病房噪音管理在肝胆外科围手术期的应用:一项回顾性研究

IF 1.3 4区 医学 Q3 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY
Noise & Health Pub Date : 2024-07-01 Epub Date: 2024-09-30 DOI:10.4103/nah.nah_23_24
Shaobi Zhou, Ling Huang, Xiaying Zhong
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引用次数: 0

摘要

目的:探讨肝胆外科围手术期病房噪音管理的应用效果:探讨肝胆外科围手术期病房噪音管理的应用效果:回顾性分析遵义市博州区人民医院2020年3月-2023年3月收治的295例肝胆外科手术患者的临床资料。根据不同的围手术期管理方案,将患者分为对照组(实施围手术期常规管理)和观察组(实施围手术期常规管理+病房噪音管理)。通过倾向得分匹配法对患者的一般资料进行匹配,每组各55例。匹配后,比较两组患者的临床指标,以评估病房噪音管理对肝胆外科手术患者的影响:结果:两组患者的一般数据无明显差异(P>0.05)。管理后,观察组与对照组的术后恢复指标,如进食时间、排气时间、排便时间、首次下床时间、术后并发症发生率等无明显差异(P>0.05)。观察组的汉密尔顿焦虑量表、汉密尔顿抑郁量表和匹兹堡睡眠质量指数评分均低于对照组(P < 0.05)。观察组白天、夜间和 24 小时内的平均噪音分贝值均低于对照组(P < 0.05):病房噪音管理可改善肝胆外科手术患者的不良情绪,提高睡眠质量,促进康复。因此,具有一定的临床推广价值。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Application of Ward Noise Management in Perioperative Hepatobiliary Surgery: A Retrospective Study.

Objective: To explore the application effect of ward noise management during the perioperative period of hepatobiliary surgery.

Methods: The clinical data of 295 patients undergoing hepatobiliary surgery admitted to People's Hospital of Zunyi City Bo Zhou District from March 2020 to March 2023 were retrospectively analyzed. In accordance with different perioperative management programs, patients were divided into the control (implementation of perioperative routine management) and observation (implementation of perioperative routine management + ward noise management) groups. Patients' general data were matched through propensity score matching, and 55 cases were allocated to each group. After matching, the clinical indicators of the two groups were compared to evaluate the effect of ward noise management on patients undergoing hepatobiliary surgery.

Results: No significant difference in general data was found between the two groups (P > 0.05). After management, the postoperative recovery indicators, such as feeding time, exhaust time, defecation time, first time to get out of bed, and incidence of postoperative complications, did not significantly differ between the observation and control groups (P > 0.05). The Hamilton Anxiety Scale, Hamilton Depression Scale and Pittsburgh Sleep Quality Index scores of the observation group were lower than those of the control group (P < 0.05). The average noise decibel values during the day, night, and over 24 hours of the observation group were lower than those of the control group (P < 0.05).

Conclusions: Ward noise management can improve the negative emotions of patients undergoing hepatobiliary surgery, enhance sleep quality, and promote recovery. Therefore, it has a certain clinical promotion value.

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来源期刊
Noise & Health
Noise & Health AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
CiteScore
2.10
自引率
14.30%
发文量
27
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.
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