病房夜间噪音管理对胸外科肺癌患者术后睡眠质量、焦虑和激素水平的影响。

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_25_24
Huan Wang, Lan Li, Junling Jia, Ruihua Ren, Zhina Li, Jiyun Wang
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引用次数: 0

摘要

目的本研究旨在分析在加强术后恢复(ERAS)的背景下,病房夜间噪音管理对胸外科肺癌患者术后睡眠质量和焦虑的影响:这项回顾性分析纳入了118名接受胸外科手术的肺癌患者(2020年1月至2021年12月)。根据围手术期管理计划,将患者分为对照组和观察组,分别为 63 例和 55 例。比较两组患者的雅典失眠量表(AIS)、状态-特质焦虑量表(STAI)和抑郁自评量表(SDS)得分、唾液皮质醇(SC)、甲状腺激素(TSH)和血管紧张素II(Ang II)水平以及不同时间点的噪音测量结果:观察组的噪音水平明显低于对照组(P < 0.001)。两组术前的 AIS、STAI 和 SDS 评分以及 Ang II、TSH 和 SC 水平差异无统计学意义(P > 0.05)。与对照组相比,观察组术后 1 天、3 天和 7 天的 AIS 评分明显降低(P < 0.05),术后 1 天和 3 天的 STAI 评分明显降低(P < 0.05)。观察组术后的 Ang II、TSH 和 SC 指数明显低于对照组(P < 0.05):结论:ERAS 中的夜间噪音管理可改善肺癌胸腔手术患者的睡眠质量和不良情绪,有助于促进预后。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effects of Ward Night Noise Management in the Context of Enhanced Recovery After Surgery on Postoperative Sleep Quality, Anxiety, and Hormone Levels of Thoracic Surgery Patients with Lung Cancer.

Objective: This study aimed to analyze the effects of ward night noise management in the context of enhanced recovery after surgery (ERAS) on postoperative sleep quality and anxiety of thoracic surgery patients with lung cancer.

Methods: This retrospective analysis included 118 patients with lung cancer who underwent thoracic surgery (from January 2020 to December 2021). The patients were categorized into the control and observation groups, which comprised 63 and 55 cases, respectively, on the basis of perioperative management plans. The two groups were compared in terms of their score in Athens Insomnia Scale (AIS), the State-Trait Anxiety Inventory (STAI) and Self-Rating Depression Scale (SDS), salivary cortisol (SC), thyroid hormone (TSH), and angiotensin II (Ang II) levels, and noise measurements at various timepoints.

Results: The observation group exhibited a significantly lower noise level than the control group (P < 0.001). No statistically significant difference was found in the AIS, STAI, and SDS scores and Ang II, TSH and SC levels between the two groups before their surgery (P > 0.05). Compared with the control group, the observation group achieved significantly lower AIS scores at 1, 3 and 7 days after surgery (P < 0.05) and significantly lower STAI scores at 1 and 3 days postsurgery (P < 0.05). Significantly lower Ang II, TSH and SC indices were observed in the observation group after management than the control group (P < 0.05).

Conclusion: Night noise management in the context of ERAS can improve sleep quality and adverse moods of patients who underwent thoracic surgery for lung cancer, which helps in the promotion of prognosis.

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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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