Effect of music therapy during endotracheal suctioning

INTERVENTION: In this study, the researchers are evaluating the impact of music therapy on pain experienced during the endotracheal suctioning procedure among patients who have undergone orotracheal intubation and are being monitored in the intensive care unit (ICU). The study comprises 46 patients who meet the inclusion criteria, and the number of participants is determined based on power analysis and potential data losses. Various assessment tools, including the Patient Diagnosis and Follow‐up Form, Glasgow Coma Scale (GCS), Richmond Agitation and Sedation Scale (RASS), and Intensive Care Pain Observation Scale (CPOT), are employed to collect study data. For the preparation of music therapy material, Turkish Folk Music is chosen considering the cultural background of the patients, who are mainly individuals aged 60 and above from Central and Eastern Anatolian provinces. The selection of songs is guided by a faculty member in the musicology department, and a playlist is created for the musical intervention. The randomization process involves assigning sequence numbers to all patients and dividing them into two groups: one with music therapy (n=23) and the other without (n=23), based on numbers generated from a random numbers table. Patient relatives are informed about the study protocol, and consent is obtained before the procedure. Patient identification and follow‐up forms are completed for consenting patients. During the endotracheal suctioning procedure, music therapy is applied to one group, while the other group receives no intervention. The musical therapy begins at the start of the study protocol and concludes at the end. Both groups are monitored for pain, agitation/sedation levels, consciousness, and hemodynamic parameters at the 1st, 30th, and 40th minutes of the study CONDITION: The effect of music therapy application on the pain during the endotracheal suctioning procedure in patients followed up in the intensive care unit as orotracheal intubated. ; Signs and Symptoms PRIMARY OUTCOME: Pain measured using the Intensive Care Pain Observation Scale (CPOT) at 1, 30 and 40 minutes into the procedure SECONDARY OUTCOME: The following secondary outcome measures are assessed 1, 30 and 40 minutes into the procedure:; 1. Physiological parameters including blood pressure, pulse rate, breathing and oxygen saturation of the blood (SpO2) measured using standard methods; 2. Consciousness of patients measured using the Glasgow Coma Scale (GCS); 3. Sedation level of the patients measured using the Richmond Agitation and Sedation Scale (RASS) INCLUSION CRITERIA: 1. Need for endotracheal suctioning 2. The FiO2 value in the ventilator is below 100% 3. Stability of hemodynamic parameters 4. No painful procedure has been applied until the last 1 hour before the suctioning 5. Procedure and not has been received narcotic or opioid‐derived medical treatment