Impact of Ward Noise Management Combined with Bobath Concept-Based Rehabilitation Training on Patients with Cerebral Arteriovenous Malformations: A Retrospective Study.

IF 1.3 4区医学 Q3 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

Noise & Health Pub Date : 2025-01-01 Epub Date: 2025-02-28 DOI:10.4103/nah.nah_89_24

Fen Zhang, Ni Chu, Congcong Lin

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引用次数: 0

Abstract

Objective: The aim of this study was to investigate the effect of Bobath concept-based rehabilitation training combined with noise management on the rehabilitation outcomes of patients with cerebral arteriovenous malformation (CAVM).

Methods: The clinical data of CAVM patients who underwent rehabilitation treatment after microsurgical resection from January 2019 to December 2023 in the Fourth Hospital of Hebei Medical University were collected in this retrospective study. A total of 119 patients were divided into a control group (56 individuals, Bobath concept-based rehabilitation training) and an observation group (63 individuals, Bobath concept-based rehabilitation training + noise management) according to the treatment plan. The baseline characteristics of the patients, noise levels, motor function, activities of daily living, neurological function and anxiety and depression levels were analysed.

Results: The noise level in the observation group was significantly lower than that in the control group (P < 0.001). The Fugl-Meyer assessment score (68.67 ± 3.62 vs. 72.53 ± 3.91, P < 0.001) and modified Barthel index score (71.21 ± 4.06 vs. 75.42 ± 4.12, P < 0.001) of the observation group after rehabilitation were significantly higher than those of the control group, whereas the Hospital Anxiety and Depression Scale-Depression score (P = 0.034) and Hospital Anxiety and Depression Scale-Anxiety score (P < 0.001) were significantly lower than those of the control group.

Conclusion: Bobath concept-based rehabilitation training combined with noise management can significantly improve the rehabilitation outcomes of CAVM patients, including improvements in motor function, activities of daily living and reductions in anxiety and depression levels. Theoretical and practical guidance for clinical practice, emphasising the importance of environmental management in rehabilitation treatment, is provided in this study. Future rehabilitation interventions should be personalised and comprehensive to enhance the rehabilitation level and quality of life of patients.

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病房噪音管理结合Bobath概念康复训练对脑动静脉畸形患者影响的回顾性研究

目的：探讨基于Bobath概念的康复训练结合噪声管理对脑动静脉畸形（CAVM）患者康复效果的影响。方法：回顾性分析河北医科大学第四医院2019年1月至2023年12月显微手术切除后行康复治疗的CAVM患者的临床资料。将119例患者按治疗方案分为对照组（56例，基于Bobath概念的康复训练）和观察组（63例，基于Bobath概念的康复训练+噪音管理）。分析患者的基线特征、噪音水平、运动功能、日常生活活动、神经功能以及焦虑和抑郁水平。结果：观察组患者噪声水平显著低于对照组（P < 0.001）。观察组康复后Fugl-Meyer评分（68.67±3.62比72.53±3.91,P < 0.001）和改良Barthel指数评分（71.21±4.06比75.42±4.12,P < 0.001）均显著高于对照组，医院焦虑抑郁量表-抑郁评分（P = 0.034）和医院焦虑抑郁量表-焦虑评分（P < 0.001）均显著低于对照组。结论：基于Bobath概念的康复训练结合噪音管理可显著改善CAVM患者的康复效果，包括运动功能改善、日常生活活动能力改善、焦虑和抑郁水平降低。本研究强调环境管理在康复治疗中的重要性，为临床实践提供理论和实践指导。未来的康复干预应个性化、综合化，以提高患者的康复水平和生活质量。

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来源期刊

Noise & Health AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

CiteScore

2.10

自引率

14.30%

发文量

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.