The effects of music therapy in endotracheal suctioning of mechanically ventilated patients.
Identifieur interne : 000B38 ( Main/Exploration ); précédent : 000B37; suivant : 000B39The effects of music therapy in endotracheal suctioning of mechanically ventilated patients.
Auteurs : Ye Im Yaman Akta [Turquie] ; Neziha Karabulut [Turquie]Source :
- Nursing in critical care [ 1478-5153 ] ; 2016.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen (MeSH), Aspiration (technique) (effets indésirables), Aspiration (technique) (instrumentation), Douleur (MeSH), Femelle (MeSH), Gestion de la douleur (MeSH), Humains (MeSH), Intubation trachéale (MeSH), Musicothérapie (méthodes), Mâle (MeSH), Procédures de chirurgie cardiovasculaire (MeSH), Soins de réanimation (MeSH), Soins infirmiers intensifs (MeSH), Sujet âgé (MeSH), Trachée (MeSH), Turquie (MeSH), Ventilation artificielle (soins infirmiers).
- MESH :
- effets indésirables : Aspiration (technique).
- méthodes : Musicothérapie.
- soins infirmiers : Ventilation artificielle.
- instrumentation : Adulte d'âge moyen, Aspiration (technique), Douleur, Femelle, Gestion de la douleur, Humains, Intubation trachéale, Mâle, Procédures de chirurgie cardiovasculaire, Soins de réanimation, Soins infirmiers intensifs, Sujet âgé, Trachée, Turquie.
English descriptors
- KwdEn :
- Aged (MeSH), Cardiovascular Surgical Procedures (MeSH), Critical Care (MeSH), Critical Care Nursing (MeSH), Female (MeSH), Humans (MeSH), Intubation, Intratracheal (MeSH), Male (MeSH), Middle Aged (MeSH), Music Therapy (methods), Pain (MeSH), Pain Management (MeSH), Respiration, Artificial (nursing), Suction (adverse effects), Suction (instrumentation), Trachea (MeSH), Turkey (MeSH).
- MESH :
- adverse effects : Suction.
- instrumentation : Suction.
- methods : Music Therapy.
- nursing : Respiration, Artificial.
- Aged, Cardiovascular Surgical Procedures, Critical Care, Critical Care Nursing, Female, Humans, Intubation, Intratracheal, Male, Middle Aged, Pain, Pain Management, Trachea, Turkey.
Abstract
BACKGROUND
Endotracheal suctioning has been identified as a painful procedure for critically ill patients.
AIM
To determine the effect of music therapy on pain intensity, sedation level and physiological parameters during endotracheal suctioning of mechanically ventilated patients in cardiovascular surgery intensive care unit (ICU).
DESIGN
Experimental survey.
METHODS
The study was conducted between May 2010 and June 2013 in Ordu Medical Park Hospital Cardiovascular Surgery Intensive Care Unit. The study sample consisted of 66 patients (33 experimental and 33 control) who complied with the criteria of inclusion for the study. Data was collected using the 'Patient Information Form', 'Critical-Care Pain Observation Tool', 'Ramsay Sedation Scale' and 'Form of Physiological Parameters'.
RESULTS
The mean scores of the Ramsay Sedation Scale during endotracheal aspiration were respectively 1·88 and 1·55 in the experimental and control group and the difference between the groups was statistically significant (p = 0·003). The mean score of Critical-Care Pain Observation Tool during endotracheal suctioning in the experimental group was found to be lower statistically than those of the control group (p < 0·001). There were no significant differences before, during and 20 min after suctioning between the two groups with regard to systolic blood pressure, diastolic blood pressure, heart rate and oxygen saturation (p > 0·05).
CONCLUSIONS
The results of this study implies that music therapy can be effective practice for nurses attempting to reduce patients' pain and control sedation level in patients on mechanical ventilators during endotracheal suctioning.
RELEVANCE TO CLINICAL PRACTICE
It is recommended that music therapy should be added to the routine nursing care for mechanically ventilated patients.
DOI: 10.1111/nicc.12159
PubMed: 25721305
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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<author><name sortKey="Yaman Akta, Ye Im" sort="Yaman Akta, Ye Im" uniqKey="Yaman Akta Y" first="Ye Im" last="Yaman Akta">Ye Im Yaman Akta</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Surgical Nursing, The Faculty of Health Science, Giresun University, Giresun, Turkey.</nlm:affiliation>
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<term>Critical Care (MeSH)</term>
<term>Critical Care Nursing (MeSH)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Intubation, Intratracheal (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Music Therapy (methods)</term>
<term>Pain (MeSH)</term>
<term>Pain Management (MeSH)</term>
<term>Respiration, Artificial (nursing)</term>
<term>Suction (adverse effects)</term>
<term>Suction (instrumentation)</term>
<term>Trachea (MeSH)</term>
<term>Turkey (MeSH)</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen (MeSH)</term>
<term>Aspiration (technique) (effets indésirables)</term>
<term>Aspiration (technique) (instrumentation)</term>
<term>Douleur (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Gestion de la douleur (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Intubation trachéale (MeSH)</term>
<term>Musicothérapie (méthodes)</term>
<term>Mâle (MeSH)</term>
<term>Procédures de chirurgie cardiovasculaire (MeSH)</term>
<term>Soins de réanimation (MeSH)</term>
<term>Soins infirmiers intensifs (MeSH)</term>
<term>Sujet âgé (MeSH)</term>
<term>Trachée (MeSH)</term>
<term>Turquie (MeSH)</term>
<term>Ventilation artificielle (soins infirmiers)</term>
</keywords>
<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Suction</term>
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<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Aspiration (technique)</term>
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<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Suction</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Music Therapy</term>
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<keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Musicothérapie</term>
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<term>Cardiovascular Surgical Procedures</term>
<term>Critical Care</term>
<term>Critical Care Nursing</term>
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<term>Humans</term>
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<term>Middle Aged</term>
<term>Pain</term>
<term>Pain Management</term>
<term>Trachea</term>
<term>Turkey</term>
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<term>Aspiration (technique)</term>
<term>Douleur</term>
<term>Femelle</term>
<term>Gestion de la douleur</term>
<term>Humains</term>
<term>Intubation trachéale</term>
<term>Mâle</term>
<term>Procédures de chirurgie cardiovasculaire</term>
<term>Soins de réanimation</term>
<term>Soins infirmiers intensifs</term>
<term>Sujet âgé</term>
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<term>Turquie</term>
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<front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b>
</p>
<p>Endotracheal suctioning has been identified as a painful procedure for critically ill patients.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>AIM</b>
</p>
<p>To determine the effect of music therapy on pain intensity, sedation level and physiological parameters during endotracheal suctioning of mechanically ventilated patients in cardiovascular surgery intensive care unit (ICU).</p>
</div>
<div type="abstract" xml:lang="en"><p><b>DESIGN</b>
</p>
<p>Experimental survey.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<p>The study was conducted between May 2010 and June 2013 in Ordu Medical Park Hospital Cardiovascular Surgery Intensive Care Unit. The study sample consisted of 66 patients (33 experimental and 33 control) who complied with the criteria of inclusion for the study. Data was collected using the 'Patient Information Form', 'Critical-Care Pain Observation Tool', 'Ramsay Sedation Scale' and 'Form of Physiological Parameters'.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>The mean scores of the Ramsay Sedation Scale during endotracheal aspiration were respectively 1·88 and 1·55 in the experimental and control group and the difference between the groups was statistically significant (p = 0·003). The mean score of Critical-Care Pain Observation Tool during endotracheal suctioning in the experimental group was found to be lower statistically than those of the control group (p < 0·001). There were no significant differences before, during and 20 min after suctioning between the two groups with regard to systolic blood pressure, diastolic blood pressure, heart rate and oxygen saturation (p > 0·05).</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<p>The results of this study implies that music therapy can be effective practice for nurses attempting to reduce patients' pain and control sedation level in patients on mechanical ventilators during endotracheal suctioning.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RELEVANCE TO CLINICAL PRACTICE</b>
</p>
<p>It is recommended that music therapy should be added to the routine nursing care for mechanically ventilated patients.</p>
</div>
</front>
</TEI>
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<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Endotracheal suctioning has been identified as a painful procedure for critically ill patients.</AbstractText>
<AbstractText Label="AIM" NlmCategory="OBJECTIVE">To determine the effect of music therapy on pain intensity, sedation level and physiological parameters during endotracheal suctioning of mechanically ventilated patients in cardiovascular surgery intensive care unit (ICU).</AbstractText>
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