{"title":"Effect of nurse-led individualized noise nursing intervention on sleep comfort and pain relief in terminally ill patients undergoing palliative care.","authors":"Songchao Wang, Yi Zhang, Leiting Tang, Xia Yang","doi":"10.1186/s12904-026-02196-9","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Sleep disturbance and pain are common sources of distress in terminally ill patients receiving palliative care, and nighttime ward noise is a modifiable environmental factor that may aggravate both symptoms. This study evaluated the effect of a nurse-led, individualized noise nursing intervention on sleep comfort and pain relief in terminally ill patients receiving palliative care, with the aim of providing practical evidence for comfort-oriented nursing care.</p><p><strong>Methods: </strong>A retrospective cohort analysis was conducted using existing clinical and nursing records of 163 terminally ill patients admitted to the palliative care ward of our hospital from March 2024 to August 2025. Patients were divided into an observation group (n = 89) and a control group (n = 74) according to the nursing methods received. The control group received routine palliative care combined with standardized noise nursing, while the observation group received nurse-led individualized noise nursing in addition to the routine care. The average intervention period was 4 weeks for both groups. Indicators related to sleep comfort, pain status, and noise interference were compared between the two groups.</p><p><strong>Results: </strong>After the intervention, the observation group showed greater improvements in sleep comfort, pain-related indicators, and noise interference indices compared to the control group. The observation group also had higher scores for nursing compliance and family satisfaction, along with better quality of life and a lower incidence of adverse events. All between-group differences were statistically significant (P < 0.05).</p><p><strong>Conclusion: </strong>Among terminally ill patients receiving palliative care, a nurse-led, individualized noise nursing program is associated with improved sleep comfort and better pain-related outcomes. During the intervention period, patients show better adherence to nursing measures, and family satisfaction increases.</p>","PeriodicalId":48945,"journal":{"name":"BMC Palliative Care","volume":" ","pages":""},"PeriodicalIF":3.7000,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13539804/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"BMC Palliative Care","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1186/s12904-026-02196-9","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Sleep disturbance and pain are common sources of distress in terminally ill patients receiving palliative care, and nighttime ward noise is a modifiable environmental factor that may aggravate both symptoms. This study evaluated the effect of a nurse-led, individualized noise nursing intervention on sleep comfort and pain relief in terminally ill patients receiving palliative care, with the aim of providing practical evidence for comfort-oriented nursing care.
Methods: A retrospective cohort analysis was conducted using existing clinical and nursing records of 163 terminally ill patients admitted to the palliative care ward of our hospital from March 2024 to August 2025. Patients were divided into an observation group (n = 89) and a control group (n = 74) according to the nursing methods received. The control group received routine palliative care combined with standardized noise nursing, while the observation group received nurse-led individualized noise nursing in addition to the routine care. The average intervention period was 4 weeks for both groups. Indicators related to sleep comfort, pain status, and noise interference were compared between the two groups.
Results: After the intervention, the observation group showed greater improvements in sleep comfort, pain-related indicators, and noise interference indices compared to the control group. The observation group also had higher scores for nursing compliance and family satisfaction, along with better quality of life and a lower incidence of adverse events. All between-group differences were statistically significant (P < 0.05).
Conclusion: Among terminally ill patients receiving palliative care, a nurse-led, individualized noise nursing program is associated with improved sleep comfort and better pain-related outcomes. During the intervention period, patients show better adherence to nursing measures, and family satisfaction increases.
期刊介绍：
BMC Palliative Care is an open access journal publishing original peer-reviewed research articles in the clinical, scientific, ethical and policy issues, local and international, regarding all aspects of hospice and palliative care for the dying and for those with profound suffering related to chronic illness.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
