关于重症监护室降噪管理对尿毒症期慢性肾衰竭老年患者价值的回顾性研究

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_70_24

Haiwei Zhou, Yu Qiu

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引用次数: 0

摘要

研究目的本研究旨在探讨在重症监护病房（ICU）对尿毒症期慢性肾功能衰竭（CRF）老年患者进行降噪管理的价值：研究对象为2021年1月至2023年8月期间在苏州大学附属第一医院ICU病房接受治疗的150例老年尿毒症期慢性肾功能衰竭患者。其中，对照组（ICU常规管理）73例，观察组（ICU常规管理+ICU降噪管理）77例。比较了两组患者在基线和入住重症监护室 10 天后的焦虑、抑郁、睡眠治疗、生活质量、血压、心率（HR）和皮质醇（COR）水平：两组患者的基线数据比较无统计学意义（P>0.05）。10 天后，观察组患者的睡眠质量高于对照组（P < 0.05）。观察组患者的焦虑水平、血压、心率和 COR 水平明显低于对照组（P<0.05），而生活质量则高于对照组（P<0.05）：ICU降噪管理可有效改善尿毒症期老年CRF患者的睡眠质量和生活质量。

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Retrospective Study on the Value of Intensive Care Unit Noise Reduction Management in Elderly Patients with Chronic Renal Failure in the Uremic Phase.

Objective: This study aimed to investigate the value of noise reduction management in the intensive care unit (ICU) in elderly patients with chronic renal failure (CRF) in the uremic phase.

Methods: A retrospective study was conducted, including 150 elderly patients with CRF in the uremic phase, who were treated in the ICU ward at the First Affiliated Hospital of Soochow University between January 2021 and August 2023. Among them, 73 were in the control group (routine ICU management), and 77 were in the observation group (routine ICU management + ICU noise reduction management). Anxiety, depression, sleep treatment, quality of life, blood pressure, heart rate (HR), and cortisol (COR) levels were compared between the two groups at baseline and 10 days after admission to the ICU.

Results: There was no statistical significance in the comparison of baseline data between the two groups of patients (P > 0.05). At 10 days, the sleep quality of patients in the observation group was higher than that in the control group (P < 0.05). Anxiety levels, as well as blood pressure, HR, and COR levels, were significantly lower (P < 0.05), whereas the quality of life was higher in the observation group than in the control group (P< 0.05).

Conclusion: ICU noise reduction management can effectively improve the sleep quality and quality of life of elderly patients with CRF in the uremic phase.

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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.