Şirin Gök Meltem, Balci Akpinar Reva
Department of Fundamentals of Nursing, Faculty of Nursing, Ataturk University, Erzurum, Turkey.
Nurs Open. 2025 Aug;12(8):e70273. doi: 10.1002/nop2.70273.
This study examined the effects of music, nature-based sounds and the voices of patients' relatives on the vital signs and consciousness levels of intensive care patients with different levels of consciousness.
This is a quasi-experimental study with a within-subject design. This study included 43 patients with different levels of consciousness. Patients in the sample group constituted the study's control and intervention groups. The study was conducted on a single sample group using a pre-post design.
As interventions of the study, the patients were exposed to music, nature-based sounds and voices of relatives of the patients via wearing headphones at intervals of 1 day. To obtain control data, the same patients were wearing silent headphones. The order of auditory stimulus interventions and silent headphone control sessions was determined by randomisation.
Music, nature-based sounds, patient relatives' voices in groups, the difference between the within-group heart rate and the Glasgow Coma Scale mean scores was statistically significant. It was found that the mean scores of the respiratory rate were statistically significant in the case where the patients were made to listen to the voices of their relatives. Music and nature-based sounds decreased heart rate, while patient relatives' sounds increased heart rate and respiratory rate. These different auditory stimuli positively affected the patient's level of consciousness in intensive care patients.
Music, nature-based sounds and voices of patient relatives can be used in sensory stimulus programmes as they warn patients and positively affect the level of consciousness. This study revealed the responses of intensive care patients with different levels of consciousness to auditory stimuli. The results of this study may help in the selection of auditory stimuli in patients with different levels of consciousness. It is advisable to provide sensory stimuli by listening to music, nature-based sounds and voices of patients' relatives to patients, and create protocols or evidence-based guides that will help the intensive care nurse.
本研究探讨音乐、自然声音以及患者亲属的声音对不同意识水平的重症监护患者生命体征和意识水平的影响。
这是一项采用受试者内设计的准实验研究。本研究纳入了43名不同意识水平的患者。样本组中的患者构成了研究的对照组和干预组。本研究采用前后测设计，在单个样本组上进行。
作为研究的干预措施，患者每隔1天通过佩戴耳机接触音乐、自然声音和患者亲属的声音。为了获取对照数据，相同的患者佩戴静音耳机。听觉刺激干预和静音耳机对照环节的顺序通过随机化确定。
音乐、自然声音、患者亲属的声音分组中，组内心率与格拉斯哥昏迷量表平均得分之间的差异具有统计学意义。结果发现，当让患者聆听其亲属的声音时，呼吸频率的平均得分具有统计学意义。音乐和自然声音使心率降低，而患者亲属的声音使心率和呼吸频率升高。这些不同的听觉刺激对重症监护患者的意识水平产生了积极影响。
音乐、自然声音和患者亲属的声音可用于感觉刺激方案，因为它们能唤醒患者并对意识水平产生积极影响。本研究揭示了不同意识水平的重症监护患者对听觉刺激的反应。本研究结果可能有助于为不同意识水平的患者选择听觉刺激。建议向患者提供聆听音乐、自然声音和患者亲属声音的感觉刺激，并制定有助于重症监护护士的方案或循证指南。
