Topal Tuğçe, Sürme Yeliz
General Surgery Intensive Care Unit, Kayseri Training and Research Hospital, Kayseri, Türkiye.
Faculty of Health Sciences, Surgical Nursing, Erciyes University, Kayseri, Türkiye.
Nurs Crit Care. 2025 Jul;30(4):e70072. doi: 10.1111/nicc.70072.
Postoperative delirium is a negative surgical outcome that can affect patients of any age, from children to elderly.
This study evaluated the impact of eye masks and music on sleep quality and delirium among patients in surgical intensive care units.
This study was designed as a randomized controlled trial. The study sample consisted of 45 patients (21 intervention and 24 control) who were hospitalized in the General Surgery Intensive Care Unit, underwent abdominal surgery and met the inclusion criteria. Patients were assigned to the experimental and control groups by simple randomization method. Patient Identification Form, Richard-Campbell Sleep Questionnaire (RCSQ), Nursing Delirium Screening Scale (Nu-DESC) and Richmond Agitation-Sedation Scale (RASS) were utilized. In the intervention group, patients were left with the eye masks applied after 22:00. Concurrently with the application of the eye masks, calming classical music was played for 1 h. Descriptive statistics, Chi-square test, Student's t-test, one-way analysis of variance (ANOVA), two-way repeated measures ANOVA and linear regression analysis were used. The CONSORT checklist was used in reporting the study.
On the third day of the study, the mean RCSQ score in the intervention group was statistically higher (72.95 ± 7.47, 49.66 ± 10.80; p < 0.001). The intervention group's mean Nu-DESC score was 0.14 ± 0.35, and the control group's score was 0.83 ± 0.56 (p < 0.001). Additionally, throughout the study, no delirium was observed in the intervention group, while delirium developed in 8.3% of the control group. A significant positive relationship was found between the application of music and eye masks post-surgery and the difference in RCSQ scores (zβ: 0.843; p < 0.001; [95% CI: 0.027; 0.041]). A significant negative relationship was found between the application of music and eye masks post-surgery and the difference in Nu-DESC delirium scale scores (zβ: -0.579; p < 0.001; [95% CI: -0.593; -0.234]).
The research concluded that listening to calming music for 1 h daily and wearing an eye mask before sleeping increased sleep quality and decreased the incidence of delirium.
Intensive care nurses can contribute to improving patients' sleep quality and preventing delirium by applying eye masks and playing music for the patients.
术后谵妄是一种不良手术结局，可影响从儿童到老年人的任何年龄段患者。
本研究评估眼罩和音乐对外科重症监护病房患者睡眠质量和谵妄的影响。
本研究设计为随机对照试验。研究样本包括45例患者（21例干预组和24例对照组），他们在普通外科重症监护病房住院，接受了腹部手术并符合纳入标准。采用简单随机化方法将患者分配到实验组和对照组。使用了患者识别表、理查德 - 坎贝尔睡眠问卷（RCSQ）、护理谵妄筛查量表（Nu - DESC）和里士满躁动 - 镇静量表（RASS）。在干预组中，患者在22:00后佩戴眼罩。在佩戴眼罩的同时，播放舒缓的古典音乐1小时。使用描述性统计、卡方检验、学生t检验、单因素方差分析（ANOVA）、双向重复测量方差分析和线性回归分析。研究报告使用了CONSORT清单。
在研究的第三天，干预组的平均RCSQ得分在统计学上更高（72.95±7.47，49.66±10.80；p<0.001）。干预组的平均Nu - DESC得分是0.14±0.35，对照组的得分是0.83±0.56（p<0.001）。此外，在整个研究过程中，干预组未观察到谵妄，而对照组有8.3%的患者发生了谵妄。术后音乐和眼罩的应用与RCSQ得分差异之间存在显著正相关（zβ：0.843；p<0.001；[95%CI：0.027；0.041]）。术后音乐和眼罩的应用与Nu - DESC谵妄量表得分差异之间存在显著负相关（zβ： - 0.579；p<0.001；[95%CI： - 0.593； - 0.234]）。
研究得出结论，每天听1小时舒缓音乐并在睡前佩戴眼罩可提高睡眠质量并降低谵妄发生率。
重症监护护士可以通过为患者佩戴眼罩和播放音乐来帮助改善患者的睡眠质量并预防谵妄。
