Mechanical ventilation (MV) is a life-supporting modality that is used in a significant proportion of ICU patients. Although this modality is designed to save life and comfort the patient, it is usually associated with several distressing situations facing the mechanically ventilated patient(1). This distress may include anxiety and agitation related to fear of pain or dying, discomfort, immobility, dyspnea, emotional distress, confusion, inability to relax, lack of sleep, tenseness, lack of control, loneliness, and fear. It is typical for stress and anxiety reactions to be revealed even if the patient is under sedation (2).
Because of the endotracheal tube itself; patients undergoing MV often have either intermittent or sustained periods of agitation. These cycles of continued agitation are commonly noted with intubated patients who are relatively alert, these patients mostly become frustrated by their inability to communicate verbally(3). Additionally, environmental factors in the ICU such as lights, high noise levels, and other continuous stimuli may significantly contribute to increasing distress and agitation.
Mechanically ventilated patients frequently receive …show more content…
Nurses in the intensive care unit often explore alternative, less expensive and more efficient ways to alleviate anxiety by balancing the potential benefits of decreased anxiety and the adverse effects of sedative medications. Exploration of the utilization of nature- based sound therapy (N-BS) may provide non-pharmacological approaches to the reduction of anxiety in the intensive care unit, where a patient undergoing mechanical ventilation has little control over the environment or treatment plan. Additionally, the N-BS as a complementary therapy may help with the facilitation of the weaning