Noise & Health最新文献

Objectives: This study aimed to investigate the potential relationship between sleep quality and perceived noise.

Methods: A cross-sectional study involving 185,246 adults (81,854 men and 103,392 women) participating in the 2018 Korea Community Health Survey (KCHS) was conducted. Subjective sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI), while perceived noise pollutants were categorized into two groups: perceived noise pollution (n = 43,638) and perceived non-noise pollution (n = 141,608). We used chi-square tests and independent sample t tests to compare differences between the perceived noise group and the non-perceived noise group, as well as multivariate logistic regression analysis to calculate adjusted odds ratios (OR) for sleep quality variables.

Results: The perceived noise pollution group had significantly poor psychosocial variables (stress, depression assessed by Patient health questionnaire-9 (PHQ-9)) than the perceived non-noise pollution group. Poor sleep quality (PSQI > 5) was associated with perceived noise pollution (OR 1.33, 95% confidence interval (CI) 1.30-1.36, P < 0.001). In addition, sleep quality (OR 1.09; 95% CI 1.06-1.13, P < 0.001); sleep latency (OR 1.11; 95% CI 1.09-1.14, P < 0.001); sleep duration (OR 1.10; 95% CI 1.07-1.13, P < 0.001); sleep efficiency (OR 1.20; 95% CI 1.16-1.25, P < 0.001); sleep disturbance (OR 1.46; 95% CI 1.42-1.51, P < 0.001); sleep medication use (OR 1.13; 95% CI 1.07-1.20, P = 0.002); and daytime dysfunction (OR 1.23; 95% CI 1.20-1.26, P < 0.001) were associated with perceived noise pollution after confounding variables.

Conclusion: Perceived noise pollution was significantly associated with poor sleep quality. Perceived noise annoyance could be used as a signal of health effects in the public community.

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.

Background: Use of noise or music in experimental human studies requires balancing the need to avoid subjecting participants to potentially harmful noise levels while still reaching levels that will produce a measurable change in the primary outcome. Several methodological and ethical aspects must be considered. This study aims to summarize ethical and methodological aspects, and reported outcomes, of previously published experimental paradigms using loud noise/music.

Methods and materials: Four databases (Medline, Central, Web of Science, and Scopus) and two trials registries (Clinicaltrials.gov and EU Clinical Trials) were searched. Extracted items had the details of author and year of publication, study design and purpose, population, setting timeline and material, selected battery test, and effect of noise/music on participants' hearing.

Results: Thirty-four studies were included. Exposure safety considerations were reported in five studies. Eleven studies assessing hearing loss used white or narrow-band noise [(NBN (0.5-4 kHz), up to 115 dBA, duration range: 3'-24 hours)], and 10 used pop music (up to 106 dBA, duration range: 10'-4 hours). Experimental setting varied significantly. Temporary thresholds shift (TTS) and reduction in distortion product otoacoustic emissions were found at 1-8 kHz, with maximum average TTS∼21.5 dB at 4 kHz after NBN and ∼11.5 dB at 6 kHz after music exposure. All participants recovered their hearing, except for one participant in one study. In the 13 non-hearing loss studies, no hearing testing was performed after exposure, but loud noise was associated with temporary stress, bradygastria, and cardiovascular changes. Noise-induced subjective stress may be higher for participants with tinnitus. Loud noise (100 dBA, 10') increased diastolic and mean blood pressure only in participants with hypertension.

Conclusion: Experimental exposure paradigms can produce temporary changes to hearing without measurable long-term health consequences. Methodological and ethical aspects identified in this review should be considered for the development of future paradigms.

Objective: This study aims to design a Concise and Practical Chinese Tinnitus Disorder Scale (CPCTDS), evaluate its psychometric measurement characteristics, and help doctors in making diagnoses and treatments.

Methods: A sample of 482 tinnitus patients completed CPCTDS. The patients also completed the Center for Epidemiologic Studies-Depression Scale (CES-D), the Beck Anxiety Inventory (BAI), and the Tinnitus Functional Index (TFI).

Results: The eight items of CPCTDS were extracted through its exploratory factor analysis, which had strong internal consistency (Cronbach's α = 0.855). The correlations between the total scores of CPCTDS and Tinnitus Disability Inventory (TDI; r = 0.960, P < 0.05) and TFI (r = 0.749, P < 0.05) indicated a good criterion validity. The correlation of the CPCTDS emotional subscale with the TFI emotional subscale (r = 0.650, P < 0.05), CES-D (r = 0.488, P < 0.05), and BAI (r =.384, p< 0.05) showed that the convergent validity of CPCTDS was satisfactory.

Conclusions: CPCTDS and the original Chinese version of TDI were highly reliable and valid. This finding shows that the two scales can be reliably used to assess the severity of tinnitus in clinical areas.

Objective: To analyze the impact of using music therapy to improve the sleep quality and mental health of nurses who suffer from circadian rhythm sleep disorders.

Methods: Our retrospective analysis included 360 nurses with circadian rhythm sleep disorders from 20 different departments who worked in Wuhan Third Hospital for more than 1 year from May 2022 to May 2023. A total of 180 nurses with circadian rhythm sleep disorders were classified as the control group (received melatonin receptor agonist Melatonin Receptor Type 2 [MT2]). The other 180 cases were classified into the observation group (received melatonin receptor agonist MT2 + music therapy). After six courses of treatment, the clinical efficacy, Self-Assessment Anxiety Scale (SAS) score, Self-rating Depression Scale (SDS), and Pittsburgh Sleep Quality Index Scale (PSQI) score of the two groups of nurses were compared.

Results: Before treatment, no statistically significant differences in baseline treatment and SAS, SDS, and PSQI scores were found between the two groups. After treatment, the total effective rate of treatment in the observation group was 85.56%, which was significantly higher than the 50.56% in the control group (P < 0.001). After treatment, the SAS, SDS and PSQI scores of the observation group were lower than those of the control group (P < 0.05). The SAS, SDS and PSQI scores of both groups were lower after treatment than they were before treatment (P < 0.05).

Conclusion: Implementing music therapy for nurses with circadian rhythm sleep disorders caused by shifts can improve sleep quality and reduce negative emotions. It is a clinical strategy with clinical application value and a certain promotion value.

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.

Globally, hearing loss is a prevalent health condition that often goes unattended and significantly influences the quality of life of the affected individual. The prevalence of hearing loss is expected to rise in the years to come, predominantly due to the changes in the demography, increased exposure to recreational noise, and disregarding ear conditions that can account for hearing loss but are immensely preventable. A wide range of activities can be planned and organized to promote ear and hearing care and thereby contribute to our vision to prevent the consequences of unaddressed hearing loss. However, the sustainability of these events, especially in terms of accomplishing the intended outcomes, essentially depends on the involvement of the community and the political leaders. In conclusion, the strategies to promote ear and hearing care are much more essential than health interventions do; rather, these measures have social implications. The need of the hour is to create awareness among different stakeholders to ensure that we can change the perception of the masses and that ear and hearing care becomes a global public health priority.

Background: Hyperbaric oxygen therapy (HBOT), which is widely used in clinical practice, is aimed at improving nerve function impairment after brain injury. Meanwhile, the effects of music therapy on brain function are unclear. This retrospective study was conducted to explore the application effect of HBOT combined with music therapy on patients suffering from aneurysmal subarachnoid hemorrhage (aSAH).

Methods: For this retrospective study, 130 patients with aSAH after HBOT were selected from our hospital from June 2021 to June 2022. The patients were divided into the observation (n = 70) and control (n = 60) groups based on whether they received music therapy. Comparisons were made on general demographic data, blood flow rate in median cerebral artery (MCA), cerebral vasospasm (CVS), National Institutes of Health Stroke Scale (NIHSS), activities of daily living (ADL) score, Self-Rating Depressive Scale (SDS), and Self-Rating Anxiety Scale (SAS) of patients.

Results: Baseline data between the two groups showed no statistically significant difference (P > 0.05). After management, patients in the observation group presented significantly lower SAS and SDS scores (P < 0.05), lower blood flow rate in MCA, CVS and NIHSS scores (P < 0.05), and higher ADL scores than the control group (P < 0.05).

Conclusions: The combination of HBOT and music therapy can considerably improve cerebral neurological deficits, slow down cerebral arterial blood flow, promote the recovery of postoperative cerebral function in aSAH patients, and improve anxiety and depression and the patients' ADL.

Objective: The aim of the study was to explore the effects of the combination of noise reduction earplugs with white noise and rational emotional therapy on the emotional states of inpatients with colorectal cancer (CRC).

Methods: The study selected 152 CRC patients who received inpatient treatment in our hospital from January 2020 to January 2022 as the research objects. According to different nursing intervention modes, these patients were divided into the observation group (OG, n = 73, conventional nursing + noise reduction earplugs with white noise + rational emotional therapy) and the control group (CG, n = 79, conventional nursing) to compare the emotional status, sleep quality, and other indicators between the two groups.

Results: After 2 and 6 weeks of intervention, the severity of illness and global impression in the OG were notably lower than those in the CG. The OG had remarkably higher efficacy indexes than the CG (p < 0.05). The OG had overtly lower Montgomery-Asberg Depression Scale (MADRS) scores and Pittsburgh sleep quality index (PSQI) scores than the CG (p < 0.05).

Conclusion: The combination of noise reduction earplugs with white noise and rational emotional therapy can improve the emotion and sleep states of patients, with certain positive effects, which can be used as a potential nursing plan for CRC patients.

Purpose: To study the effect of guided music management strategies on the psychological state of college students of science and technology during their graduation reply.

Methods: A retrospective analysis was conducted on the relevant data of 107 college students of science and technology who underwent graduation defense in 2022. These students returned to school 1 week before their graduation reply. On the basis of whether they received guided music management strategies, the students were divided into a control group (no management strategy) and an observation group (received guided music management strategies). Among the students, 50 were included in the observation group after excluding two who did not meet the inclusion criteria. A total of 53 students were included in the control group after excluding 2 who did not meet the inclusion criteria. General demographic information and Self-Rating Anxiety Scale (SAS), Test Anxiety Scale (TAS) and Chinese Perceived Stress Scale (CPSS) scores were collected.

Results: No significant differences in SAS, TAS and CPSS scores were found between the two groups before management (P > 0.05). After management, the SAS score of the observation group was lower than that of the control group (P < 0.05). The TAS and CPSS scores of the observation group after management were lower than those of the control group (P < 0.05).

Conclusion: Implementing guided music management strategies can effectively alleviate anxiety and stress in college students of science and technology during their graduation reply and has a certain utility and promotion value.