Cardiology Department, The First Affiliated Hospital of Soochow University, Suzhou 215006, Jiangsu, China.
Noise Health. 2024;26(120):30-36. doi: 10.4103/nah.nah_80_23. Epub 2024 Mar 23.
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.
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.
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).
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.
医院等医疗机构的噪声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联合监测-培训-规划（MTP）管理模式在心力衰竭住院患者中的应用效果。
在 168 名研究对象中，将 2022 年 4 月至 2023 年 3 月接受病房降噪管理联合 MTP 管理模式的 55 例心力衰竭患者纳入 A 组，选取 2021 年 3 月至 2022 年 3 月接受 MTP 管理模式的 52 例心力衰竭患者作为 B 组，选取 2020 年 3 月至 2021 年 2 月接受常规管理措施的 61 例患者作为对照组。比较三组患者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、身体功能指标、睡眠质量评分及满意度。
管理 1 个月后，A 组心率、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 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 6 分钟步行距离大于 B 组和对照组（P<0.001）。管理后 A 组满意度高于 B 组（P<0.01）和对照组（P<0.001）。A 组噪声水平低于 B 组和对照组（P<0.001），B 组和对照组噪声水平差异无统计学意义（P>0.05）。
病房降噪管理联合 MTP 管理模式可降低病房噪声水平，改善心力衰竭患者的心理状态和睡眠质量。
