Effect of Nature Based Sounds' Intervention on Agitation and Anxiety of Patients Admitted in Intensive Care Units.

Study Overview
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Brief Summary
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Effect of nature based sounds' intervention on Agitation and Anxiety of patients admitted in Intensive Care Units of MMIMS&R Hospital, Mullana, Ambala

Detailed Description
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INTRODUCTION: Continue stay in ICU can lead to sleep disturbances and poor stress management that may result in client's inability to adjust with the situations and use of medical support. This experience may lead to increase agitation, anxiety as well as physiological stress of client, decrease comfort level and increase recovery time as well as hospital stay. There has been great emphasis on non-pharmacological methods that decrease anxiety and stress since they are very appropriate and affordable. OBJECTIVES: The objective of the study was to assess the effect of Nature Based Sounds on Agitation and Anxiety of patients admitted in Intensive Care Units. METHODOLOGY: A Randomized Controlled Trial with pretest posttest control group design was used. Sixty patients from Surgical Intensive care unit and were selected conveniently and randomly assigned into experimental and control group using lottery method. Data was collected by Agitation Behavior Assessment Scale and Beck Anxiety Inventory.

Official Title
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Effect of Nature Based Sounds' Intervention on Agitation and Anxiety of Patients Admitted in Intensive Care Units of MMIMS&R Hospital, Mullana, Ambala

Conditions
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Agitated; State, Acute Reaction to Stress, Anxiety

Intervention / Treatment
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* Other: Nature based sounds


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Willing to participate in the study. In age group of 18 -75 years. Exclusion Criteria: Patients who were not having agitated behavior, normal anxiety and normal physiologic stress scores. Patients who were taking anti-hypertensive drugs, anti-depressants drugs and sedatives. Who could not response verbally or non-verbally in response to Sample Characteristics Performa and Beck Anxiety Inventory. Patients who were having psychiatric or neurological illness.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 75 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Experimental group<br>Nature based sounds are administered via head phones continuously for 20 minutes. | Other: Nature based sounds<br>* Nature based sound was administered to the experimental group with head phones for continuously 20minutes. Posttest was done by continuously 30 minute observation after administration of nature based sound with the same tools.<br>|
| No Intervention: Control group<br>Usual routine care was continued | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Agitation assessed with the Agitation Behavior Assessment Scale | Agitation Behavior Assessment Scale A Score of 14 = absent: the behavior is not present. 15-28= low degree. 29-42= Moderate degree. 43-56= Extreme degree. | 8-10 minutes | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Nature Based Sounds, Agitation, Anxiety, Patients, Intensive Care Units