Effects of Ward Noise Management on Mental Health and Hip Function in Elderly Patients Undergoing Total Hip Arthroplasty.

IF 1.3 4区 医学 Q3 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY
Noise & Health Pub Date : 2024-07-01 Epub Date: 2024-09-30 DOI:10.4103/nah.nah_87_24
Xiuli Chen, Chen Chen
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引用次数: 0

Abstract

Objective: The aim of this study was to explore the influence of ward noise management on the mental health and hip joint function of elderly patients post-total hip arthroplasty.

Methods: The retrospective analysis involved the medical records of 160 elderly patients who underwent total hip arthroplasty at Nanchang First Hospital from March 2021 to January 2023. The observation group received ward noise management (n = 75) and the control group received perioperative routine management (n = 85). The noise level, Self-rating Depression Scale (SDS), Self-rating Anxiety Scale (SAS), the Generic Quality of Life Inventory-74 (GQOLI-74), Harris Hip Score (HHS) system, and satisfaction scale were used to evaluate patients. T test and chi-square tests were used for statistical analysis.

Results: The observation group exhibited a significantly lower noise level compared to the control group (P < 0.05). No significant differences were observed in the general information and preoperative SDS, SAS, HHS, and GQOLI-74 scores between the two groups (P > 0.05). No significant differences were observed in the SDS and HHS between the two groups 7 days after the operation (P > 0.05). The observation group presented a significantly lower SAS score than the control group 7 days after the operation (P < 0.05). The score of the observation group 7 days after the operation was lower than that before the operation (P < 0.05). At 7 days after the operation, the observation group showed a higher score in the "social function" dimension of GQOLI-74 compared to the control group (P < 0.05), and the satisfaction of the observation group was significantly higher than that of the control group (94.67 vs. 77.65%, P < 0.05).

Conclusions: Ward noise management can help reduce anxiety among elderly patients after total hip arthroplasty, improve their quality of life and social function, and obtain higher satisfaction.

病房噪音管理对接受全髋关节置换术的老年患者心理健康和髋关节功能的影响
研究目的本研究旨在探讨病房噪音管理对老年全髋关节置换术后患者心理健康和髋关节功能的影响:回顾性分析2021年3月至2023年1月在南昌市第一医院接受全髋关节置换术的160例老年患者的病历资料。观察组接受病房噪音管理(75 人),对照组接受围手术期常规管理(85 人)。采用噪音水平、抑郁自评量表(SDS)、焦虑自评量表(SAS)、通用生活质量量表-74(GQOLI-74)、哈里斯髋关节评分(HHS)系统和满意度量表对患者进行评估。统计分析采用T检验和卡方检验:观察组的噪音水平明显低于对照组(P < 0.05)。两组患者的一般信息和术前 SDS、SAS、HHS 和 GQOLI-74 评分无明显差异(P > 0.05)。术后 7 天,两组的 SDS 和 HHS 均无明显差异(P > 0.05)。观察组术后 7 天的 SAS 评分明显低于对照组(P < 0.05)。观察组术后 7 天的 SAS 评分低于对照组(P < 0.05)。术后7天,观察组在GQOLI-74的 "社会功能 "维度上得分高于对照组(P<0.05),观察组的满意度明显高于对照组(94.67% vs. 77.65%,P<0.05):病房噪音管理有助于减轻全髋关节置换术后老年患者的焦虑,提高其生活质量和社会功能,并获得更高的满意度。
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来源期刊
Noise & Health
Noise & Health AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
CiteScore
2.10
自引率
14.30%
发文量
27
审稿时长
6-12 weeks
期刊介绍: Noise and Health is the only International Journal devoted to research on all aspects of noise and its effects on human health. An inter-disciplinary journal for all professions concerned with auditory and non-auditory effects of occupational, environmental, and leisure noise. It aims to provide a forum for presentation of novel research material on a broad range of topics associated with noise pollution, its control and its detrimental effects on hearing and health. It will cover issues from basic experimental science through clinical evaluation and management, technical aspects of noise reduction systems and solutions to environmental issues relating to social and public health policy.
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