Evaluating the Impact of Sound Therapy on Pain and Agitation during Endotracheal Suctioning in Critically Ill Patients

Document Type : Research articles

Authors

1 Lecturer Critical Care and Emergency Nursing, Faculty of Nursing, Assiut University

2 Assistant Professor Critical Care and Emergency Nursing, Faculty of Nursing, Assiut University

3 Assistant Professor Critical Care and Emergency Nursing, Faculty of Nursing, Sohag University

4 Lecturer Anesthesia and intensive care-, Faculty of Medicine, Luxor University

5 Assistant Professor Critical Care and Emergency Nursing Department- Nursing college of applied medical sciences-Sattam Bin Abdulaziz, Wadi Addawasir -Saudi Arabia

6 Lecturer Critical Care and Emergency Nursing, Faculty of Nursing, Sphyinx University

Abstract

Background: Sound therapy can successfully relieve a variety of painful
symptoms and is one of the most popular non-pharmacological treatments utilized by
clinical personnel. Through pitch and rhythm, it activates the limbic system, which in
turn triggers the pituitary gland to release endorphins, which results in a feeling of
wellbeing Aim of study to evaluate the impact of sound therapy on pain and
agitation during endotracheal suctioning in critically ill patients Research design: A
Quasi-experimental study design was used. Setting: the study was conducted in
General intensive care unit at Sohag main University Hospital. Subjects: Convenient
sample of 79 patients were included in the study and they were assigned randomly to
a control group and an intervention group. Five tools were utilized in this study: I:
sheet for patient assessment, II: Critical-Care Pain Observation Tool (CPOT), III:
Richmond Agitation-Sedation Scale (RASS), IV: Glasgow coma scale (GCS), V:
Clinical outcomes assessment sheet. Results: revealed that Patient in the
intervention group had significant relief of pain 5 min, and 15 min after intervention
in comparison with control group patients, as indicated with P=0.04*&0.001**.
According to the results, the study group's agitation levels were significantly lower
than those of the control group five, three, and five minutes after the intervention (pvalues
of 0.005**, 0.005**, and 0.04*, respectively). Conclusion: Sound therapy
was effective in the reduction of pain and agitation level among critically ill patients.
Recommendations: Provide in-service education about the importance of sound
therapy inside the intensive care unit.

Keywords