Chinese Journal of Emergency and Critical Care Nursing >
Research progress of family auditory stimulation in the prevention of ICU delirium
ICU delirium is a common acute brain dysfunction syndrome with a high incidence，posing serious risks to patients’ short- and long-term outcomes. Family auditory stimulation，as a non-pharmacological intervention based on emotional support and sensory input，has increasingly been applied in the prevention of ICU delirium in recent years. This article reviews the pathophysiological mechanisms and risk factors of ICU delirium，and systematically summarizes the definition，mechanisms，implementation content，playback frequency and duration，and evaluation indicators of family auditory stimulation. It provides a reference for the clinical practice of early delirium prevention and future research directions.
WANG Tingting , MA Yajun , GAO Wen , ZHANG Yuping , JIN Jingfen . Research progress of family auditory stimulation in the prevention of ICU delirium[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025 , 6(8) : 1017 -1020 . DOI: 10.3761/j.issn.2096-7446.2025.08.021
| [1] | Stollings JL, Kotfis K, Chanques G, et al. Delirium in critical illness:clinical manifestations,outcomes,and management[J]. In-tensive Care Med, 2021, 47(10):1089-1103. |
| [2] | Fiest KM, Soo A, Lee CH, et al. Long-term outcomes in ICU patients with delirium:a population-based cohort study[J]. Am J Respir Crit Care Med, 2021, 204(4):412-420. |
| [3] | Wu NN, Zhang YB, Wang SY, et al. Incidence,prevalence and risk factors of delirium in ICU patients:a systematic review and meta-analysis[J]. Nurs Crit Care, 2023, 28(5):653-669. |
| [4] | Munro CL, Cairns P, Ji M, et al. Delirium prevention in criti-cally ill adults through an automated reorientation interven-tion-A pilot randomized controlled trial[J]. Heart Lung, 2017, 46 (4):234-238. |
| [5] | 徐荣鹏, 杨春, 朱滨. ICU谵妄的研究进展[J]. 中华危重病急救医学, 2020, 32(5):636-640. |
| Xu R, Yang C, Zhu B. Recent advances in intensive care unit delirium research[J]. Chin Crit Care Med, 2020, 32(5):636-640. | |
| [6] | Capezuti E, Pain K, Alamag E, et al. Systematic review:auditory stimulation and sleep[J]. J Clin Sleep Med, 2022, 18(6):1697-1709. |
| [7] | Ahmed FR, Attia AK, Mansour H, et al. Outcomes of family-centred auditory and tactile stimulation implementation on traumatic brain injured patients[J]. Nurs Open, 2023, 10(3):1601-1610. |
| [8] | Thamizhmani L, Ganapathy K, Palaniswamy HP, et al. Efficacy of acoustic stimulation techniques on cognitive functions in individuals with Alzheimer’s disease-a scoping review[J]. Alzhei-mers Res Ther, 2024, 16(1):174. |
| [9] | Moraes MM, Rabelo PCR, Pinto VA, et al. Auditory stimulation by exposure to melodic music increases dopamine and seroto-nin activities in rat forebrain areas linked to reward and motor control[J]. Neurosci Lett, 2018, 673:73-78. |
| [10] | Uzun S. The effectiveness of nurses’ psychosocial interventions for sensory deprivation in intensive care patients:a systematic review and meta-analysis[J]. Ir J Med Sci, 2024, 193(5):2469-2484. |
| [11] | 汤铂, 王小亭, 陈文劲, 等. 重症患者谵妄管理专家共识[J]. 中华内科杂志, 2019, 58(2):108-118. |
| Tang B, Wang X, Chen W, et al. Experts consensus on the management of delirium in critically ill patients[J]. Chin J Intern Med, 2019, 58(2):108-118. | |
| [12] | Chee ZJ, Chang CYM, Cheong JY, et al. The effects of music and auditory stimulation on autonomic arousal,cognition and attention:a systematic review[J]. Int J Psychophysiol, 2024, 199:112328. |
| [13] | Boehm LM, Bird CM, Warren AM, et al. Understanding and managing anxiety sensitivity during critical illness and long-term recovery[J]. Am J Crit Care, 2023, 32(6):449-457. |
| [14] | Ma Y, Cui N, Guo Z, et al. Exploring patients’ and families’ pre-ferences for auditory stimulation in ICU delirium prevention:A qualitative study[J]. Intensive Crit Care Nurs, 2024, 82:103629. |
| [15] | Hu XY, Wu Y, Zhang L, et al. Effects of family audio recor-dings on depression,cognitive function,and sleep quality of individuals with Alzheimer’s disease:a randomized controlled trial[J]. J Gerontol Nurs, 2025, 51(1):42-48. |
| [16] | Pabón-Martínez BA, Rodríguez-Pulido LI, Henao-Casta?o AM. The family in preventing delirium in the intensive care unit:Scoping review[J]. Enferm Intensiva(Engl Ed), 2022, 33(1):33-43. |
| [17] | Kasapo?lu ES, En? N. Role of multicomponent non-pharma-cological nursing interventions on delirium prevention:a ran-domized controlled study[J]. Geriatr Nurs, 2022,44:207-214. |
| [18] | 王雪梅. 家人声刺激对ICU机械通气谵妄患者的影响[D]. 沈阳: 中国医科大学, 2021. |
| Wang XM. The impact of familiar voice stimulation on de-lirium in mechanically ventilated ICU patients[D]. Shenyang: China Medical University, 2021. | |
| [19] | Mitchell ML, Kean S, Rattray JE, et al. A family intervention to reduce delirium in hospitalised ICU patients:a feasibility randomised controlled trial[J]. Intensive Crit Care Nurs, 2017, 40:77-84. |
| [20] | Liang SR, Chau JPC, Lo SHS, et al. The effects of a sensory stimulation intervention for preventing delirium in a surgical intensive care unit:a randomized controlled trial[J]. Nurs Crit Care, 2023, 28(5):709-717. |
| [21] | Martínez F, Donoso AM, Marquez C, et al. Implementing a mu-lticomponent intervention to prevent delirium among critically ill patients[J]. Crit Care Nur, 2017, 37(6):36-46. |
| [22] | Contreras CCT, Esteban ANP, Parra MD, et al. Multicomponent nursing program to prevent delirium in critically ill patients:a randomized clinical trial[J]. Rev Gaucha Enferm, 2021, 42:e20200278. |
| [23] | Hwang JH, Kim MY. Effects of A multicomponent intervention program for preventing delirium in geriatric patients in the intensive care unit[J]. Korean J Adult Nurs, 2021, 33(6):565. |
| [24] | 何彬, 杨郑, 蒙斯雅, 等. 家庭参与式多感官刺激对ICU机械通气患者谵妄的影响[J]. 护理学杂志, 2024, 39(14):27-32. |
| He B, Yang Z, Meng S, et al. Effect of family participatory multi-sensory stimulation on delirium in mechanically venti-lated ICU patients[J]. J Nurs Sci, 2024, 39(14):27-32. | |
| [25] | Zhang S, Han Y, Xiao Q, et al. Effectiveness of bundle inter-ventions on ICU delirium:a meta-analysis[J]. Crit Care Med, 2021, 49(2):335-346. |
/
| 〈 |
|
〉 |