Effect of Acoustic Environment in Wards on Postoperative Rehabilitation in Patients with Oral Cancer: A Retrospective Study.

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_34_24
Lu Zhang, Wei Cheng, Mingzhe Zhao, Hanying Tang
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Abstract

Objective: The increase in patient flow, replacement of medical equipment, and variations in surrounding environments induce increasingly serious acoustic environment problems in hospitals. This study aims to provide additional bases for the formulation of subsequent management plans in clinical practice by analyzing the influence of the acoustic environment in wards and the postoperative rehabilitation effect among patients with oral cancer.

Methods: The medical records of 210 patients with oral cancer undergoing surgical treatment in Jinan Stomatological Hospital from February 2020 to October 2022 were selected for retrospective analysis. Patients with the acoustic environment in wards >55 and ≤55 dB were classified as groups A and B, respectively, according to the acoustic environment in wards. The effects of the acoustic environment in wards on postoperative blood pressure, blood viscosity, and blood glucose fluctuation (BGF) were observed to further analyze their relationship.

Results: No significant difference was observed in indices such as preoperative systolic pressure (SP), diastolic pressure (DP), cardiac output (CO), postoperative CO, total cholesterol, and low- and high-density lipoproteins between the two groups (P > 0.05). The SP, DP, whole blood low-shear viscosity (WBLSV), whole blood middle-shear viscosity (WBMSV), whole blood high-shear viscosity (WBHSV), and BGF in group B were significantly lower than group A (P < 0.05). Correlation results showed that the total mean value of the acoustic environment in wards was positively correlated with SP, DP, WBLSV, WBMSV, WBHSV, and BGF (P < 0.05).

Conclusion: The high acoustic environment in wards is significantly positively correlated with postoperative blood pressure, blood viscosity, and BGF in patients with oral cancer. The hospital should focus on and strengthen the management of the acoustic environment in wards, providing additional schemes to promote the postoperative recovery of patients with oral cancer.

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病房声学环境对口腔癌患者术后康复的影响:回顾性研究
目的:随着患者流量的增加、医疗设备的更新换代以及周围环境的变化,医院声环境问题日益严重。本研究旨在通过分析病房声环境对口腔癌患者的影响及术后康复效果,为临床制定后续管理方案提供更多依据:选取2020年2月-2022年10月在济南市口腔医院接受手术治疗的210例口腔癌患者的病历资料进行回顾性分析。根据病房声环境将病房声环境>55 dB和≤55 dB的患者分别分为A组和B组。观察病房声学环境对术后血压、血粘度和血糖波动(BGF)的影响,进一步分析它们之间的关系:两组患者术前收缩压(SP)、舒张压(DP)、心输出量(CO)、术后 CO、总胆固醇、低密度和高密度脂蛋白等指标无明显差异(P>0.05)。B 组的 SP、DP、全血低剪切粘度(WBLSV)、全血中剪切粘度(WBMSV)、全血高剪切粘度(WBHSV)和 BGF 显著低于 A 组(P < 0.05)。相关性结果显示,病房声环境总均值与 SP、DP、WBLSV、WBMSV、WBHSV 和 BGF 呈正相关(P < 0.05):病房高声环境与口腔癌患者术后血压、血粘度和 BGF 呈显著正相关。医院应重视并加强病房声学环境的管理,为促进口腔癌患者术后恢复提供更多方案。
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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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