The Effect of Eye Mask and Music on Sleep Quality and Delirium in Patients Monitored in Intensive Care Unit

TC Erciyes University

Status: Completed

Conditions: Abdominal Surgery

Treatments: Behavioral: Eye patch

Study type: Interventional

Funder types: Other

Identifiers

NCT06268158

2023/45

Details and patient eligibility

About

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.

Enrollment: 45 patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• 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.

Exclusion criteria

• 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.

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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45 participants in 2 patient groups

Intervention group

Experimental group

Description:

Patients in the experimental group will wear an eye patch after 22:00, when clinical interventions are less frequent, and will be listened to calming music once a day for 1 hour for 3 days.

Treatment:

Behavioral: Eye patch

Control group

No Intervention group

Description:

No treatment will be performed on patients in the control group outside of their clinical routine.