Critically Ill Adult Patients in Intensive Care Units Clinical Trial
Official title:
Effects of Patient-Directed Interactive Music Therapy on Sleep, Delirium and Melatonin Levels is Critically Ill Elderly Patients
(Background) Adults in intensive care units (ICU), especially elderly patients often suffer from a lack of sleep or frequent sleep disruptions due to physical, emotional stress such as pain, inflammation, and anxiety. Delirium, acute cognitive dysfunction, which result from sleep deprivation often leads to prolonged ICU stay and increase medical costs. Pharmacological and non-pharmacological interventions have been tried to improve the duration and quality of sleep and to maintain diurnal cycle. (Purpose) The aim of this study is to assess the efficacy of patient-driven interactive music intervention on sleep promotion in critically ill elderly adults. Delirium and urine/blood melatonin level will be assessed, too. In this study, randomized controlled trial for 50 elderly ICU patients who aged over 65 years in each group will be proceeded.
Background: Adults in intensive care units (ICU), especially elderly patients often suffer
from a lack of sleep or frequent sleep disruptions due to physical, emotional stress such as
pain, inflammation, and anxiety. Delirium, acute cognitive dysfunction, which result from
sleep deprivation often leads to prolonged ICU stay and increase medical costs.
Pharmacological and non-pharmacological interventions have been tried to improve the duration
and quality of sleep and to maintain diurnal cycle.
Purpose: The aim of this study is to assess the efficacy of patient-driven interactive music
intervention on sleep promotion in critically ill elderly adults. Delirium and urine/blood
melatonin level will be assessed, too. In this study, randomized controlled trial for 50
elderly ICU patients who aged over 65 years in each group will be proceeded.
Primary outcome: Richards-Campbell Sleep Questionnaire
Secondary outcome: Confusion Assessment Method - ICU, blood/urine melatonin level, ICU stay,
Hospital stay, and mechanical ventilation duration / Delirium, acute cognitive dysfunction,
which result from sleep deprivation often leads to prolonged ICU stay and increase medical
costs. Elderly patients in ICU often suffer from a lack of sleep or frequent sleep
disruptions due to physical, emotional stress such as pain, inflammation, and anxiety.
Pharmacological and non-pharmacological interventions have been tried to improve the duration
and quality of sleep and to maintain diurnal cycle. If interactive music therapy could
improve quality of sleep and reduce incidence and severity of delirium in this patient
population, it will be a good way to reduce medical costs without significant complications.
Expectation: There have been many trials to reduce delirium incidence and recover sleep
patterns in ICU patients. If we could find interactive music therapy improve quality of sleep
and reduce incidence and severity of delirium in this patient population, it will be a good
way to reduce medical costs without significant complications. In addition, rhythm in music
can be a appropriate support for respiration and motor function in elderly ICU patients.
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