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Amaç: Araştırma, cerrahi yoğun bakım ünitesinde yatan hastaların mekanik ventilasyondan ayırma sürecinde uygulanan doğa temelli ses terapisinin etkisini incelenmek amacıyla yapıldı. Gereç ve Yöntem: Bu randomize kontrollü deneysel araştırma 64 hasta ile yapıldı. Hastalar deney (n=34) ve kontrol (n=34) grubu olmak üzere ikiye ayrıldı. Ventilatörden ayırmadan önce deney grubundaki gözleri kapatıldı, 30 dakika doğa temelli ses terapisi uygulandı. Her iki uygulama öncesi ve sonrası hastaların arteriyel sistolik ve diyastolik kan basınçları, kalp atım hızları, solunum sayıları, oksijen satürasyonu değerleri, ağrı ve anksiyete düzeyleri karşılaştırıldı. Veriler kişisel bilgi formu, veri kayıt formu, Yüz Ağrı Skalası, Glaskow Koma Skalası, Modifiye Edilmiş Gülen Yüz Skalası, Richmond Ajitasyon-Sedasyon Skalası ile toplandı. Bulgular: Deney ve kontrol grubundaki hastaların ortalama sistolik ve diyastolik arteriyel kan basınçları, kalp atım hızları ve solunum hızları, uygulama yöntemlerine ve ölçüm zamanlarına göre elde edilen bulguların, klinik ve istatistiksel açıdan anlamlı farklılık gösterdiği belirlendi. Deney grubunun ağrı, ajitasyon ve anksiyete seviyelerinin, kontrol grubuna göre klinik açıdan anlamlı olarak düşük olduğu belirlendi. Sonuç: Bulgularımız, yoğun bakımda yatan cerrahi hastalarını mekanik ventilasyon desteğinden ayırma sürecinde uygulanan doğa temelli ses terapisinin arteriyel kan basıncının, kalp atım hızının ve solunum sayısının normal sınırlarda sürdürülmesinde, ağrı ve anksiyetenin azaltılmasında etkili olduğunu göstermiştir.
Purpose: The study was carried out in order to study the effects of the nature-based sound therapy applied in the process of separation of patients in the clinical intensive care unit from mechanical ventilation. This randomized controlled experimental study was conducted with 64 patients. Patients were divided into two groups: the test (n=34) and the control (n=34) group. Before separating the ventilator, the eyes in the experiment group were closed, 30 minutes of nature-based sound therapy was applied. Both patients before and after the application compared arterial systolic and diastolic blood pressure, heart rate, respiratory numbers, oxygen saturation values, pain and anxiety levels. The data was collected with personal information form, data record form, the Face Pain Scale, Glaskow Koma Scale, Modified Smile Face Scale, Richmond Agitation-Sedation Scale. The findings: The findings obtained by patients in the test and control group found that the average systolic and diastolic arterial blood pressure, heart rate and respiratory rate, the methods of application and time of measurement showed significant differences in clinical and statistical terms. The study group found that the levels of pain, agitation and anxiety were clinically significantly low according to the control group. Results: Our findings have shown that the nature-based sound therapy used in the process of separating patients under intensive care from mechanical ventilation support is effective in the maintenance of arterial blood pressure, heart rate and respiratory rate at normal limits, reducing pain and anxiety.
Purpose: The study was conducted to investigate the effect of nature-based sound therapy on patients during the separation from mechanical ventilator in a surgical intensive care unit. Materials and Methods: This randomized was controlled experimental study conducted with 64 patients. The patients was divided into two groups as experiment (n =34) and control (n =34) group. Before separating from the ventilator, the eyes in the experimental group were closed and 30 minutes of nature-based sound therapy was applied. Patients' arterial systolic and diastolic blood pressures, heart rate, respiratory counts, oxygen saturation values, pain at both 0th and 30th minutes before and after each interventions and the 0th, 10th, 20th and 30th minutes of seperation from the ventilator, and anxiety levels were compared. Data were collected by personal information form, survey form, Face Pain Scale, Glaskow Coma Scale, Modified Smiley Face Scale, and Richmond Agitation-Sedation Scale. Results: Clinical and statistically significant differences were found in the patients in the experimental and control groups for mean systolic and diastolic blood pressures, heart and respiration rates, administration methods and measurement times. Pain, agitation and anxiety levels of the experimental group were found clinically and significantly lower than the control group. Conclusion: Nature-based sound therapy applied in the process of separating the surgical patients from the intensive care unit from the mechanical ventilation support is effective in maintaining the arterial blood pressure, heart rate and respiratory rate in the normal range, and reducing the pain and anxiety.
Field : Sağlık Bilimleri
Journal Type : Uluslararası
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