Anxiety, Critical Care, Delirium, Intensive Care Unit, Sleep Quality
Conditions
Brief summary
This study will investigate the effect of nonpharmacological intervention in sleep quality, anxiety and delirium among adult ICU patients.
Detailed description
Background: Due to the intensive care unit (ICU) noisy environment, nearly 66% critically ill patientsseem to suffer from poor sleep quality, which can easily lead to complications, such as anxiety, delirium, prolong hospital stay, and even increased mortality. Objective: This study will investigate the effect of nonpharmacological intervention in sleep quality, anxiety and delirium among adult ICU patients. Methods: The design of this study is a randomized experimental study recruiting 154 patients from five adult ICUs in a teaching hospital located in the central southern Taiwan. The experimental group (n=77, nonpharmacological intervention, and the control group (n=77, routine care). The nonpharmacological intervention involves listening of 30 mins ocean wave music, aromatherapy of lavender essential oil, and eye masks and earplugs. Research measurement tools, including demographic data, physiological index questionnaire, Richards-Campbell sleep scale (RCSQ), Chinese Visin-style sleep scale, Chinese State -Trait Anxiety Inventory-1, visual analogue scale for anxiety, which will be measured five times, before intervention (T1), every 9AM for three days (T2, T3, T4), and ICU transferring day (T5). SPSS 26.0 will be used to analyze data by using descriptive statistics, chi-square test, pearson correlation, independent t-test, paired t-test, ANOVA, generalized estimating equation (GEE).
Interventions
DEVICEmusic combined with lavender essential oil group
listening of 30 mins ocean wave music, aromatherapy of lavender essential oil, and eye masks and earplugs.
Sponsors
Chiayi Christian Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
The experimental group (n=77, nonpharmacological intervention, and the control group (n=77, routine care). The nonpharmacological intervention involves listening of 30 mins ocean wave music, aromatherapy of lavender essential oil, and eye masks and earplugs.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Conscious and able to speak or write (GCS ≥ 11) * Hemodynamically stable * Normal hearing and able to communicate in a low voice * Stay in ICU for more than 24 hours * Aged over 18 years.
Exclusion criteria
* Pre-existing insomnia diagnosis with long-term reliance on sleep medication, * Sleep-related medical history such as sleep apnea * Shift work prior to hospitalization * Diagnosis of alcohol abuse or schizophrenia * End-of-life or terminal conditions * Allergy to essential oils * Exclusion of dementia
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Sleep Quality1 | To record the sleep quality at 5 times, T1: the time before treatment; T2-T4: the following three days after treatment; T5: the day leaving ICU. | The investigator records the sleep quality using Richards-Campbell sleep scale |
| Sleep Quality2 | To record the sleep quality at 5 times, T1: the time before treatment; T2-T4: the following three days after treatment; T5: the day leaving ICU. | The investigator records the sleep quality using Verran sleep scale |
| Anxiety1 | To record the anxiety at 5 times, T1: the time before treatment; T2-T4: the following three days after treatment; T5: the day leaving ICU. | The investigator records the degree of anxiety using the spielberger state- trait anxiety inventory |
| Anxiety2 | To record the anxiety at 5 times, T1: the time before treatment; T2-T4: the following three days after treatment; T5: the day leaving ICU. | The investigator records the degree of anxiety using the Visual analogue scale. |
Contacts
Primary ContactYi Yin Hou
Outcome results
None listed