Australian Critical Care最新文献

英文中文

Comment on dose-response relationship between awake prone-positioning duration and PaO2/FiO2 changes and risk of disease aggravation in patients with severe COVID-19 关于清醒俯卧位持续时间与 PaO2/FiO2 变化之间的剂量反应关系以及严重 COVID-19 患者病情加重风险的评论。

IF 2.6 3区医学 Q2 CRITICAL CARE MEDICINE

Australian Critical Care

Pub Date : 2024-10-10 DOI: 10.1016/j.aucc.2024.09.007

Hinpetch Daungsupawong PhD, Viroj Wiwanitkit MD

引用次数: 0

Six-month outcomes after traumatic brain injury in the Augmented versus Routine Approach to Giving Energy multicentre, double-blind, randomised controlled Trial (TARGET) 多中心、双盲、随机对照试验（TARGET）中脑外伤后 6 个月的疗效。

IF 2.6 3区医学 Q2 CRITICAL CARE MEDICINE

Australian Critical Care

Pub Date : 2024-10-10 DOI: 10.1016/j.aucc.2024.09.001

Kym Wittholz MDietS , Kate Fetterplace BNutDiet, PhD , Lee-anne Chapple MNutDiet, PhD , Emma J. Ridley BNutriDietet, PhD , Mark Finnis MBBS, MBiostat , Jeffrey Presneill MBBS, MBiostat, PhD , Marianne Chapman MBBS, PhD , Sandra Peake MBBS, PhD , Rinaldo Bellomo MBBS, PhD , Amalia Karahalios HBSc, PhD , Adam M. Deane MBBS, PhD

Background

Critically ill patients with a traumatic brain injury (TBI) may require prolonged intensive care unit (ICU) admission and hence receive greater exposure to hospital enteral nutrition. It is unknown if augmented energy delivery with enteral nutrition during ICU admission impacts quality of life in survivors or gastrointestinal tolerance during nutrition delivery in the ICU.

Objectives

The objective of this study was to compare health-related quality of life, using the EuroQol five-dimensions five-level visual analogue scale at 6 months, in survivors who presented with a TBI and received augmented energy (1.5 kcal/ml) to those who received routine energy (1.0 kcal/ml). Secondary objectives were to explore differences in total energy and protein delivery, gastrointestinal tolerance, and mortality between groups.

Methods

Secondary analysis of participants admitted with a TBI in the Augmented versus Routine Approach to Giving Energy Trial (TARGET) randomised controlled trial. Data are represented as n (%) or median (interquartile range).

Results

Of the 3957 patients in TARGET, 231 (5.8%) were admitted after a TBI (augmented = 124; routine = 107). Patients within TARGET who were admitted with a TBI were relatively young (42 [27, 61] years) and received TARGET enteral nutrition for an extended period (9 [5, 15] days). At 6 months, EuroQol five-dimensions five-level quality-of-life scores were available for 166 TBI survivors (72% of TBI cohort randomised, augmented = 97, routine = 69). There was no evidence of a difference in quality of life (augmented = 70 [52, 90]; routine = 70 [55, 85]; median difference augmented vs routine = 0 [95% confidence interval: -5, 10]). TBI participants assigned to augmented energy received more energy with a similar protein than the routine group. Gastrointestinal tolerance was similar between groups.

Conclusion

While patients admitted after a TBI received enteral nutrition for an extended period, an increased exposure to augmented energy did not affect survivors’ quality-of-life scores.

背景：创伤性脑损伤（TBI）重症患者可能需要长期入住重症监护室（ICU），因此需要接受更多的医院肠内营养。在入住重症监护室期间使用肠内营养增加能量输送是否会影响幸存者的生活质量或重症监护室营养输送期间的胃肠道耐受性，目前尚不清楚：本研究的目的是使用 EuroQol 五维度五级视觉类比量表，比较创伤性脑损伤幸存者在 6 个月后与常规能量（1.0 千卡/毫升）相关的健康生活质量。次要目标是探讨各组之间在总能量和蛋白质输送、胃肠道耐受性和死亡率方面的差异：对随机对照试验（TARGET）中因创伤性脑损伤入院的参与者进行二次分析。数据以n（%）或中位数（四分位数间距）表示：结果：在 TARGET 的 3957 名患者中，有 231 人（5.8%）在发生创伤性脑损伤后入院（增强型=124 人；常规=107 人）。因创伤性脑损伤入院的 TARGET 患者相对年轻（42 [27, 61] 岁），接受 TARGET 肠内营养的时间较长（9 [5, 15] 天）。6 个月后，166 名创伤性脑损伤幸存者（占创伤性脑损伤随机组群的 72%，增强 = 97，常规 = 69）的 EuroQol 五维度五级生活质量评分结果出炉。没有证据表明生活质量存在差异（增强型 = 70 [52, 90]；常规型 = 70 [55, 85]；增强型与常规型的中位数差异 = 0 [95% 置信区间：-5, 10]）。与常规组相比，接受增能治疗的创伤性脑损伤患者获得的蛋白质能量更多。各组的胃肠道耐受性相似：结论：虽然创伤性脑损伤后入院的患者需要长期接受肠内营养，但增加能量摄入并不会影响幸存者的生活质量评分。

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引用次数: 0

Comparison of different eye care methods to prevent dry eye and corneal ulcer in older critically ill patients: A three-arm randomised clinical trial. 比较不同的眼部护理方法以预防老年重症患者的干眼症和角膜溃疡：三臂随机临床试验。

IF 2.6 3区医学 Q2 CRITICAL CARE MEDICINE

Australian Critical Care

Pub Date : 2024-10-09 DOI: 10.1016/j.aucc.2024.09.005

Mahsa Tebyanian, Ali Darvishpoor Kakhki, Sepehr Feizi

Background: As the population ages, the number of older patient admitted to intensive care units (ICUs) will increase. This age group is at higher risk for developing eye problems because of higher prevalence of dry eye among older people. Inconsistency of early studies' results and less attention to eye care guidelines for older patients in the ICU pose severe consequences such as dry eye and corneal ulcer.

Objective: The objective of this study was to investigate the effectiveness of artificial tear gel, polyethylene cover, and conventional eye care methods for preventing dry eye and corneal ulcer in older patients admitted to an ICU.

Methods: In this three-arm randomised clinical trial, 99 older ICU patients with Glasgow Coma Scale scores measuring <7 were randomly assigned to one of three treatment groups: (i) participants who received artificial tear gel in one eye and polyethylene cover on the other; (ii) these interventions were applied in the opposite eyes; and (iii) participants who received conventional eye care including antiallergic adhesive to closed eyelids. Development of dry eye and corneal ulcer was assessed based on Schirmer's and the fluorescein tests for 5 days. Repeated measures analysis of variance was used to detect differences between groups.

Results: The mean age of the participants was 70.91 (±9.47). No statistically significant difference was observed between the groups regarding baseline demographic and disease characteristics. While there was a nonsignificant difference between artificial tear gel and polyethylene cover in reducing dry eye and corneal ulcer, each of these methods could reduce dry eye and corneal ulcer significantly (P < 0.001) compared with conventional eye care.

Conclusions: The results revealed that artificial tear gel eye care and polyethylene cover methods were more effective in prevention of dry eye and corneal ulcer than antiallergic adhesive eye care. Nurses can choose an appropriate care method based on clinical conditions, costs, and care burden in older ICU patients.

Registration: Iranian Clinical Trial Registry (IRCT20200711048079N1). The first recruitment was conducted in October 2021.

背景：随着人口老龄化，入住重症监护病房（ICU）的老年患者人数将会增加。由于干眼症在老年人中的发病率较高，这一年龄段的人患眼疾的风险也较高。早期研究结果的不一致性以及对重症监护室老年患者眼部护理指南的关注度较低，都会造成干眼症和角膜溃疡等严重后果：本研究旨在探讨人工泪液凝胶、聚乙烯覆盖物和传统眼部护理方法对重症监护病房老年患者预防干眼症和角膜溃疡的效果：在这项三臂随机临床试验中，对 99 名格拉斯哥昏迷量表评分的 ICU 老年患者进行了测量：参与者的平均年龄为 70.91 (±9.47)岁。在基线人口统计学特征和疾病特征方面，两组之间没有发现明显的统计学差异。虽然人工泪液凝胶和聚乙烯覆盖物在减少干眼症和角膜溃疡方面没有显著差异，但这两种方法都能显著减少干眼症和角膜溃疡（P 结论：人工泪液凝胶和聚乙烯覆盖物在减少干眼症和角膜溃疡方面没有显著差异，但这两种方法都能显著减少干眼症和角膜溃疡：结果显示，人工泪液凝胶眼部护理和聚乙烯覆盖法在预防干眼症和角膜溃疡方面比抗过敏粘合剂眼部护理更有效。护士可根据 ICU 老年患者的临床情况、成本和护理负担选择合适的护理方法：伊朗临床试验注册中心（IRCT20200711048079N1）。首次招募于 2021 年 10 月进行。

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引用次数: 0

In-hospital mortality is associated with observation-chart modifications 住院死亡率与观察图表的修改有关。

IF 2.6 3区医学 Q2 CRITICAL CARE MEDICINE

Australian Critical Care

Pub Date : 2024-10-08 DOI: 10.1016/j.aucc.2024.05.002

Daksh Tyagi, Sheryn Tan, Joshua G. Kovoor, Brandon Stretton, Minh-Son To, Rudy Goh, Christopher D. Ovenden, Yiran Tan, James Malycha, Aashray K. Gupta, Stephen Bacchi

引用次数: 0

Gastrointestinal complications from a cardiac surgical perspective 从心脏外科角度看胃肠道并发症。

IF 2.6 3区医学 Q2 CRITICAL CARE MEDICINE

Australian Critical Care

Pub Date : 2024-10-08 DOI: 10.1016/j.aucc.2024.08.001

Rohan Magoon DM, Sunaakshi Puri DM, Anjishnujit Bandyopadhyay DM

引用次数: 0

Ultrasound to support neonatal vascular access 超声支持新生儿血管通路。

IF 2.6 3区医学 Q2 CRITICAL CARE MEDICINE

Australian Critical Care

Pub Date : 2024-10-08 DOI: 10.1016/j.aucc.2024.06.002

Jessica Ruggiero MD , Carmen Rodriguez-Perez MD, PhD , Francesco Maria Risso MD, PhD

引用次数: 0

Defining minimum workforce standards for intensive care physiotherapy in Australia and New Zealand: A Delphi study 确定澳大利亚和新西兰重症监护物理治疗的最低劳动力标准：Dephi 研究。

IF 2.6 3区医学 Q2 CRITICAL CARE MEDICINE

Australian Critical Care

Pub Date : 2024-09-21 DOI: 10.1016/j.aucc.2024.08.005

Peter Thomas BPhty (Hons), PhD, FACP , Wendy Chaseling MEd, MHlthSc (Physio) , Leanne Marais BPhysT, PG Dip Health Sciences (Rehab) , Claire Matheson BPhty , Michelle Paton MPhty, PhD , Nelmari Swanepoel BSc Physiotherapy

Background

Intensive care staffing guidelines provide recommendations for the safe and effective delivery of health care while recognising professional requirements of the workforce. To guide recommendations for physiotherapy staffing guidelines, profession-specific consultation is needed.

Objectives

The objective of this study was to develop consensus-based recommendations for minimum workforce standards for physiotherapy in intensive care.

Methods

A Delphi survey process was conducted involving physiotherapists from Australia and New Zealand.

Results

The panel consisted of 65 physiotherapists in the first round and 60 in the second round (92% retention). Respondents were from both Australia (49, 76%) and New Zealand (16, 24%) who had been physiotherapists for an average of 18.8 ± 9.0 years and were primarily senior intensive care physiotherapists (44, 68%). Respondents had experience across level 3 (50, 77%), level 2 (18, 28%), and level 1 (5, 8%) adult intensive care units (ICUs), adult high-dependency units (27, 42%), and paediatric intensive care (6, 9%). A total of 42 statements were presented, with 37 reaching consensus after two rounds. After two rounds, consensus was achieved for a minimum staffing ratio in paediatric ICUs of one physiotherapist per six (1:6) beds. For adult ICUs, use of the median value of the participant's responses was supported to establish minimum staffing ratios of 1:8, 1:7, 1:6, and 1:8 for levels 1, 2, and 3 ICUs and high-dependency units, respectively. The requirement for an additional allocation for senior physiotherapist staffing for each ICU level was also established. Statements that also gained consensus included recommendations for access to on-call and weekend services for all ICU settings and the consideration of evening shifts specifically for level 3 and paediatric ICUs.

Conclusions

Recommendations for minimum staffing for physiotherapy in intensive care settings were achieved and supported requirements for clinical service delivery, supervision, and training.

背景：重症监护人员配置指南为安全有效地提供医疗服务提供了建议，同时也承认了工作人员的专业要求。为指导物理治疗人员配备指南的建议，需要进行专业咨询：本研究的目的是为重症监护中的物理治疗最低人力标准制定基于共识的建议：方法：对澳大利亚和新西兰的物理治疗师进行德尔菲调查：调查小组第一轮由 65 名物理治疗师组成，第二轮由 60 名物理治疗师组成（保留率为 92%）。受访者分别来自澳大利亚（49 人，占 76%）和新西兰（16 人，占 24%），他们平均从事物理治疗师工作 18.8 ± 9.0 年，主要是高级重症监护物理治疗师（44 人，占 68%）。受访者在三级（50 人，占 77%）、二级（18 人，占 28%）和一级（5 人，占 8%）成人重症监护病房（ICU）、成人高度依赖病房（27 人，占 42%）和儿科重症监护病房（6 人，占 9%）工作过。共提交了 42 份声明，其中 37 份在两轮讨论后达成了共识。经过两轮讨论，就儿科重症监护病房的最低人员配备比例达成共识，即每六张病床配备一名物理治疗师（1:6）。对于成人重症监护病房，支持使用参与者回答的中值来确定 1 级、2 级和 3 级重症监护病房以及高度依赖病房的最低人员配置比例，分别为 1:8、1:7、1:6 和 1:8。会议还确定了为每一级重症监护病房增配高级物理治疗师的要求。获得共识的声明还包括建议在所有 ICU 环境中提供随叫随到和周末服务，以及考虑专门为 3 级和儿科 ICU 设置晚班：结论：重症监护环境中物理治疗的最低人员配备建议已经达成，并支持对临床服务提供、监督和培训的要求。

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引用次数: 0

Mastering tracheostomy care: Refresher programme for tracheostomy training for nurses: Comparison of two training methods based on hands-on simulation-based training alone versus additional complementary self-directed e-learning 掌握气管造口护理：护士气管造口术培训进修计划：比较两种培训方法，一种是单独的模拟实践培训，另一种是补充性的自主电子学习。

IF 2.6 3区医学 Q2 CRITICAL CARE MEDICINE

Australian Critical Care

Pub Date : 2024-09-21 DOI: 10.1016/j.aucc.2024.09.004

Wei Jun, Dan Ong RRT, MPA , Amit Kansal MBBS, MD, FCICM , Fauziah Jabil RN, GradDip (HA) , Li- Phing, Clarice Wee APN, MN , Yit Ying, Adeline Tan MBBS, MRCP , Ching Yee Tan MBBS, MRCP , Eleanor Dela Peña RTRP, BS , Faheem Ahmed Khan MBBS, FCEM, FICM

Background

Effective clinical education is essential for managing tracheostomy patients safely and efficiently. Simulation-based training has shown greater efficacy than traditional methods in various clinical settings. Our internal training programme, called the Tracheostomy Refresher Program (TRP) was used to enhance nurses' skills in tracheostomy care.

Aim/objective

The aim of this study was to evaluate the impact of the TRP on nurses' self-reported knowledge and confidence and psychomotor skills comparing hands-on simulation-based training alone (TRP-S) with both the simulation-based training and the e-learning component (TRP-S + e).

Methods

The study was conducted at a large tertiary hospital in Singapore from February 2022 to October 2022, focussing on the TRP. Participants were divided into two cohorts: those receiving TRP-S and those receiving additional complementary TRP-S + e. All participants completed theory tests and affective questionnaires before and after the training to assess knowledge and attitudes. At the same time, their psychomotor skills were evaluated during the simulation using a standardised checklist. The two cohorts were then compared based on the results of these pretests and post-tests and the psychomotor skills assessment to evaluate the effectiveness of the additional e-learning component.

Results

Participants reported significantly enhanced confidence, knowledge, and psychomotor skills in tracheostomy care post training (p < 0.001 for all). The TRP-S + e cohort showed significantly higher knowledge and confidence scores than the TRP-S cohort (p < 0.001 for both).

Conclusion

Our study suggests that a TRP incorporating hands-on simulation-based training with or without e-learning significantly improved self-reported knowledge, confidence, and psychomotor skills in tracheostomy care. Future research should explore the optimal duration, engagement strategies, and cost-effectiveness of such educational techniques and whether similar approaches can be applied for other clinical skills.

背景：有效的临床教育对于安全高效地管理气管造口术患者至关重要。在各种临床环境中，模拟训练比传统方法更有效。我们的内部培训计划名为 "气管造口术进修计划"（TRP），旨在提高护士在气管造口术护理方面的技能：本研究的目的是评估 TRP 对护士自我报告的知识和信心以及心理运动技能的影响，并对单独的模拟实训（TRP-S）与模拟实训和电子学习部分（TRP-S + e）进行比较：研究于 2022 年 2 月至 2022 年 10 月在新加坡一家大型三级医院进行，重点是 TRP。所有参与者在培训前后都完成了理论测试和情感问卷，以评估知识和态度。同时，在模拟训练过程中，还使用标准化检查表对他们的心理运动技能进行了评估。然后，根据这些前测、后测和心理运动技能评估的结果，对两组学员进行比较，以评估额外电子学习内容的效果：结果：参加培训的人员在培训后对气管造口护理的信心、知识和心理运动技能都有了明显提高（P 结论：我们的研究表明，气管造口护理培训计划（TRP）包含了气管造口护理方面的知识和心理运动技能：我们的研究表明，无论是否采用电子学习，以动手模拟为基础的 TRP 都能显著提高自我报告的气管造口护理知识、信心和心理运动技能。未来的研究应探索此类教育技术的最佳持续时间、参与策略和成本效益，以及类似方法是否可用于其他临床技能。

{"title":"Mastering tracheostomy care: Refresher programme for tracheostomy training for nurses: Comparison of two training methods based on hands-on simulation-based training alone versus additional complementary self-directed e-learning","authors":"Wei Jun, Dan Ong RRT, MPA , Amit Kansal MBBS, MD, FCICM , Fauziah Jabil RN, GradDip (HA) , Li- Phing, Clarice Wee APN, MN , Yit Ying, Adeline Tan MBBS, MRCP , Ching Yee Tan MBBS, MRCP , Eleanor Dela Peña RTRP, BS , Faheem Ahmed Khan MBBS, FCEM, FICM","doi":"10.1016/j.aucc.2024.09.004","DOIUrl":"10.1016/j.aucc.2024.09.004","url":null,"abstract":"<div><h3>Background</h3><div>Effective clinical education is essential for managing tracheostomy patients safely and efficiently. Simulation-based training has shown greater efficacy than traditional methods in various clinical settings. Our internal training programme, called the Tracheostomy Refresher Program (TRP) was used to enhance nurses' skills in tracheostomy care.</div></div><div><h3>Aim/objective</h3><div>The aim of this study was to evaluate the impact of the TRP on nurses' self-reported knowledge and confidence and psychomotor skills comparing hands-on simulation-based training alone (TRP-S) with both the simulation-based training and the e-learning component (TRP-S + e).</div></div><div><h3>Methods</h3><div>The study was conducted at a large tertiary hospital in Singapore from February 2022 to October 2022, focussing on the TRP. Participants were divided into two cohorts: those receiving TRP-S and those receiving additional complementary TRP-S + e. All participants completed theory tests and affective questionnaires before and after the training to assess knowledge and attitudes. At the same time, their psychomotor skills were evaluated during the simulation using a standardised checklist. The two cohorts were then compared based on the results of these pretests and post-tests and the psychomotor skills assessment to evaluate the effectiveness of the additional e-learning component.</div></div><div><h3>Results</h3><div>Participants reported significantly enhanced confidence, knowledge, and psychomotor skills in tracheostomy care post training (p < 0.001 for all). The TRP-S + e cohort showed significantly higher knowledge and confidence scores than the TRP-S cohort (p < 0.001 for both).</div></div><div><h3>Conclusion</h3><div>Our study suggests that a TRP incorporating hands-on simulation-based training with or without e-learning significantly improved self-reported knowledge, confidence, and psychomotor skills in tracheostomy care. Future research should explore the optimal duration, engagement strategies, and cost-effectiveness of such educational techniques and whether similar approaches can be applied for other clinical skills.</div></div>","PeriodicalId":51239,"journal":{"name":"Australian Critical Care","volume":"38 2","pages":"Article 101119"},"PeriodicalIF":2.6,"publicationDate":"2024-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142300387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Intensive care unit patients' experiences of receiving music therapy sessions during invasive procedures: A qualitative phenomenological study 重症监护室患者在侵入性手术过程中接受音乐治疗的体验：定性现象学研究。

IF 2.6 3区医学 Q2 CRITICAL CARE MEDICINE

Australian Critical Care

Pub Date : 2024-09-21 DOI: 10.1016/j.aucc.2024.07.085

Verónica Saldaña-Ortiz RN, MN , Esther Martínez-Miguel RN, PhD , Carlos Navarro-García RN, PhD , Isabel Font-Jimenez RN, PhD , José Miguel Mansilla-Domínguez RN, PhD

Background

Excessive noise in intensive care units poses a significant challenge, impacting both patients and staff by elevating stress, disrupting recovery, and impeding effective communication among healthcare professionals. Despite the World Health Organization recommending noise levels below 35 dB, alarms in these units often surpass these limits, contributing to consistently high noise levels.

Objectives

The aim of this study is to explore intensive care unit patients' experiences with music therapy sessions during invasive procedures.

Methods

This study was conducted using a qualitative hermeneutic phenomenological methodology grounded in Heideggerian philosophy. Interventions were conducted with a music therapist, and 14 in-depth interviews were collected. Reflexive inductive thematic analysis was performed.

Results/Findings

From the thematic analysis extracted from the 14 personal interviews, three themes were described that represent the bulk of the experiences and emotions of the study participants following the completion of the music therapy sessions. The most noteworthy results are described in the following, organised according to each theme: (i) music therapy against noise, sounds, and light; (ii) music therapy in the face of invasive tests and techniques; and (iii) music therapy as a strategy and tool.

Conclusions

Music therapy has significant potential to enhance the quality of life for patients in the intensive care unit. Music therapy can promote relaxation, reduce stress and anxiety, alleviate pain and discomfort, and improve emotional and physical wellbeing during patients' stay and invasive procedures.

背景：重症监护病房中的噪音过大是一个巨大的挑战，它通过增加压力、干扰恢复和阻碍医护人员之间的有效沟通来影响患者和工作人员。尽管世界卫生组织建议噪音水平应低于 35 分贝，但重症监护室的警报声往往超过了这一限制，导致噪音水平居高不下：本研究旨在探讨重症监护病房患者在侵入性手术过程中的音乐治疗体验：本研究采用以海德格尔哲学为基础的定性诠释现象学方法。由一名音乐治疗师进行干预，并收集了 14 个深度访谈。进行了反思性归纳主题分析：从 14 个个人访谈中提取的主题分析描述了三个主题，它们代表了研究参与者在音乐治疗课程结束后的大部分经历和情感。最值得注意的结果描述如下，根据每个主题进行组织：(i) 音乐疗法对抗噪音、声音和光线；(ii) 音乐疗法面对侵入性测试和技术；(iii) 音乐疗法作为一种策略和工具：结论：音乐疗法在提高重症监护室病人的生活质量方面潜力巨大。结论：音乐疗法在提高重症监护病房患者的生活质量方面具有巨大潜力。音乐疗法可以促进患者放松、减轻压力和焦虑、缓解疼痛和不适，并改善患者在住院期间和侵入性程序中的情绪和身体状况。

{"title":"Intensive care unit patients' experiences of receiving music therapy sessions during invasive procedures: A qualitative phenomenological study","authors":"Verónica Saldaña-Ortiz RN, MN , Esther Martínez-Miguel RN, PhD , Carlos Navarro-García RN, PhD , Isabel Font-Jimenez RN, PhD , José Miguel Mansilla-Domínguez RN, PhD","doi":"10.1016/j.aucc.2024.07.085","DOIUrl":"10.1016/j.aucc.2024.07.085","url":null,"abstract":"<div><h3>Background</h3><div>Excessive noise in intensive care units poses a significant challenge, impacting both patients and staff by elevating stress, disrupting recovery, and impeding effective communication among healthcare professionals. Despite the World Health Organization recommending noise levels below 35 dB, alarms in these units often surpass these limits, contributing to consistently high noise levels.</div></div><div><h3>Objectives</h3><div>The aim of this study is to explore intensive care unit patients' experiences with music therapy sessions during invasive procedures.</div></div><div><h3>Methods</h3><div>This study was conducted using a qualitative hermeneutic phenomenological methodology grounded in Heideggerian philosophy. Interventions were conducted with a music therapist, and 14 in-depth interviews were collected. Reflexive inductive thematic analysis was performed.</div></div><div><h3>Results/Findings</h3><div>From the thematic analysis extracted from the 14 personal interviews, three themes were described that represent the bulk of the experiences and emotions of the study participants following the completion of the music therapy sessions. The most noteworthy results are described in the following, organised according to each theme: (i) music therapy against noise, sounds, and light; (ii) music therapy in the face of invasive tests and techniques; and (iii) music therapy as a strategy and tool.</div></div><div><h3>Conclusions</h3><div>Music therapy has significant potential to enhance the quality of life for patients in the intensive care unit. Music therapy can promote relaxation, reduce stress and anxiety, alleviate pain and discomfort, and improve emotional and physical wellbeing during patients' stay and invasive procedures.</div></div>","PeriodicalId":51239,"journal":{"name":"Australian Critical Care","volume":"38 2","pages":"Article 101109"},"PeriodicalIF":2.6,"publicationDate":"2024-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142300386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Special issue: Challenges and Opportunities for ICU Recovery 特刊：康复与恢复。

IF 2.6 3区医学 Q2 CRITICAL CARE MEDICINE

Australian Critical Care

Pub Date : 2024-09-20 DOI: 10.1016/j.aucc.2024.09.003

Lee-anne S. Chapple PhD, APD, Peter Kelly

引用次数: 0

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