重症监护病房夜间噪音管理对意识清醒患者激素水平和睡眠质量的影响

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

Noise & Health Pub Date : 2024-04-01 Epub Date: 2024-06-21 DOI:10.4103/nah.nah_55_24

Leilei Zhang

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引用次数: 0

摘要

研究目的本研究旨在探讨重症监护病房（ICU）夜间噪音管理对神志清醒患者激素水平和睡眠质量的影响：2020年3月至2021年3月，浙江中医药大学附属温州中医院重症监护室对神志清醒患者实施常规噪声管理。方法：2020 年 3 月至 2021 年 3 月，浙江中医药大学附属温州中医院重症监护室对神志清醒的患者实施常规噪声管理，在此期间选取 86 例患者作为研究对象，排除 5 例不符合纳入标准的患者，将 81 例患者纳入参照组。2021 年 4 月至 2022 年 4 月，对神志清醒患者进行夜间噪音管理，期间选取 93 例患者作为研究对象，排除 6 例不符合纳入标准的患者，将 87 例患者纳入观察组。收集并比较了激素指标、匹兹堡睡眠质量指数（PSQI）评分和症状检查表-90（SCL-90）评分：管理后，观察组的噪音水平和激素指标明显低于参照组（P < 0.05），PSQI 评分明显低于参照组（P < 0.001），SCL-90 评分明显低于参照组（P < 0.01）：结论：重症监护室的夜间噪音对神志清醒的患者有不利影响。结论：重症监护室的夜间噪音对神志清醒的患者有不良影响，夜间噪音管理可改善重症监护室患者的激素水平和睡眠质量。

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Effects of Nighttime Noise Management in Intensive Care Units on Hormone Levels and Sleep Quality in Conscious Patients.

Objective: This study aims to investigate the effects of nighttime noise management in intensive care units (ICU) on hormone levels and sleep quality in conscious patients.

Methods: From March 2020 to March 2021, the routine noise management for conscious patients was implemented in the ICU of Wenzhou TCM Hospital of Zhejiang Chinese Medical University. During this time, 86 patients were selected as the study subjects; five patients who did not meet the inclusion criteria were excluded, and 81 patients were included in the reference group. From April 2021 to April 2022, nighttime noise management for conscious patients was conducted, during which 93 patients were selected as the research subjects; six patients who did not meet the inclusion criteria were excluded, and 87 patients were included in the observation group. The hormone indicators, Pittsburgh Sleep Quality Index (PSQI) scores, and Symptom Checklist-90 (SCL-90) scores were collected and compared.

Results: After management, the observation group had significantly lower noise level and hormone indicators (P < 0.05), significantly lower PSQI score (P < 0.001) and significantly lower SCL-90 score than the reference group (P < 0.01).

Conclusion: Nighttime noise in the ICU has an adverse effect on conscious patients. Nighttime noise management improves the hormone levels and sleep quality of ICU patients.

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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.