Elsayed, S., Weheida, S., Elmasry, M., Elbana, H. (2025). Effect of Using two Different Auditory Stimulation on Patients Clinical Outcomes in Cardiac Intensive Care Units. Assiut Scientific Nursing Journal, 13(51), 184-197. doi: 10.21608/asnj.2025.368737.2037
Shimmaa Mohamed Elsayed; Soheir Mohamed Weheida; Maged Mohamed Elmasry; Hanaa Atef Elbana. "Effect of Using two Different Auditory Stimulation on Patients Clinical Outcomes in Cardiac Intensive Care Units". Assiut Scientific Nursing Journal, 13, 51, 2025, 184-197. doi: 10.21608/asnj.2025.368737.2037
Elsayed, S., Weheida, S., Elmasry, M., Elbana, H. (2025). 'Effect of Using two Different Auditory Stimulation on Patients Clinical Outcomes in Cardiac Intensive Care Units', Assiut Scientific Nursing Journal, 13(51), pp. 184-197. doi: 10.21608/asnj.2025.368737.2037
Elsayed, S., Weheida, S., Elmasry, M., Elbana, H. Effect of Using two Different Auditory Stimulation on Patients Clinical Outcomes in Cardiac Intensive Care Units. Assiut Scientific Nursing Journal, 2025; 13(51): 184-197. doi: 10.21608/asnj.2025.368737.2037
Effect of Using two Different Auditory Stimulation on Patients Clinical Outcomes in Cardiac Intensive Care Units
1Lecturer of Critical Care, And Emergency Nursing, Critical Care, And Emergency Nursing Department, Faculty of Nursing, Damanhour University, Egypt
2Professor of Medical Surgical Nursing, Faculty of Nursing, Alexandria University, Egypt
3Professor of Cardiology, Faculty of Medicine, Tanta University, Egypt
4Lecturer of Critical Care and Emergency Nur sing, Faculty of Nursing, Tanta University, Egypt
Abstract
Background: Cardiac intensive care patients often experience anxiety, depression, and sleep disturbance due to chest pain, separation, and difficulty orienting, with auditory stimulation as a nonpharmacological tension relief alternative. Aim: To evaluate the effect of using two different auditory stimulation on patients’ clinical outcomes in cardiac intensive care units. Research design: A randomized controlled study with a single-blind design was used. Setting: The study was conducted in Cardiac intensive Care units at Tanta University Hospital. Sample: Eighty patients were included in this study, with forty patients equally assigned to each group. Tools of data collection: Four tools were used: Patient Biogeographic and Clinical Data, Richards-Campbell Sleep Questionnaire, Visual Analogue Pain Scale, and Hospital Anxiety and Depression questionnaire. Results: The study found no significant differences between two groups in terms of demographic data, heart rates, respiratory rates, and oxygen saturation. The Nature sound group had a higher RCSQ score (60.34±9.63), lower chest pain severity scores (1.47±0.50), and a gradual decrease in anxiety (10.17±1.7) and depression levels (9.52±1.51) in third day of observation. Conclusion: The study found significant improvements in peripheral oxygen saturation and vital signs after exposure to family voice messages or natural sound intervention, improved sleep quality, and reduced anxiety and depression. Recommendation: Additional proof that auditory stimulation has the potential to improve cardiac patients' clinical outcomes. Incorporating auditory therapies into routine care protocols may improve patient rehabilitation and quality of life. More multicenter studies, validation, comparison with a control group, and other treatments were recommended.
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