ( P <0.001) and higher minimal arterial pH ( P <0.02) and received a smaller total dose of medication during the resuscitation. Although survivors had an overall shorter duration of resuscitation, 5 of 22 patients (23%) survived to discharge despite resuscitation of >30 minutes. Conclusions —The outcome of cardiac arrest in infants after congenital heart surgery was better than that for pediatric intensive care unit populations as a whole. Univentricular physiology did not increase the risk of death after cardiac arrest. Infants with more hemodynamic compromise before the arrest as demonstrated with lower mean arterial blood pressure and higher inotropic support were less likely to survive. The use of predetermined resuscitation end points in this subpopulation may not be justified.

Sign in / Sign up

Export Citation Format

Share Document