Noise & Health最新文献

{"title":"Effect of Noise in the Waiting Area on Negative Emotions of Patients Undergoing Gastrointestinal Endoscopy.","authors":"Binggai Xiang, Liwei Xue, Yiqian Zhang","doi":"10.4103/nah.nah_183_24","DOIUrl":"https://doi.org/10.4103/nah.nah_183_24","url":null,"abstract":"<p><p>Objective The environment noise in hospitals significantly influences patients' psychological states. This study aimed to investigate the effect of noise in the waiting area of a gastrointestinal endoscopy department on patients' negative emotions. Methods This retrospective study was conducted on the clinical data of 126 patients undergoing gastrointestinal endoscopy in Cangnan Hospital of Wenzhou Medical University from January to December 2023. The patients were divided into a low-noise group (noise level <50 dB, n = 62) and a high-noise group (noise level nts were n = 64) according to the average noise levels in the waiting area. Anxiety (numeric rating scale [NRS]) and negative emotions (negative affect [NA] scores in the positive and NA schedules) were compared between the groups. Pearson correlation analysis was conducted to assess the correlation between noise levels and patients' emotional states. Results The patients in the high-noise group exhibited significantly higher NRS and NA (distress, angry, fearful, and jittery) scores than those in the low-noise group. Correlation analysis revealed positive correlations between noise levels and feelings of anxiety (r = 0.303, P = 0.002), distress (r = 0.289, P = 0.003), angry (r = 0.298, P = 0.002), fearful (r = 0.280, P = 0.004), and jittery (r = 0.302, P = 0.002). Conclusion Reducing noise levels in the waiting area of endoscopy departments may improve patients' emotional states. Measures such as optimizing the layouts of the waiting area and installing sound barriers can reduce noise levels and enhance patients' experience.</p>","PeriodicalId":19195,"journal":{"name":"Noise & Health","volume":"27 125","pages":"123-127"},"PeriodicalIF":1.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12063952/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Malay translation, adaptation, and validation of the pediatric Khalfa Hyperacusis Questionnaire for children with autism spectrum disorder.","authors":"Muhammad Danial Mohd Yasin, Mohammed Alrashdi, Mohamad Qayum Mohamad Sabri, Ahmad Zamir Che Daud","doi":"10.4103/nah.nah_149_24","DOIUrl":"https://doi.org/10.4103/nah.nah_149_24","url":null,"abstract":"<p><strong>Objective: </strong>Hyperacusis is characterized by an intolerance to loud sounds, causing discomfort, fear, and facial pain. Its evaluation often includes self-report questionnaires. A recent study in 2023 introduced the pediatric parent-report version of the Khalfa Hyperacusis Questionnaire (P-HQ) for children with autism spectrum disorder (ASD), but no Malay version currently exists, creating a barrier for non-English-speaking parents in Malaysia. This study aimed to translate, culturally adapt, and validate the P-HQ into Malay to improve the understanding of hyperacusis among Malay-speaking populations.</p><p><strong>Materials and methods: </strong>The study consisted of six stages: (1) forward and backward translation by five independent translators, (2) content validation by six experts, (3) face validity assessments (n = 11), (4) assessment of internal consistency (n = 54), (5) validation of test-retest reliability (n = 23), and (6) assessment of concurrent validity (n = 54) with parents of children with ASD. Participants were purposively recruited from a community autism center located on the east coast of Malaysia.</p><p><strong>Results: </strong>The translation process was successful, with experts confirming high relevance and agreement (item-level content validity index = 1.0, modified kappa = 1.0). One item was removed due to low item impact, resulting in a 10-item Malay version of the P-HQ (M-P-HQ). The M-P-HQ demonstrated good internal consistency (Cronbach's alpha = 0.884) and moderate to excellent test-retest reliability, with the intraclass correlation coefficient ranging from 0.62 to 0.96. A strong negative Spearman's rank correlation (rs = -0.648) with the auditory filtering subtest of the Malay version of the Short Sensory Profile supported the concurrent validity of the M-P-HQ.</p><p><strong>Conclusion: </strong>The M-P-HQ is a valid, reliable, and culturally appropriate tool for assessing hyperacusis among Malay-speaking parents of children with ASD.</p>","PeriodicalId":19195,"journal":{"name":"Noise & Health","volume":"27 125","pages":"168-178"},"PeriodicalIF":1.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12063955/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144034309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Occupational Noise Exposure on Disease Control and Psychological Status in Patients with Diabetic Nephropathy.","authors":"Xue Zhou, Ting Guo, Liangfeng Lin","doi":"10.4103/nah.nah_181_24","DOIUrl":"https://doi.org/10.4103/nah.nah_181_24","url":null,"abstract":"<p><p>Objective To investigate the effects of occupational noise exposure on disease control and psychological status in patients with diabetic nephropathy.</p><p><strong>Methods: </strong>A cross-sectional study was conducted on 306 patients with diabetic nephropathy who visited the Second Affiliated Hospital of Fujian Medical University between January 2022 and January 2024. The patients were divided into two groups based on their occupational noise exposure level as follows: Group A (noise level ≥55 dB, 148 cases) and Group B (noise level <55 dB, 158 cases). The general information, noise exposure levels, glycaemic indicators [glycosylated haemoglobin (HbA1c), fasting plasma glucose (FPG), 2-hour postprandial plasma glucose (2hPG), glycated serum protein (GSP)], renal function indicators [blood urea nitrogen (BUN), urinary albumin excretion rate (UAER), serum creatinine (SCr), 24-hour urinary protein (24hUP)] and psychological status [Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS)] were compared between Groups A and B. Univariate analysis was performed using Pearson correlation analysis.</p><p><strong>Results: </strong>No significant differences were observed in age, gender and body mass index between the two groups (P > 0.05). However, glycaemic indicators such as HbA1c, FPG, PBG, GSP; renal function indicators such as BUN, UAER, SCr, 24hUP and psychological status (SAS and SDS scores) in Group A were significantly higher than those in Group B (P < 0.05). A significantly positive association was found between noise levels with SDS score (r = 0.321), FPG (r = 0.320) and UAER level (r = 0.405) (P < 0.001).</p><p><strong>Conclusion: </strong>This study reveals that occupational noise exposure negatively impacts disease control and psychological status in patients with diabetic nephropathy. Therefore, focusing on noise control in clinical practice is essential.</p>","PeriodicalId":19195,"journal":{"name":"Noise & Health","volume":"27 125","pages":"128-134"},"PeriodicalIF":1.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12063945/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144015004","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Music Therapy Combined with Graded Rehabilitation Exercise on Patients with Ankle Fractures after Surgical Fixation: A Retrospective Study.","authors":"Tian Yuan, Lei Zhao, Yan Ni, Yan Zhao, Lingxia Zhang","doi":"10.4103/nah.nah_132_24","DOIUrl":"https://doi.org/10.4103/nah.nah_132_24","url":null,"abstract":"<p><p>Objective This study aimed to analyse the effect of music therapy combined with graded rehabilitation exercise on postoperative patients with ankle fractures.</p><p><strong>Methods: </strong>This retrospective study was conducted on 100 patients with ankle fractures, all of whom were admitted to Nanjing First Hospital between January 2019 and December 2021. Patients were treated with open reduction and internal fixation. According to whether the patients received music therapy or not, they were grouped into the music therapy group and the conventional group, each comprising 50 cases. The recovery time, rehabilitation efficacy, ankle range of motion (ROM), pain level (Numerical Rating Scale [NRS]) and quality of life (World Health Organization Quality of Life Evaluation Questionnaire [WHOQOL-BREF]) were compared between the two groups.</p><p><strong>Results: </strong>The postoperative ambulation time, fracture healing time, hospital stay and total effective rate showed no significant difference between the two groups (P > 0.05). Two months after surgery, the plantarflexion, dorsiflexion, inversion and eversion range of the two groups significantly increased compared with that before the intervention, but the ankle ROM showed no significant difference between the two groups (P > 0.05). The NRS scores of the music therapy group at 7, 14 and 28 days after surgery were significantly lower than those of the conventional group (P < 0.05). Furthermore, the WHOQOL-BREF scores of psychological function, physical function, social function and material life dimensions in the music therapy group were significantly higher than those in the conventional group (P < 0.05).</p><p><strong>Conclusions: </strong>Music therapy combined with graded rehabilitation exercise can reduce postoperative pain in patients with ankle fractures and improve their quality of life.</p>","PeriodicalId":19195,"journal":{"name":"Noise & Health","volume":"27 125","pages":"187-193"},"PeriodicalIF":1.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12063950/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144033901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Night-Time Noise Control Combined with Detailed Nursing on Negative Emotions and Sleep Quality in Patients with Upper Gastrointestinal Bleeding.","authors":"Jing Yu, Dongyan Xu, Lihui Zhou","doi":"10.4103/nah.nah_125_24","DOIUrl":"https://doi.org/10.4103/nah.nah_125_24","url":null,"abstract":"<p><strong>Objective: </strong>The aim of the study was to investigate the effect of nighttime noise control, combined with detailed nursing, on negative emotions and sleep quality in patients suffering from upper gastrointestinal bleeding.</p><p><strong>Methods: </strong>This retrospective analysis was conducted on 100 patients with upper gastrointestinal bleeding who were admitted to the Fifth People's Hospital of Wuxi from January 2021 to January 2024. Patients were divided into the noise control group and the detailed nursing group based on different nursing care methods, with each group containing 50 cases. The detailed nursing group received detailed nursing, whereas the noise control group received nighttime noise control combined with detailed nursing. The results of the Fear Visual Analog Scale (FVAS), Pittsburgh Sleep Quality Index (PSQI), Hamilton Anxiety Rating Scale (HAMA), Hamilton Depression Rating Scale (HAMD), and subjective assessment of noise of the two groups were compared.</p><p><strong>Results: </strong>After management, the HAMA, HAMD, FVAS, and PSQI scores of both groups showed a significant decrease compared to baseline (P < 0.05). Additionally, the HAMA, HAMD, FVAS, and PSQI scores of the noise control group were significantly lower than those of the detailed nursing group (P < 0.05).The subjective assessment of noise in both groups was significantly higher after management than before management, with the noise control group reporting a significantly higher subjective noise assessment than the detailed nursing group (P < 0.05).</p><p><strong>Conclusion: </strong>Nighttime noise control combined with detailed nursing is effective in patients with upper gastrointestinal bleeding. This approach helps reduce negative emotions such as anxiety, depression, and fear; lowers the subjective assessment of noise; and improves sleep quality.</p>","PeriodicalId":19195,"journal":{"name":"Noise & Health","volume":"27 125","pages":"194-200"},"PeriodicalIF":1.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12063951/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144013674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Integrating Music Therapy into Family Support System on Adolescent Depression.","authors":"Jie Zhou, Liying Liu, Lipeng Zheng","doi":"10.4103/nah.nah_156_24","DOIUrl":"https://doi.org/10.4103/nah.nah_156_24","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to investigate the effects and feasibility of integrating music therapy into a family support system (FSS) for adolescent depression.</p><p><strong>Methods: </strong>In this retrospective study, 120 adolescents with depression who visited the Wenzhou Seventh People's Hospital between June 2022 and June 2024 were selected and categorized into the music therapy group and a conventional group (60 cases in each group). The conventional group received FSS-assisted treatment and conventional medication, whereas the music therapy group was given music therapy based on the conventional treatment. The Hamilton Depression Rating Scale (HAMD), Hamilton Anxiety Rating Scale (HAMA), Family Assessment Device (FAD), Adolescent Self-Rating Life Events Checklist (ASLEC), and Pittsburgh Sleep Quality Index (PSQI) were compared between the two groups.</p><p><strong>Results: </strong>After treatment, the decrease in HAMD and HAMA scores was significantly greater in the music therapy group than in the conventional group (P < 0.05). The FAD score in the music therapy group improved more significantly in dimensions such as problem-solving, communication, emotional involvement, behavior control, and overall function than that of the conventional group (P < 0.05). The ASLEC score showed a greater reduction in aspects such as interpersonal relationships, academic stress, punishment, and loss (P < 0.05). The PSQI score improved more significantly with regard to subjective sleep quality, sleep latency, sleep duration, sleep disorders, hypnotic drug use, and daytime dysfunction (P < 0.05).</p><p><strong>Conclusion: </strong>Integrating music therapy into FSS can effectively reduce depression and anxiety symptoms in adolescents with depression, improve the family and psychosocial function, and enhance sleep quality. However, further studies are still needed to verify and improve this approach.</p>","PeriodicalId":19195,"journal":{"name":"Noise & Health","volume":"27 125","pages":"149-157"},"PeriodicalIF":1.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12063949/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144036400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Simple Nomogram for Predicting Extended High-Frequency Hearing Loss in Pilots Despite Normal Audiometry: A Retrospective Study.","authors":"Rong Xue, Hao Zhang, Yu Pu, Xinru Kong","doi":"10.4103/nah.nah_188_24","DOIUrl":"https://doi.org/10.4103/nah.nah_188_24","url":null,"abstract":"<p><strong>Background: </strong>The extended high-frequency (EHF; 0.9-16 kHz) region is sensitive to noise exposure and can indicate early noise-induced hearing loss. EHF hearing loss (EHFHL; >20 dB HL for EHF averages) may affect pilots' noise perception, impacting communication and response in flight. Early identification and monitoring of EHFHL are crucial for pilots' hearing health and flight safety. However, EHF is not included in routine medical assessments for pilots in China. This study aimed to develop a nomogram to predict EHFHL in pilots with normal audiograms (≤20 dB HL at each standard frequency), providing an early intervention tool.</p><p><strong>Methods: </strong>A total of 1091 pilots were randomly assigned to the training set (763) and validation set (328). Set characteristics were compared using univariate analysis. In the training set, least absolute shrinkage and selection operator regression identified key predictors, followed by multivariable binary logistic regression to construct a nomogram. The nomogram's performance was evaluated in both sets, assessing calibration, discrimination and clinical utility.</p><p><strong>Results: </strong>The nomogram incorporated four factors as follows: left-ear high-frequency audiometry threshold averages (HFAs: 3, 4, 6 and 8 kHz; odds ratio [OR] = 1.144; 95% confidence interval [CI] = 1.083-1.210), right-ear HFAs (OR = 1.186, 95% CI = 1.115-1.263), flight time (OR = 1.001, 95% CI = 1-1.001) and triglyceride (OR = 1.393, 95% CI = 1.038-1.885). The model's area under the curve was 0.819 (95% CI = 0.790-0.850) and 0.771 (95% CI = 0.712-0.830) during validation. The predictive model was well calibrated (Hosmer-Lemeshow test, χ2  =  10.77; P = 0.292). Decision curve analysis showed a net benefit for the training set between 4% and 88%, with similar benefits observed for the validation set from 12% to 100%.</p><p><strong>Conclusion: </strong>This study developed and validated the first prediction model for EHFHL in Chinese pilots, demonstrating its reliability and clinical utility. The findings support early detection and personalised monitoring, with potential applications in hearing protection strategies and flight safety.</p>","PeriodicalId":19195,"journal":{"name":"Noise & Health","volume":"27 125","pages":"112-122"},"PeriodicalIF":1.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12063947/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144004436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Noise Sensitivity on Mental Health: Mediating Role of Sleep Problems.","authors":"Yuyang Chen, Siyao Zheng, Yuting Liu, Andrew Smith, Jialin Fan","doi":"10.4103/nah.nah_155_24","DOIUrl":"https://doi.org/10.4103/nah.nah_155_24","url":null,"abstract":"<p><strong>Objective: </strong>Noise sensitivity refers to an individual's general perception toward noise and may be associated with mental health and sleep. However, the effect of noise sensitivity on mental health requires further exploration. This study aimed to investigate the impact of noise sensitivity on mental health and the mediating role of sleep problems. Methods: We assessed 268 students from Shenzhen University, situated within 800 m of a construction site. We used the Weinstein Noise Sensitivity Scale-8, Patient Health Questionnaire-4, and Jenkins Sleep Scale-4 to assess noise sensitivity, depression, anxiety, and sleep quality. Results: Noise sensitivity was significantly and positively associated with anxiety, depression, and sleep problems (P < 0.01). Logistic regressions indicated that noise sensitivity positively predicted sleep problems (P = 0.011), anxiety, and depression (P = 0.014). The indirect effect of noise sensitivity on anxiety and depression through sleep problems accounted for 38.89% of the total effect (P = 0.268). Conclusion: Sleep problems serve as a mediating variable in the relationship between noise sensitivity and depression and anxiety. Future studies should explore additional variables that mediate the effect of noise sensitivity on mental health.</p>","PeriodicalId":19195,"journal":{"name":"Noise & Health","volume":"27 125","pages":"158-167"},"PeriodicalIF":1.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12063956/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144021648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and Risk Factors of Functional Hearing Loss in Chinese Adults: A Cross-sectional Study.","authors":"Yongchuan She, Yi Tang, Yan Sun, Yu Ren, Zhai Liu, Yibo Zhou","doi":"10.4103/nah.nah_174_24","DOIUrl":"https://doi.org/10.4103/nah.nah_174_24","url":null,"abstract":"<p><strong>Objective: </strong>This study investigated the prevalence of functional hearing loss (FHL) in Chinese adults and analyzed the associated risk factors.</p><p><strong>Methods: </strong>In this cross-sectional study, 192 middle-aged and elderly people who underwent audiological examinations at Changsha Hospital of Traditional Chinese Medicine from January to August 2024 were included. Eighty-two patients with FHL were included in the FHL group, and 112 subjects without FHL were included in the normal group. The demographic data, medical history, living habits, noise level of the living environment, and the Mini-Mental State Examination (MMSE) scores were compared between the two groups, and factors with significant differences were selected as independent variables for multivariate logistic regression. Then, a risk prediction model for FHL was established according to independent risk factors, and the efficacy of this prediction model was verified by the receiver operating characteristic curve.</p><p><strong>Results: </strong>Logistic regression analysis indicated that age, hypertension, noisy living environment, and MMSE score were independent risk factors that affected the prevalence of FHL (P < 0.05). The established risk prediction model for FHL had an area under the curve of 0.830 (cutoff value: 0.362, sensitivity: 84.15%, specificity: 72.32%).</p><p><strong>Conclusion: </strong>Old age, hypertension, noisy living environment, and cognitive impairment are risk factors for FHL. In future clinical practice, the prevalence of FHL can be prevented by intervening and preventing the above risk factors.</p>","PeriodicalId":19195,"journal":{"name":"Noise & Health","volume":"27 125","pages":"135-139"},"PeriodicalIF":1.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12063946/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144029883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Five-Element Music-Based Psychological Intervention Combined with Respiratory Specialty Care on Negative Emotions and Lung Function in Patients with Chronic Obstructive Pulmonary Disease.","authors":"Yanqiu Jiang, Yang Chen, Hanhan Hong","doi":"10.4103/nah.nah_157_24","DOIUrl":"https://doi.org/10.4103/nah.nah_157_24","url":null,"abstract":"<p><strong>Objective: </strong>The aim of the study was to explore the effects of five-element music-based psychological intervention combined with respiratory specialty care on negative emotions and lung function in patients with chronic obstructive pulmonary disease (COPD).</p><p><strong>Methods: </strong>A retrospective analysis was conducted on the clinical data of 170 COPD patients admitted to Second Affiliated Hospital of Naval Medical University (Shanghai Changzheng Hospital) from February 2022 to February 2023. The patients were divided into three groups in accordance with nursing care methods. The control group (n = 55) received conventional nursing care, group A (n = 58) received respiratory specialty care and group B (n = 57) received five-element music-based psychological intervention combined with respiratory specialty care. Nursing effectiveness was evaluated 6 months after discharge. Medical compliance, inflammatory indicators, lung function indicators [vital capacity (VC), peak expiratory flow (PEF) rate, forced expiratory volume in 1 second (FEV1)/forced vital capacity (FVC)], 6-minute walk test (6MWT) distance, negative emotions, and quality of life were compared among the three groups.</p><p><strong>Results: </strong>Groups A and B received higher scores in medical compliance and had higher VC, PEF, and FEV1/FVC levels than the control group (P < 0.05). The serum C-reactive protein, interleukin-6, and procalcitonin levels in groups A and B were lower than those in the control group (P < 0.05). In addition, their 6MWT distance was longer than that of the control group (P < 0.05). No significant difference was found in inflammatory indicators, lung function indicators, and 6MWT distance between group A and group B (P > 0.05). The scores of the Hamilton Anxiety Scale, Hamilton Depression Scale, and St. George's Respiratory Questionnaire in group B were lower than those in group A and the control group (P < 0.05).</p><p><strong>Conclusion: </strong>Five-element music-based psychological intervention combined with respiratory specialty care can significantly alleviate negative emotions in COPD patients and improve their quality of life.</p>","PeriodicalId":19195,"journal":{"name":"Noise & Health","volume":"27 125","pages":"140-148"},"PeriodicalIF":1.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12063954/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}