Music-Accompanied Nature Imagery on Blood Pressure and Pain in Intensive Care Unit Patients

NCT07845734 | Not Yet Recruiting

• 1 other identifier: 06.08.2026-2026/11-29
• Study Type: interventional
• Target: 70
• Locations: 0 countries
• Sites: N/A

Brief Summary

The aim of this study is to evaluate the effect of viewing nature imagery accompanied by music on blood pressure and pain in intensive care unit patients compared with standard care. The questions to be answered within the scope of the research are: Does viewing nature imagery accompanied by music affect blood pressure in intensive care unit patients compared with standard care? Does viewing nature imagery accompanied by music affect pain levels in intensive care unit patients compared with standard care? Participants will: The patients will be divided into two groups: an intervention group and a control group. The intervention group will Patients in the intervention group will be exposed to nature imagery accompanied by music once daily for 30 minutes over five consecutive days. Blood pressure and pain levels will be assessed before, during, and after each session. The control group will continue with routine intensive care unit follow-up treatments.

Conditions

ICU Patients

Outcome Measures

Primary Outcomes (2)

• Visual Analog Scale

  The study by Hayes and Patterson (1921) is considered a foundational source for the widespread adoption of the VAS in modern clinical pain measurement. Its clinical use in pain assessment was subsequently popularized, particularly by Huskisson (1974). It represents pain on a scale ranging from 0 (no pain) to 10 (severe pain). The patient indicates the intensity of the pain they are experiencing by marking a point on the line. The measurement can be scored on a 0-10 scale or a 0-100 mm scale.

  VAS measurements: Before the nature imagery and music viewing session (baseline value) At the 15th minute of the session At the end of the session (30th minute) 15 minutes after the nature imagery and music viewing session

• Blood Pressure

  Systolic blood pressure (SBP), diastolic blood pressure (DBP), and mean arterial pressure (MAP) will be evaluated as primary physiological variables in the study. The values will be measured using a bedside monitor.

  Before the nature imagery and music viewing session (baseline value) • At the 15th minute of the session • At the end of the session (30th minute) • 15 minutes after the nature imagery and music viewing session

Study Arms (2)

Intervention Group: Viewing Nature Imagery Accompanied by Music

EXPERIMENTAL

Patients in the intervention group will complete a Demographic Information Form and the Visual Analog Scale (VAS). Blood pressure will be measured using a bedside patient monitor. Patients will view nature scenery (e.g., forests, seas, lakes, and waterfalls) displayed on a tablet while listening to relaxing, wordless instrumental music through headphones. Vivaldi's classical compositions with a tempo of 60-80 beats per minute will be used. The intervention will be administered by an intensive care nurse once daily for 30 minutes over five consecutive days. Blood pressure and pain levels will be assessed before the intervention, at the 15th minute, immediately after the intervention, and 15 minutes after completion on each of the five days.

Other: Viewing Nature Imagery Accompanied by Music

Control Group: Usual care

NO INTERVENTION

atients in the control group will complete the Demographic Information Form and VAS. Blood pressure and pain levels will be assessed at the same time points as in the intervention group over five consecutive days. No additional intervention will be provided, and routine intensive care treatment and nursing care will continue.

Interventions

Viewing Nature Imagery Accompanied by Music OTHER

As part of the non-invasive intervention to be administered to the intervention group, patients will be shown nature and landscape visuals accompanied by music once daily for 30 minutes over a total of five consecutive days. The intervention will consist of nature-themed visuals-such as forests, seas, lakes, and waterfalls-paired with relaxing, instrumental, and wordless music played at a tempo of 60-80 beats per minute (BPM). Classical music compositions by Vivaldi will be selected for the musical component.

Intervention Group: Viewing Nature Imagery Accompanied by Music

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Being 18 years of age or older, Having a Glasgow Coma Scale (GCS) score of ≥14, Being hemodynamically stable, Having adequate hearing and visual functions, Being able to verbally express pain, Having a stay in the intensive care unit of at least 5 days, Having no speech or communication problems.

You may not qualify if:

• Being under the age of 18, Having a diagnosis of delirium, Presence of hemodynamic instability, Receiving high-dose vasopressor therapy, Being under sedation, Having severe hearing or visual impairment, Declining to participate in the study.

Sponsors & Collaborators

• Cumhuriyet University: lead

Central Study Contacts

Esra Başer Akın, PhD

CONTACT

+90 538 478 06 60; esra_baser568@hotmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: CARE PROVIDER
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Study Record Dates

• First Submitted: September 22, 2026
• First Posted: September 29, 2026
• Study Start: September 30, 2026
• Primary Completion (Estimated): February 28, 2027
• Study Completion (Estimated): March 1, 2027
• Last Updated: September 29, 2026

Record last verified: 2026-09

Data Sharing

• IPD Sharing: Will not share