Uğurlu Yasemin Kalkan, Alemdar Dilek Küçük
Department of Nursing, Ordu University Faculty of Health Sciences, Ordu, Türkey.
Nurs Crit Care. 2025 May;30(3):e13199. doi: 10.1111/nicc.13199. Epub 2024 Oct 30.
After acute myocardial infarction, the prevalence of anxiety and depression is quite high in patients because of severe chest pain, distance from relatives, unfamiliar environment and orientation problems.
To assess the effect of listening to the voice recordings of relatives of patients with acute myocardial infarction who were treated in the coronary intensive care unit (ICU) on chest pain, anxiety and depression parameters of the patients.
In the study, which was conducted as a randomized controlled trial, voice recordings of the family members of the patients were created and played to the patients through a music pillow. The study was carried out with 60 patients, 30 experimental and 30 control groups. Three tests were applied to the patients 15 min before, and 15 and 30 min after the application. The data of the study were collected using the Patient Introduction Form, Hospital Anxiety Depression Scale, Visual Analogue Scale and Patient Follow-up Form.
It was found that there was a significant decrease in the anxiety level of the patients in the intervention group after listening to the audio recording (p < .001, 95% CI: -3.796; -0.070). However, there was no significant difference between the pain and depression scores of the control and intervention groups (p > .05).
In the ICUs of patients with acute myocardial infarction, it may be recommended to play audio recordings of their relatives to reduce the severity of anxiety.
In the intensive care setting, the use of voice recordings of relatives can be used as an effective, non-pharmacological intervention to reduce anxiety in patients with acute myocardial infarction. This approach may potentially improve overall recovery by reducing patient anxiety in the intensive care setting.
急性心肌梗死后,由于剧烈胸痛、与亲属分离、环境陌生及定向障碍等原因,患者焦虑和抑郁的发生率相当高。
评估在冠心病重症监护病房(ICU)接受治疗的急性心肌梗死患者聆听亲属语音录音对其胸痛、焦虑和抑郁参数的影响。
本研究为随机对照试验,制作患者家属的语音录音,并通过音乐枕头播放给患者。研究共纳入60例患者,分为30例试验组和30例对照组。在应用前15分钟、应用后15分钟和30分钟对患者进行三项测试。研究数据通过患者介绍表、医院焦虑抑郁量表、视觉模拟量表和患者随访表收集。
发现干预组患者聆听音频记录后焦虑水平显著降低(p <.001,95%可信区间:-3.796;-0.070)。然而,对照组和干预组的疼痛和抑郁评分之间无显著差异(p >.05)。
在急性心肌梗死患者的ICU中,建议播放其亲属的音频记录以减轻焦虑程度。
在重症监护环境中,使用亲属的语音记录可作为一种有效的非药物干预措施,以减轻急性心肌梗死患者的焦虑。这种方法可能通过减轻重症监护环境中患者的焦虑来潜在地改善整体恢复情况。