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回顾性研究重症加强护理病房降噪管理对尿毒症期老年慢性肾衰竭患者的价值。

Retrospective Study on the Value of Intensive Care Unit Noise Reduction Management in Elderly Patients with Chronic Renal Failure in the Uremic Phase.

机构信息

Intensive Care Medicine, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu Province 215000, China.

出版信息

Noise Health. 2024;26(122):376-382. doi: 10.4103/nah.nah_70_24. Epub 2024 Sep 30.

Abstract

OBJECTIVE

This study aimed to investigate the value of noise reduction management in the intensive care unit (ICU) in elderly patients with chronic renal failure (CRF) in the uremic phase.

METHODS

A retrospective study was conducted, including 150 elderly patients with CRF in the uremic phase, who were treated in the ICU ward at the First Affiliated Hospital of Soochow University between January 2021 and August 2023. Among them, 73 were in the control group (routine ICU management), and 77 were in the observation group (routine ICU management + ICU noise reduction management). Anxiety, depression, sleep treatment, quality of life, blood pressure, heart rate (HR), and cortisol (COR) levels were compared between the two groups at baseline and 10 days after admission to the ICU.

RESULTS

There was no statistical significance in the comparison of baseline data between the two groups of patients (P > 0.05). At 10 days, the sleep quality of patients in the observation group was higher than that in the control group (P < 0.05). Anxiety levels, as well as blood pressure, HR, and COR levels, were significantly lower (P < 0.05), whereas the quality of life was higher in the observation group than in the control group (P< 0.05).

CONCLUSION

ICU noise reduction management can effectively improve the sleep quality and quality of life of elderly patients with CRF in the uremic phase.

摘要

目的

本研究旨在探讨噪声降低管理在老年慢性肾衰竭(CRF)尿毒症期患者重症监护病房(ICU)中的应用价值。

方法

采用回顾性研究方法,纳入 2021 年 1 月至 2023 年 8 月在苏州大学附属第一医院 ICU 病房治疗的 150 例老年 CRF 尿毒症期患者。其中,73 例患者为对照组(常规 ICU 管理),77 例患者为观察组(常规 ICU 管理+ICU 降噪管理)。比较两组患者入院时和入院 10 天后的焦虑、抑郁、睡眠治疗、生活质量、血压、心率(HR)和皮质醇(COR)水平。

结果

两组患者基线资料比较,差异无统计学意义(P>0.05)。入院 10 天后,观察组患者的睡眠质量高于对照组(P<0.05)。观察组患者的焦虑水平以及血压、HR 和 COR 水平明显降低(P<0.05),而生活质量则高于对照组(P<0.05)。

结论

ICU 降噪管理可有效改善老年 CRF 尿毒症期患者的睡眠质量和生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc40/11539980/9b965a07995e/NH-26-376-g001.jpg

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