DSA Operating Room, The First People's Hospital of Nantong, The Second Affiliated Hospital of Nantong University, Nantong, Jiangsu 226001, China.
DSA Operating Room, Outpatient, Day Operating Room, The First People's Hospital of Nantong, The Second Affiliated Hospital of Nantong University, Nantong, Jiangsu 226001, China.
Noise Health. 2024;26(122):325-331. doi: 10.4103/nah.nah_53_24. Epub 2024 Sep 30.
This study aims to evaluate the effect of noise management in interventional radiology suites on patients undergoing transarterial chemoembolization (TACE).
A retrospective cohort study design was employed. The study included a total of 141 patients with hepatocellular carcinoma who underwent TACE surgery in interventional radiology suite of the First People's Hospital of Nantong from January 2022 to December 2022. The patients were divided into an observation group (received noise management, n = 70) and a control group (did not receive noise management, n = 71) on the basis of whether they received noise management. Patient demographics and surgical data were collected, and heart rate, blood pressure, and anxiety levels were assessed before, during and after surgery. Satisfaction and the incidence of adverse reactions were also documented.
No significant differences were found in general characteristics. The comparison between the observation and control groups revealed statistically significant differences in noise levels (P < 0.001). Additionally, anxiety levels significantly differed between the two groups (P = 0.040) as well as across different time points (P < 0.001). However, no significant difference was found in the occurrence of adverse events between groups (P = 0.772). Furthermore, patient satisfaction was significantly higher in the observation group than that in the control group (P < 0.001). Although no significant differences were found in heart rate and systolic blood pressure between groups (P > 0.05), and a significant main effect of time was observed for both variables (P < 0.001).
Noise management in the interventional radiology suite effectively alleviates intraoperative anxiety among patients with TACE and improves treatment satisfaction but has no significant effect on physiological changes and the incidence of adverse events.
本研究旨在评估介入放射学套房中的噪声管理对接受经动脉化疗栓塞（TACE）治疗的患者的影响。
采用回顾性队列研究设计。该研究共纳入了 2022 年 1 月至 2022 年 12 月期间在南通市第一人民医院介入放射学套房接受 TACE 手术的 141 例肝细胞癌患者。根据是否接受噪声管理，将患者分为观察组（接受噪声管理，n=70）和对照组（未接受噪声管理，n=71）。收集患者的人口统计学和手术数据，并在手术前后评估心率、血压和焦虑水平。还记录了满意度和不良反应的发生率。
两组一般特征无显著差异。观察组和对照组之间的噪声水平比较存在统计学差异（P<0.001）。此外，两组之间的焦虑水平也存在显著差异（P=0.040），且不同时间点的差异也具有统计学意义（P<0.001）。然而，两组之间不良反应的发生率无显著差异（P=0.772）。此外，观察组患者的满意度明显高于对照组（P<0.001）。尽管两组之间的心率和收缩压无显著差异（P>0.05），但两个变量均表现出显著的时间主效应（P<0.001）。
介入放射学套房中的噪声管理可有效减轻 TACE 患者术中焦虑，提高治疗满意度，但对生理变化和不良反应发生率无显著影响。
