Effects of Natural Sound Therapy on Pain and Agitation Induced by Endotracheal Suctioning: A Real-World Study.

IF 2.7 3区医学 Q2 CRITICAL CARE MEDICINE

American Journal of Critical Care Pub Date : 2024-07-01 DOI:10.4037/ajcc2024570

Qianwen Ruan, Chuanxiong Li, Meihua Qiu, Linjun Wan, Tong Sun

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引用次数: 0

Abstract

Background: Music therapy has been used as a complementary intervention to provide synergistic analgesia for various procedures.

Objective: To evaluate the effects of natural sound therapy on pain intensity and agitation scores in intubated adult Chinese patients who received endotracheal suctioning in a critical care unit.

Methods: A prospective, real-world, randomized, double-blind, controlled study was conducted from July 2021 through February 2022 among intubated surgical intensive care unit patients in a Chinese hospital. Patients were randomly assigned to a control group receiving conventional treatment or an intervention group receiving natural sound therapy plus conventional treatment (50 patients in each group). Patients' pain intensity and agitation levels were analyzed before, during, immediately after, 5 minutes after, and 15 minutes after completion of endotracheal suctioning. Pain intensity was assessed with the Critical-Care Pain Observation Tool (CPOT); agitation was assessed with the Richmond Agitation-Sedation Scale (RASS).

Results: According to CPOT scores, patients in the intervention group had significant relief of pain intensity during, immediately after, and 5 minutes after endotracheal suctioning compared with patients in the control group (all P < .001). The RASS scores showed that agitation levels were significant lower in the intervention group than in the control group during (P = .002) and immediately after (P < .001) endotracheal suctioning.

Conclusions: In this real-world study, natural sound therapy was part of a holistic bundle of interventions used to reduce pain and agitation in surgical intensive care unit patients during endotracheal suctioning.

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自然声音疗法对气管内抽吸引起的疼痛和躁动的影响：真实世界研究

背景：音乐疗法已被用作一种辅助干预措施，为各种手术提供协同镇痛：评估自然声音疗法对在重症监护病房接受气管插管吸引的中国成年患者疼痛强度和躁动评分的影响：一项前瞻性、真实世界、随机、双盲、对照研究于 2021 年 7 月至 2022 年 2 月在一家中国医院的外科重症监护病房插管患者中进行。患者被随机分配到接受常规治疗的对照组或接受自然声疗法加常规治疗的干预组（每组 50 人）。在气管插管前、插管过程中、插管后5分钟和插管后15分钟，对患者的疼痛强度和躁动程度进行分析。疼痛强度采用危重症疼痛观察工具（CPOT）进行评估；躁动采用里士满躁动-镇静量表（RASS）进行评估：根据 CPOT 评分，与对照组患者相比，干预组患者在气管内吸痰过程中、吸痰后和吸痰后 5 分钟的疼痛强度明显减轻（所有 P < .001）。RASS 评分显示，干预组患者在气管内吸痰期间（P = .002）和吸痰后立即（P < .001）的躁动程度明显低于对照组：在这项真实世界的研究中，自然声音疗法是用于减少外科重症监护病房患者在气管内吸引过程中疼痛和躁动的整体干预措施的一部分。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American Journal of Critical Care 医学-护理

CiteScore

4.30

自引率

3.70%

发文量

103

审稿时长

6-12 weeks

期刊介绍： The editors of the American Journal of Critical Care (AJCC) invite authors to submit original manuscripts describing investigations, advances, or observations from all specialties related to the care of critically and acutely ill patients. Papers promoting collaborative practice and research are encouraged. Manuscripts will be considered on the understanding that they have not been published elsewhere and have been submitted solely to AJCC.