重症监护病房夜间噪声管理对清醒患者激素水平和睡眠质量的影响。
Effects of Nighttime Noise Management in Intensive Care Units on Hormone Levels and Sleep Quality in Conscious Patients.
机构信息
Department of Critical Care Medicine, Wenzhou TCM Hospital of Zhejiang Chinese Medical University (Wenzhou Hospital of Traditional Chinese Medicine), Wenzhou, Zhejiang, 325000, China.
出版信息
Noise Health. 2024;26(121):186-191. doi: 10.4103/nah.nah_55_24. Epub 2024 Jun 21.
OBJECTIVE
This study aims to investigate the effects of nighttime noise management in intensive care units (ICU) on hormone levels and sleep quality in conscious patients.
METHODS
From March 2020 to March 2021, the routine noise management for conscious patients was implemented in the ICU of Wenzhou TCM Hospital of Zhejiang Chinese Medical University. During this time, 86 patients were selected as the study subjects; five patients who did not meet the inclusion criteria were excluded, and 81 patients were included in the reference group. From April 2021 to April 2022, nighttime noise management for conscious patients was conducted, during which 93 patients were selected as the research subjects; six patients who did not meet the inclusion criteria were excluded, and 87 patients were included in the observation group. The hormone indicators, Pittsburgh Sleep Quality Index (PSQI) scores, and Symptom Checklist-90 (SCL-90) scores were collected and compared.
RESULTS
After management, the observation group had significantly lower noise level and hormone indicators (P < 0.05), significantly lower PSQI score (P < 0.001) and significantly lower SCL-90 score than the reference group (P < 0.01).
CONCLUSION
Nighttime noise in the ICU has an adverse effect on conscious patients. Nighttime noise management improves the hormone levels and sleep quality of ICU patients.
目的
本研究旨在探讨重症监护病房（ICU）夜间噪声管理对意识清醒患者激素水平和睡眠质量的影响。
方法
2020 年 3 月至 2021 年 3 月，在浙江中医药大学温州中医院 ICU 实施意识清醒患者常规噪声管理，期间选取 86 例患者作为研究对象，剔除不符合纳入标准的 5 例患者，纳入 81 例患者作为对照组。2021 年 4 月至 2022 年 4 月，对意识清醒患者进行夜间噪声管理，期间选取 93 例患者作为研究对象，剔除不符合纳入标准的 6 例患者，纳入 87 例患者作为观察组。收集并比较两组患者的激素指标、匹兹堡睡眠质量指数（PSQI）评分和症状自评量表-90（SCL-90）评分。
结果
管理后，观察组的噪声水平和激素指标明显低于对照组（P<0.05），PSQI 评分明显低于对照组（P<0.001），SCL-90 评分明显低于对照组（P<0.01）。
结论
ICU 内的夜间噪声对意识清醒患者有不良影响。夜间噪声管理可改善 ICU 患者的激素水平和睡眠质量。
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