Takmak Şenay, Karaçar Yeliz, Karaçar Halil İbrahim, Küçükakça Çelik Gülden
Department of Nursing, Faculty of Health Science, Kütahya Health Science Universıty Kütahya, Turkey.
Department of Psychiatric Nursing, Faculty of Nursing, Akdeniz University, Antalya, Turkey.
Intensive Crit Care Nurs. 2023 Dec;79:103496. doi: 10.1016/j.iccn.2023.103496. Epub 2023 Aug 3.
To examine the effect of listening to nature-based music on anxiety, physiological parameters, and adjustment to the prone position in conscious and hypoxemic COVID-19 patients.
A single-blinded randomized control trial design.
The study was conducted in the intensive care unit of a state hospital in Turkey. Sixty-four patients were randomized into an intervention group and a control group.
A nature-based music intervention was applied in addition to routine care to the intervention group in the prone position, while the control group received routine care in the same position. The study outcomes included state-trait anxiety, physiological parameters, and prone time within 24 h. Measurements were performed in the supine position (Time: T), in the 30th minute in the prone position (T), and in the 30th minute of the supine position given following the prone position (T). Data analysis included independent samples t-test in independent groups and repeated measures ANOVA in dependent groups.
State anxiety fell statistically significantly in the intervention group compared to that of the control group (39.1 ± 6.6 vs. 43.4 ± 7.9, p = 0.025). At T, the heart rate of the intervention group did not increase, but it increased significantly in the control group compared to T and T values (87.8 ± 9.8 vs. 91.1 ± 10.8; p = 0.000). The oxygen saturation of the intervention group increased significantly compared to that of the control group (94.5 ± 2.3 vs. 93.4 ± 1.9, p = 0.035). The prone position time of the intervention group was significantly greater than that of the control group (11.5 ± 1.5 vs. 10.8 ± 1.1, p = 0.04).
It was found that nature-based music intervention applied to conscious and hypoxemic COVID-19 patients in the prone position improved anxiety and oxygen saturation and increased the prone position time.
Listening to nature-based music in prone position may reduce anxiety in conscious patients with hypoxemic respiratory failure, it may increase adjustment to the prone position, and it may improve oxygenation and heart rate.
探讨聆听自然音乐对清醒且低氧的新冠肺炎患者焦虑情绪、生理参数及俯卧位适应情况的影响。
单盲随机对照试验设计。
研究在土耳其一家国立医院的重症监护病房进行。64例患者被随机分为干预组和对照组。
干预组在俯卧位接受常规护理的同时，加用自然音乐干预，而对照组在相同体位接受常规护理。研究结局包括状态-特质焦虑、生理参数以及24小时内的俯卧时间。测量在仰卧位（时间：T0）、俯卧位第30分钟（T1）以及俯卧位后仰卧位第30分钟（T2）进行。数据分析包括独立样本t检验（用于独立组）和重复测量方差分析（用于相关组）。
与对照组相比，干预组的状态焦虑在统计学上显著下降（39.1±6.6 vs. 43.4±7.9，p = 0.025）。在T1时，干预组的心率未增加，但与T0和T2值相比，对照组的心率显著增加（87.8±9.8 vs. 91.1±10.8；p = 0.000）。与对照组相比，干预组的氧饱和度显著增加（94.5±2.3 vs. 93.4±1.9，p = 0.035）。干预组的俯卧位时间显著长于对照组（11.5±1.5 vs. 10.8±1.1，p = 0.04）。
研究发现，对清醒且低氧的新冠肺炎患者在俯卧位进行自然音乐干预可改善焦虑情绪和氧饱和度，并增加俯卧位时间。
在俯卧位聆听自然音乐可能会减轻清醒的低氧性呼吸衰竭患者的焦虑，可能会增加对俯卧位的适应，并且可能会改善氧合和心率。
