The effect of listenings to books on sleep quality and vital signs in i̇ntensive care patients

Sleep deprivation is one of the most common problems in intensive care patients and affects recovery. Therefore, reducing the effects of factors that cause sleep deprivation is of great importance in accelerating recovery. This study was conducted to examine the effect of listening to a book on sleep quality and vital signs in the intensive care unit. In the study, a quasi-experimental design was used in the pre-test post-test design. The study was carried out in a State Hospital Internal Medicine Intensive Care Unit in Konya between January and June 2022. A total of 56 patients, 28 controls and 28 interventions, constituted the sample size. Data were collected using the Descriptive Characteristics Form, the Sleep Evaluation Form, and the Richard Campbell Sleep Scale (RCSQ). Standard care and routine treatments were applied to the intervention and control group on the first day of the study. On the second day, the intervention group listened to the story, and the control group continued standard care. Ethics committee permission and institutional permission of the study were obtained from the patients. Data were given as descriptive features (mean, standard deviation, number and percentile) using the SPSS 25.0 package program. In addition, homogeneity was examined by Levene and normality assumptions were examined by Shapiro-Wilk test. In the analysis of the data, Chi-Square test, Mauchly test, Mann Whitney U test, Sphericity Assumed test, Huynh-Feldt test, Greenhouse Geisser test, mixed design analysis of variance and Bonferroni-Dunn test were used and the significance level was accepted as p<0.05. In the study, the mean age of the control group was 60.18±12.23, and the mean age of the intervention group was 58.96±11.54. Demographic characteristics, disease information and sleep status showed similar distribution in the two groups (p>0.05). When the RCSQ scores were examined, the pretest mean score of the control group was 19.61±7.34, the posttest mean score was 15.36±7.87, and the scale score average of the intervention group was 18.04±7.21 in the pretest, posttest, 53 It was determined to be .04±13.42. Significance was found in pulse and blood pressure in the interaction of vital signs and time groups, and no change was observed in fever and respiratory rate. In the within-group evaluation, the post-test results of the intervention group were found to be lower than the pre-test results. As a result, it has been determined that listening to books in intensive care patients improves sleep quality and creates positive results in life parameters. In line with the results, it is recommended to increase the activities of listening to books in the intensive care unit, to include the patient in the care by offering various story options that they can listen to during bedtime, and to support such interventions with nurse trainings. KeyWords: İntensive care, listening to book, nursing, sleep quality