{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T15:30:22Z","timestamp":1793115022017,"version":"4.5.0"},"reference-count":43,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,6,3]],"date-time":"2025-06-03T00:00:00Z","timestamp":1748908800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,6,3]],"date-time":"2025-06-03T00:00:00Z","timestamp":1748908800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing in Critical Care"],"published-print":{"date-parts":[[2025,7]]},"abstract":"ABSTRACT<\/jats:title>\n \n Background<\/jats:title>\n Postoperative delirium is a negative surgical outcome that can affect patients of any age, from children to elderly.<\/jats:p>\n <\/jats:sec>\n \n Aim<\/jats:title>\n This study evaluated the impact of eye masks and music on sleep quality and delirium among patients in surgical intensive care units.<\/jats:p>\n <\/jats:sec>\n \n Study Design<\/jats:title>\n \n This study was designed as a randomized controlled trial. The study sample consisted of 45 patients (21 intervention and 24 control) who were hospitalized in the General Surgery Intensive Care Unit, underwent abdominal surgery and met the inclusion criteria. Patients were assigned to the experimental and control groups by simple randomization method. Patient Identification Form, Richard\u2010Campbell Sleep Questionnaire (RCSQ), Nursing Delirium Screening Scale (Nu\u2010DESC) and Richmond Agitation\u2010Sedation Scale (RASS) were utilized. In the intervention group, patients were left with the eye masks applied after 22:00. Concurrently with the application of the eye masks, calming classical music was played for 1\u2009h. Descriptive statistics, Chi\u2010square test, Student's\n t<\/jats:italic>\n \u2010test, one\u2010way analysis of variance (ANOVA), two\u2010way repeated measures ANOVA and linear regression analysis were used. The CONSORT checklist was used in reporting the study.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n On the third day of the study, the mean RCSQ score in the intervention group was statistically higher (72.95\u2009\u00b1\u20097.47, 49.66\u2009\u00b1\u200910.80;\n p<\/jats:italic>\n \u2009<\u20090.001). The intervention group's mean Nu\u2010DESC score was 0.14\u2009\u00b1\u20090.35, and the control group's score was 0.83\u2009\u00b1\u20090.56 (\n p<\/jats:italic>\n \u2009<\u20090.001). Additionally, throughout the study, no delirium was observed in the intervention group, while delirium developed in 8.3% of the control group. A significant positive relationship was found between the application of music and eye masks post\u2010surgery and the difference in RCSQ scores (\n z\u03b2<\/jats:italic>\n : 0.843;\n p<\/jats:italic>\n \u2009<\u20090.001; [95% CI: 0.027; 0.041]). A significant negative relationship was found between the application of music and eye masks post\u2010surgery and the difference in Nu\u2010DESC delirium scale scores (\n z\u03b2<\/jats:italic>\n : \u22120.579;\n p<\/jats:italic>\n \u2009<\u20090.001; [95% CI: \u22120.593; \u22120.234]).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n The research concluded that listening to calming music for 1\u2009h daily and wearing an eye mask before sleeping increased sleep quality and decreased the incidence of delirium.<\/jats:p>\n <\/jats:sec>\n \n Relevance to Clinical Practice<\/jats:title>\n Intensive care nurses can contribute to improving patients' sleep quality and preventing delirium by applying eye masks and playing music for the patients.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/nicc.70072","type":"journal-article","created":{"date-parts":[[2025,6,3]],"date-time":"2025-06-03T06:45:45Z","timestamp":1748933145000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["The Effect of Music and Eye Masks on Sleep Quality and Delirium in Abdominal Surgery Intensive Care Patients: Randomized Controlled Trial"],"prefix":"10.1111","volume":"30","author":[{"given":"Tu\u011f\u00e7e","family":"Topal","sequence":"first","affiliation":[{"name":"General Surgery Intensive Care Unit Kayseri Training and Research Hospital Kayseri T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0851-0254","authenticated-orcid":false,"given":"Yeliz","family":"S\u00fcrme","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences, Surgical Nursing Erciyes University Kayseri T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,6,3]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.55433\/gsbd.256"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00423\u2010011\u20100758\u2010y"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.medine.2019.05.011"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/EJA.0000000000000594"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.2147\/CIA.S201323"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.15607"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/EJA.0000000000001935"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinane.2023.111221"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijso.2021.100334"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD005563.pub3"},{"issue":"1","key":"e_1_2_13_12_1","first-page":"10","article-title":"Delirium in the Elderly","volume":"1","author":"Serin B. 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