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Ensayo controlado aleatorizado2023Financiación no declarada

The effect of nature-based music intervention on adaptation and anxiety levels in patients with COVID-19 placed in the prone position: A randomized controlled trial

Takmak Ş, Karaçar Y, Karaçar Hİ, Küçükakça Çelik G

Intensive & critical care nursing · 3 citas

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Financiación no declarada

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Cómo se estudió

Diseño
Ensayo controlado aleatorizado (indexado por PubMed)
Estudiado en
Personas
Resultado principal
Marcadores de salud y funcionamiento

Quién lo pagó

Financiación
Financiación no declarada

Publicación

Publicado
2023-08-03 · Intensive Crit Care Nurs · vol. 79 · pág. 103496
Editorial
Elsevier BV
Citado
6 citas · más que el 85% de estudios similares · 1.7× el promedio de su campo
Referencias
25 trabajos
Acceso
De pago
Áreas de investigación
Music Therapy and Health · COVID-19 and Mental Health · Intensive Care Unit Cognitive Disorders
Palabras clave
COVID-19 pandemic, prone position, hypoxemia, anxiety, oxygen saturation, heart rate, hypoxemic respiratory failure, intensive care unit patients, music therapy
MeSH
humans, music therapy, anxiety, prone position, music, covid-19

4 autores

  • Şenay TakmakKutahya Saglik Bilimleri Universitesi
  • Yeliz Karaçar🇹🇷 · autor de correspondenciaAkdeniz University
  • Halil İbrahim Karaçar
  • Gülden Küçükakça Çeli̇k🇹🇷Nevşehir Hacı Bektaş Veli University

Resumen

El texto original del estudio, en el idioma en que se publicó.

Objective

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.

Design

A single-blinded randomized control trial design.

Setting

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.

Methods

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: T0), in the 30th minute in the prone position (T1), and in the 30th minute of the supine position given following the prone position (T2). Data analysis included independent samples t-test in independent groups and repeated measures ANOVA in dependent groups.

Results

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 T2, the heart rate of the intervention group did not increase, but it increased significantly in the control group compared to T0 and T1 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).

Conclusions

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.

Implications for clinical practice

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.

Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial.

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