对心力衰竭住院患者的病房降噪管理结合监测-培训-计划管理模式的效果评估

IF 1.3 4区医学 Q3 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Noise & Health Pub Date : 2024-01-01 Epub Date: 2024-03-23 DOI:10.4103/nah.nah_80_23

Yuan Xue, Bingqing Lu, Yongming He, Minxia Lu

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引用次数: 0

摘要

背景：医院等医疗机构的噪音通常超过世界卫生组织推荐的水平。本研究旨在探讨病房降噪管理结合监测-培训-计划（MTP）管理模式在住院心衰患者中的应用效果：在168例研究对象中，选取2022年4月至2023年3月期间接受病房降噪管理联合MTP管理模式的55例心衰患者为A组，2021年3月至2022年3月期间接受MTP管理模式的52例心衰患者为B组，2020年3月至2021年2月期间接受常规管理措施的61例患者为对照组。比较三组患者在管理前后的生命体征、焦虑自评量表（SAS）评分、抑郁自评量表（SDS）评分、身体功能指数、睡眠质量评分和满意度：治疗 1 个月后，A 组患者的心率、舒张压、收缩压和呼吸频率均低于 B 组和对照组（P < 0.001）。管理后，A 组的 SAS 评分、SDS 评分和匹兹堡睡眠质量指数评分均低于 B 组和对照组（P < 0.001）。A 组的 6 分钟步行距离高于 B 组和对照组（P < 0.001）。与 B 组（P < 0.01）和对照组（P < 0.001）相比，A 组在管理后的满意度更高。A 组的噪音水平低于 B 组和对照组（P < 0.001），而 B 组和对照组的噪音水平无明显差异（P > 0.05）：结论：病房降噪管理结合 MTP 管理模式可降低病房噪音水平，改善心衰患者的心理状态和睡眠质量。

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Evaluation on the Effect of Ward-Noise Reduction Management Combined with Monitoring-Training-Planning Management Mode in Hospitalized Patients with Heart Failure.

Background: Noise from medical institutions such as hospitals usually exceeds the level recommended by the World Health Organization. This study aimed to explore the application effect of ward-noise reduction management combined with monitoring-training-planning (MTP) management mode in hospitalized patients with heart failure.

Materials and methods: Among the 168 research objects, 55 patients with heart failure receiving ward-noise reduction management combined with MTP management mode from April 2022 to March 2023 were included in group A, 52 patients with heart failure who underwent MTP management mode from March 2021 to March 2022 were selected as group B, and 61 patients who underwent routine management measures from March 2020 to February 2021 served as the control group. The vital signs, Self-rating Anxiety Scale (SAS) scores, Self-rating Depression Scale (SDS) scores, physical function indices, sleep quality score, and satisfaction degree of patients in the three groups were compared before and after management.

Results: After 1 month of management, group A had lower heart rate, diastolic blood pressure, systolic blood pressure, and respiratory rate compared to group B and the control group (P < 0.001). The SAS score, SDS score, and Pittsburgh Sleep Quality Index score after management in group A were lower than those in group B and the control group (P < 0.001). Group A had a higher 6-Minute Walk Distance than group B and the control group (P < 0.001). Group A had a higher satisfaction degree after management compared to group B (P < 0.01) and the control group (P < 0.001). Group A had lower noise level than group B and the control group (P < 0.001), and there was no significant difference in noise level between group B and the control group (P > 0.05).

Conclusion: Ward-noise reduction management combined with MTP management mode can reduce the noise level in the ward and improve the psychological state and sleep quality of patients with heart failure.

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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.