The effect of music on delirium,pain, sedation and anxiety in patients receiving mechanical ventilation in the intensive care unit |
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| Affiliation: | 1. Bursa Uludag University, Faculty of Health Sciences, Department of Internal Medicine Nursing, Nilüfer, Bursa 16059, Turkey;2. Ege University Faculty of Nursing, Department of Internal Medicine Nursing, Bornova, Izmir 35100, Turkey;3. Izmir Tınaztepe University, Faculty of Health Sciences, Department of Nursing Buca, Izmir 35100, Turkey;4. Bursa Uludag University, Faculty of Medicine, Department of Anesthesiology and Reanimation, Division of Intensive Care, Nilüfer, Bursa 16059, Turkey;1. School of Nursing and Midwifery, Monash University, Victoria, Australia;2. School of Nursing and Midwifery, Deakin University, Victoria, Australia;3. School of Nursing and Midwifery, Griffith University, Queensland, Australia;4. Intensive Care Unit, Princess Alexandra Hospital, Metro South Health, Queensland Health, Australia;5. Menzies Health Institute Queensland, Griffith University, Queensland, Australia;1. School of Nursing, Fujian Medical University, Fuzhou, Fujian Province 350122, China;2. Chenggong Hospital of Xiamen University (the 73th Group Military Hospital of People''s Liberation Army), Xiamen, Fujian Province 361003, China;3. School of Fuzhou General Hospital Clinical Medical, Fujian Medical University, Fuzhou, Fujian Province 350025, China;4. Education Office, The 900 Hospital of People’s Liberation Army, Fuzhou, Fujian Province 350025, China;5. Department of Neurosurgery, The 900 Hospital of People’s Liberation Army, Fuzhou, Fujian Province 350025, China;6. Department of Nursing, Zhongnan Hospital of Wuhan University, Wuhan, Hubei Province 430071, China;7. School of Nursing, Fujian University of Traditional Chinese Medicine, Fuzhou, Fujian Province 350122, China;1. Dokuz Eylül University, Institute of Health Sciences, Nursing Management PhD Student, Balcova, Izmir, Turkey;2. Charge-Nurse, Health Sciences University, Dr. Suat Seren Chest Diseases and Surgery Education Research Hospital, Turkey;3. Nursing Management Department, Dokuz Eylul University, Nursing Faculty, Balcova, Izmir, Turkey;4. Child Health And Illness Department, Dokuz Eylul University, Nursing Faculty, Balcova, Izmir, Turkey;1. Therapy Services, University Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom;2. Department of Critical Care, University Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom;3. Centre for Care Excellence, Coventry University & University Hospitals Coventry & Warwickshire NHS Trust, Coventry, United Kingdom |
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| Abstract: | ObjectivesTo examine the effects of music for patients under mechanical ventilation support in the intensive care unit on their delirium, pain, sedation, and anxiety.Research methodology/designA single-blind, randomized, controlled trial.SettingThe study was conducted with delirium positive patients between August 2020 and September 2021 in the medical/surgical intensive care unit of a university hospital in Turkey.MethodsThe study sample was selected through a simple and stratified randomization method; patients who met the inclusion criteria were assigned to the music, noise reduction or control group. The data were collected by using a Confusion Assessment Method for the ICU (CAM-ICU), CAM-ICU-7, Critical Care Pain Observation Tool (CPOT), Richmond Agitation-Sedation Scale (RASS), Facial Anxiety Scale (FAS), PRE-DELIRIC model, and Glasgow Coma Scale (GCS). The interventions were repeated twice a day for five days.ResultsA total of 36 patients were included, with 12 patients in each group. Significant decreases were found in the severity of delirium and pain and the level of sedation and anxiety in the music compared to the other groups (p < 0.05). The number of patients with delirium and the number of days with mechanical ventilation was found to be significantly lower in the music group compared to the other groups (p < 0.05).ConclusionMusic intervention may be used as a nursing intervention to control delirium, pain, need for sedation and anxiety in intensive care unit patients. However, additional studies with larger sample is needed to validate findings. |
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| Keywords: | Music Intensive care Delirium Pain Anxiety |
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