Multisensory and Cognitive Interventions in the ICU: Effects on Health and Recovery
Effects of Multisensory and Cognitive Interventions Applied in the Intensive Care Unit on Physiological, Psychological and Functional Outcomes
Abant Izzet Baysal University
125 participants
Aug 1, 2025
INTERVENTIONAL
Conditions
Summary
The goal of this clinical trial is to examine the effects of sensory and cognitive stimulation on physiological, psychological, and functional recovery in adult patients after cardiac surgery who are treated in the intensive care unit (ICU). The main questions it aims to answer are: * Does sensory and/or cognitive stimulation reduce anxiety and improve hemodynamic stability in ICU patients? * Does it enhance physical function and independence during early rehabilitation in the ICU? Researchers will compare four groups: 1. Standard care (control), 2. Cognitive stimulation, 3. Auditory stimulation (music), 4. Multisensory stimulation (touch + smell) to assess which intervention is most effective in improving recovery parameters. Participants will: * Be randomly assigned to one of four groups during early mobilization in the ICU * Receive a 30-minute intervention session depending on group assignment * Be evaluated for heart rate, blood pressure, oxygen saturation, anxiety (VAS), physical function (PFIT, FIM), and satisfaction before and after the session
Eligibility
Inclusion Criteria5
- Age between 18 and 80 years
- Underwent coronary artery bypass grafting (CABG) or other open-heart surgery
- Admitted to the ICU postoperatively and eligible for early mobilization
- Hemodynamically stable (within normal blood pressure and heart rate ranges, without inotropic support)
- Alert and able to communicate
Exclusion Criteria5
- Diagnosis of ICU delirium or altered mental status
- Severe hemodynamic instability
- Presence of neurological disease or significant cognitive impairment
- Significant sensory deficits (e.g., severe hearing or vision loss)
- Known allergy or psychological sensitivity to auditory or olfactory stimuli (e.g., aromatherapy or music)
Interventions
Participants perform a 30-minute session of cognitive tasks during the sitting phase of early ICU mobilization. Activities include word games, attention exercises, and simple problem-solving tasks designed to engage memory and executive function.
Participants listen to calming music or nature sounds through headphones for 30 minutes during early mobilization in the ICU. The auditory content is selected to reduce anxiety and promote relaxation.
Participants receive 30 minutes of combined sensory stimulation during the sitting phase in the ICU. This includes tactile stimulation using hand therapy balls and olfactory stimulation with lavender or mint-scented materials to enhance relaxation and sensory engagement.
Locations(1)
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NCT07116941