The Effect of Listening to Holy Quran Recital on the Incidence of Delirium Post-CABG

NCT06346990 | Not Yet Recruiting DMC

• 1 other identifier: Faculty 2023-2024-2-2
• Study Type: interventional
• Target: 264
• Locations: 0 countries
• Sites: N/A

Brief Summary

This study is planned to check the effect of holy Quran recital on the development of delirium after conronary artery bypass graft surgery (CABG). Different studies have been done before about the effects of non-pharmacological intervention on delirium after CABG, howvere, none was designed specifically to check the effect of Holy Qoyran on this outcome.

Conditions

Coronary Artery Disease; Coronary Artery Bypass Graft Surgery; Delirium, Postoperative

Keywords

Delirium; length of stay

Outcome Measures

Primary Outcomes (1)

• Delirium

  The effect of holy quran recital on the incidence of delirium

  Within one week after the operation

Secondary Outcomes (2)

• Length of stay-ICU

  Within one week after the operation

• Length of stay-hospital

  Within two week after the operation

Study Arms (2)

The intervention group/ Holy Quran Recital

EXPERIMENTAL

For the intervention group, after patients were (1) extubated, (2) hemodynamically stable, and (3) negatively rated on primary CAM-ICU, they received holy Quran recital for four days. Typically, the second, third, fourth- and fifth-days following CABG. The daily sessions were done at 2 PM and 8 PM for 20 minutes each. We choose these times based on the nurses' recommendations about the minimal interruptions from physician rounds and family visits. The selection of Surah Al-Rahman was based on the widespread belief that it is among the most melodic and calming passages in the Quran, especially when recited by the well-known reciter Qari AbdulBasit. 1,5,40 The listening was done using one-use headphones on an iPad. The intervention was discontinued if the participant developed delirium.

Other: Holy Quran Recital

The control group

NO INTERVENTION

For the control group, routine post-operative care was done

Interventions

Holy Quran Recital OTHER

Holy Quran recital for four days. Typically, the second, third, fourth- and fifth-days following CABG. The daily sessions were done at 2 PM and 8 PM for 20 minutes each

The intervention group/ Holy Quran Recital

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• years old and older;
• undergone elective CABG surgery;
• hemodynamically stable during interventions and interviews;
• signed an informed consent

You may not qualify if:

• Developed delirium before the intervention based on Confusion Assessment Method for the Intensive Care Unit (CAM-ICU);
• Had a history of liver cirrhosis, kidney failure, stroke, dementia, or psychiatric problems;
• On anti-antipsychotic medications; or
• Received treated with ketamine or midazolam in the operating room or benzodiazepines, haloperidol, and propofol in the intensive care unit (ICU), as they are known to increase susceptibility for hallucination and delirium.

Sponsors & Collaborators

• Applied Science Private University: lead

MeSH Terms

Conditions

Coronary Artery Disease; Emergence Delirium; Delirium

Condition Hierarchy (Ancestors)

Coronary Disease; Myocardial Ischemia; Heart Diseases; Cardiovascular Diseases; Arteriosclerosis; Arterial Occlusive Diseases; Vascular Diseases; Confusion; Neurobehavioral Manifestations; Neurologic Manifestations; Nervous System Diseases; Postoperative Complications; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Signs and Symptoms; Neurocognitive Disorders; Mental Disorders

Central Study Contacts

Mohannad E. AbuRuz, PhD

CONTACT

+962790192494; m_aburuz@asu.edu.jo

Mohannad E. AbuRuz, PhD

CONTACT

+962790192494; mohannadeid@yahoo.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: Taking into consideration that this was a RCT, blinding the participants was not possible. However, data collectors and data analyzer were blinded. Directly after the intervention, each day at 3pm and 9 pm, the participants were evaluated for development of delirium by the Research assistant how do not know in which group was the participant allocated, and if the result was positive the intervention was discontinued.
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor of Critical Care Nursing

Model Details: There are two groups in this study. The intervention group and the control group. For the control group, patients are receiving routine care . For the intervention group, after patients were (1) extubated, (2) hemodynamically stable, and (3) negatively rated on primary CAM-ICU, they receive holy Quran recital for four days. Typically, the second, third, fourth- and fifth-days following CABG. The daily sessions were done at 2 PM and 8 PM for 20 minutes each. We choose these times based on the nurses' recommendations about the minimal interruptions from physician rounds and family visits. The selection of Surah Al-Rahman was based on the widespread belief that it is among the most melodic and calming passages in the Quran, especially when recited by the well-known reciter Qari AbdulBasit. 1,5,40 The listening was done using one-use headphones on an iPad. The intervention was discontinued if the participant developed delirium

Study Record Dates

• First Submitted: March 29, 2024
• First Posted: April 4, 2024
• Study Start: April 15, 2024
• Primary Completion: April 14, 2025
• Study Completion: May 15, 2025
• Last Updated: April 5, 2024

Record last verified: 2024-04