The Effect of Eye Mask and Music on Sleep Quality and Delirium in Patients Monitored in Intensive Care Unit Following Abdominal Surgery
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 45
- 试验地点
- 2
- 主要终点
- Richard-Campbell Sleep Scale
研究概览
简要总结
After abdominal surgery, most patients experience problems such as respiratory complications, surgical wound infection, cardiac problems, renal failure, delirium, and insomnia, along with surgical trauma and underlying comorbidities. Postoperative delirium (POD) is an adverse postoperative complication that can occur in patients of all ages, from children to the elderly. Effective non-pharmacological treatment approaches for delirium include using an orientation board, calendar, clock, ensuring hydration, improving sleep quality, therapeutic activities, providing companionship of family members, and building private rooms. This study conducted as a randomized controlled and experimental study to determine the effect of eye patch and music on sleep quality and delirium in patients followed after abdominal surgery in the surgical intensive care unit.
It was planned to include a total of 34 patients who underwent abdominal surgery, 17 in the experimental group and 17 in the control group.Considering possible sample loss, the study was completed with 45 patients, 21 in the experimental group and 24 in the control group.
During the data collection phase, the Patient Information Form, Richard-Campbell Sleep Scale, Nursing Delirium Screening Scale and Richmond Agitation-Sedation Scale, were used.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Those who have had abdominal surgery
- •Those who volunteer to participate in the research
- •Those who are over 18 years old
- •Richmond Agitation-Sedation Scale -1, 0, +1
- •Those who have been in intensive care for at least 3 days
- •No communication problems (language, hearing impairment, etc.)
- •No mental problems
- •Patients who do not use sleeping pills or sedating drugs and who do not have alcohol or substance addiction will be included in the study.
排除标准
- •Those who experience blood loss and fluid electrolyte imbalance after surgery
- •There are contraindications to the use of eye masks (for example, head trauma),
- •Patients with delirium before or after surgery will not be included in the study.
结局指标
主要结局
Richard-Campbell Sleep Scale
时间窗: day 1 and 4 of the study
It is a scale consisting of 6 items that evaluate the depth of night sleep, the time it takes to fall asleep, the frequency of waking up, the time spent awake when waking up, the quality of sleep and the noise level in the environment. The 6th item, which evaluates the noise level in the environment, is excluded from the total score evaluation. Each item is evaluated on a chart between 0 and 100 using the visual analog scale technique. A score between "0-25" from the scale indicates very poor sleep, and a score between "76-100" indicates very good sleep.
Nursing Delirium Screening Scale
时间窗: day 1 and 4 of the study
The scale consists of 5 items, including disorientation, inappropriate behavior, inappropriate communication, illusion-hallucination and slowing down of psychomotor behaviors. Each item in the scale receives a value between 0 and 2 points, and the total score varies between 0 and 10. A score of two and above indicates delirium.
次要结局
- Richmond Agitation-Sedation Scale(day 1)
研究者
Yeliz Sürme
Assoc.Prof. Dr.
TC Erciyes University