Aim: This study was conducted to determine the effect of listening to music during CPAP on the agitation levels of intensive care patients who underwent CPAP due to COVID-19 and their compliance with the treatment. Study Design: This study is a prospective, randomized, controlled clinical trial. Seventy-six intensive care patients with COVID-19 were included in this study and assigned to the music and control groups via the block randomization method. The study was completed with 70 patients. In this study, the patients and outcome assessors were not blinded. The Richmond Agitation and Sedation Scale (RASS) level, respiratory rate, oxygen saturation (SpO2), and mask air leakage amount were the result criteria. Results: The mean RASS score of the patients in the intervention group was 2.14±0.69 before CPAP, 1.63±064 at the 1st minute, 0.89±0.58 at the 15th minute, and 0.74±0.61 at the 30th minute. The mean RASS score of the patients in the control group was 2.06±0.53 before CPAP, 1.80±0.58 at the 1st minute, 1.43±0.60 at the 15th minute, and 1.46±0.61 at the 30th minute of CPAP. There was a statistically significant difference between the groups at the 15th and 30th minutes (t=-3.81, p \< .001; t=-4.89, p \< .001, respectively).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
70
Listening to music with a bluetooth headset during the CPAP application to the patients and checking the compatibility on the CPAP device.
Ataturk University
Erzurum, Turkey (Türkiye)
Changes in agitation level
The agitation levels of patients were monitored with the Richmond Agitation and Sedation Scale
Time frame: 30 minutes
Compliance with CPAP
Measure of respiratory rate, oxygen saturation,mask air leakage amount
Time frame: 30 minutes
Variation of agitation and CPAP compliance with time
Measurements were made before CPAP, at 1st, 15th and 30th minutes of CPAP.
Time frame: 30 minutes
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