The Effect of Music on Delirium, Pain, Need of Sedation, Anxiety and Vital Parameters in Patients Receiving Ventilator Support in Intensive Care Unit
Project no. 22214 · Status: Kapanmış · 2020
Summary
This randomized controlled study was conducted in Bursa Uludağ University Faculty of Medicine Hospital, Anesthesiology and Reanimation Intensive Care Unit (ICU), between August 2020 and September 2021. The sample was determined by a simple and stratified randomization method, and patients who met the inclusion criteria were assigned to the music, noise reduction, or standard care group. Patient Information Form, Patient Follow-up Form, Confusion Assessment Method for the ICU, Critical Care Pain Observation Tool, Richmond Agitation Sedation Scale, Face Anxiety Scale, PRE-DELIRIC model and Glasgow Coma Scale were used for data collection. The applications were repeated twice a day for five days, and delirium severity, pain severity, sedation need, anxiety level and vital parameters were recorded at 0, 30 and 60 minutes. A total of 36 patients who met the inclusion criteria, 12 in each groups, were reached in the study. Significant decreases were found in delirium and pain severity in the music group (p<0.05). Music caused a significant decrease in the need of sedation (p<0.05). Music group had lower anxiety scores than the other groups (p<0.05). There were significant decreases in systolic/diastolic blood pressure, heart and respiratory rate between groups, except for the oxygen saturation (p>0.05). Also, in the music group, the number of days with delirium and mechanical ventilation were significantly lower (p<0.05), while there was no significant difference in terms of ICU stay days and mortality (p>0.05). Music can be used to control delirium, pain, sedation level, anxiety and vital parameters in ICU patients as a nursing intervention.