非压力设备噪音水平对初产妇压力参数的影响:随机对照试验

IF 2.1 4区 医学 Q2 NURSING
Turan Ayşenur PhD, Gençtürk Nuran PhD, Kaya Cihan MD, Bulut Huri PhD
{"title":"非压力设备噪音水平对初产妇压力参数的影响:随机对照试验","authors":"Turan Ayşenur PhD,&nbsp;Gençtürk Nuran PhD,&nbsp;Kaya Cihan MD,&nbsp;Bulut Huri PhD","doi":"10.1111/jmwh.13581","DOIUrl":null,"url":null,"abstract":"<div>\n \n <section>\n \n <h3> Introduction</h3>\n \n <p>This study evaluated the effect of the noise level of the nonstress test (NST) device on stress parameters in primigravid women.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>A total of 44 pregnant women participated in a randomized clinical trial between February and October, 2021. The participants were divided randomly into 4 equal groups using an automated web-based randomization system and ensuring allocation concealment: the control group (NST device volume turned off), intervention group I (1-35 dB(A)), intervention group II (36-60 dB(A)), and intervention group III (61 dB(A) and above). A data collection form was used to record personal information and stress parameters. Stress parameters (blood pressure, heart rate, oxygen saturation [SpO<sub>2</sub>], blood glucose, salivary cortisol, and salivary adrenocorticotropic hormone [ACTH]) levels were measured pretest (0-2 minutes before NST starts), midtest (at 10 minutes of the NST), and posttest (within 0-2 minutes after NST was finished). The study was registered at ClinicalTrials.gov (identifier: NCT05488704).</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>NST sound levels above 35 dB(A) increased the average cortisol and ACTH levels in the posttest. NST sound levels were positively correlated with posttest cortisol (<i>r</i> = .448) and posttest glucose (<i>r</i> = .302). There was interaction effect on heart rate, glucose, and cortisol level by time, indicating that the intervention groups experienced a significant acceleration in heart rate, glucose, and cortisol level after a noise intervention compared with the control group.</p>\n </section>\n \n <section>\n \n <h3> Discussion</h3>\n \n <p>Midwives should continue applying NST below 36 dB(A), considering the factors that may induce stress during the NST process.</p>\n </section>\n </div>","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"69 2","pages":"279-286"},"PeriodicalIF":2.1000,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The Effect of Nonstress Device Noise Level on Stress Parameters in Primigravid Women: A Randomized Controlled Trial\",\"authors\":\"Turan Ayşenur PhD,&nbsp;Gençtürk Nuran PhD,&nbsp;Kaya Cihan MD,&nbsp;Bulut Huri PhD\",\"doi\":\"10.1111/jmwh.13581\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n <section>\\n \\n <h3> Introduction</h3>\\n \\n <p>This study evaluated the effect of the noise level of the nonstress test (NST) device on stress parameters in primigravid women.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>A total of 44 pregnant women participated in a randomized clinical trial between February and October, 2021. The participants were divided randomly into 4 equal groups using an automated web-based randomization system and ensuring allocation concealment: the control group (NST device volume turned off), intervention group I (1-35 dB(A)), intervention group II (36-60 dB(A)), and intervention group III (61 dB(A) and above). A data collection form was used to record personal information and stress parameters. Stress parameters (blood pressure, heart rate, oxygen saturation [SpO<sub>2</sub>], blood glucose, salivary cortisol, and salivary adrenocorticotropic hormone [ACTH]) levels were measured pretest (0-2 minutes before NST starts), midtest (at 10 minutes of the NST), and posttest (within 0-2 minutes after NST was finished). The study was registered at ClinicalTrials.gov (identifier: NCT05488704).</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>NST sound levels above 35 dB(A) increased the average cortisol and ACTH levels in the posttest. NST sound levels were positively correlated with posttest cortisol (<i>r</i> = .448) and posttest glucose (<i>r</i> = .302). There was interaction effect on heart rate, glucose, and cortisol level by time, indicating that the intervention groups experienced a significant acceleration in heart rate, glucose, and cortisol level after a noise intervention compared with the control group.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Discussion</h3>\\n \\n <p>Midwives should continue applying NST below 36 dB(A), considering the factors that may induce stress during the NST process.</p>\\n </section>\\n </div>\",\"PeriodicalId\":16468,\"journal\":{\"name\":\"Journal of midwifery & women's health\",\"volume\":\"69 2\",\"pages\":\"279-286\"},\"PeriodicalIF\":2.1000,\"publicationDate\":\"2024-01-04\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of midwifery & women's health\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1111/jmwh.13581\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of midwifery & women's health","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/jmwh.13581","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0

摘要

简介:本研究评估了无压力测试(NST)装置的噪音水平对初产妇压力参数的影响:本研究评估了无应激测试(NST)装置的噪音水平对初产妇应激参数的影响:共有 44 名孕妇参加了 2021 年 2 月至 10 月期间的随机临床试验。参与者被随机分为 4 组,每组人数相等,采用基于网络的自动随机系统并确保分配隐藏:对照组(关闭 NST 装置音量)、干预 I 组(1-35 dB(A))、干预 II 组(36-60 dB(A))和干预 III 组(61 dB(A) 及以上)。数据收集表用于记录个人信息和压力参数。应激参数(血压、心率、血氧饱和度[SpO2]、血糖、唾液皮质醇和唾液促肾上腺皮质激素[ACTH])水平分别在测试前(NST 开始前 0-2 分钟)、测试中(NST 开始 10 分钟时)和测试后(NST 结束后 0-2 分钟内)进行测量。该研究已在 ClinicalTrials.gov 上注册(标识符:NCT05488704):结果:NST声级高于35 dB(A)会增加后测中皮质醇和促肾上腺皮质激素的平均水平。NST 声级与测试后皮质醇(r = .448)和测试后葡萄糖(r = .302)呈正相关。心率、血糖和皮质醇水平与时间存在交互效应,表明与对照组相比,干预组在噪音干预后心率、血糖和皮质醇水平明显加快:讨论:考虑到在 NST 过程中可能诱发应激的因素,助产士应继续将 NST 的噪音控制在 36 分贝(A)以下。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Effect of Nonstress Device Noise Level on Stress Parameters in Primigravid Women: A Randomized Controlled Trial

Introduction

This study evaluated the effect of the noise level of the nonstress test (NST) device on stress parameters in primigravid women.

Methods

A total of 44 pregnant women participated in a randomized clinical trial between February and October, 2021. The participants were divided randomly into 4 equal groups using an automated web-based randomization system and ensuring allocation concealment: the control group (NST device volume turned off), intervention group I (1-35 dB(A)), intervention group II (36-60 dB(A)), and intervention group III (61 dB(A) and above). A data collection form was used to record personal information and stress parameters. Stress parameters (blood pressure, heart rate, oxygen saturation [SpO2], blood glucose, salivary cortisol, and salivary adrenocorticotropic hormone [ACTH]) levels were measured pretest (0-2 minutes before NST starts), midtest (at 10 minutes of the NST), and posttest (within 0-2 minutes after NST was finished). The study was registered at ClinicalTrials.gov (identifier: NCT05488704).

Results

NST sound levels above 35 dB(A) increased the average cortisol and ACTH levels in the posttest. NST sound levels were positively correlated with posttest cortisol (r = .448) and posttest glucose (r = .302). There was interaction effect on heart rate, glucose, and cortisol level by time, indicating that the intervention groups experienced a significant acceleration in heart rate, glucose, and cortisol level after a noise intervention compared with the control group.

Discussion

Midwives should continue applying NST below 36 dB(A), considering the factors that may induce stress during the NST process.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
CiteScore
3.60
自引率
7.40%
发文量
103
审稿时长
6-12 weeks
期刊介绍: The Journal of Midwifery & Women''s Health (JMWH) is a bimonthly, peer-reviewed journal dedicated to the publication of original research and review articles that focus on midwifery and women''s health. JMWH provides a forum for interdisciplinary exchange across a broad range of women''s health issues. Manuscripts that address midwifery, women''s health, education, evidence-based practice, public health, policy, and research are welcomed
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信