Nursing Department, the First Hospital of Nanchang, Nanchang 330000, Jiangxi, China.
Outpatient Department of Honggutan, the First Hospital of Nanchang, Nanchang 330000, Jiangxi, China.
Noise Health. 2024;26(122):423-429. doi: 10.4103/nah.nah_87_24. Epub 2024 Sep 30.
The aim of this study was to explore the influence of ward noise management on the mental health and hip joint function of elderly patients post-total hip arthroplasty.
The retrospective analysis involved the medical records of 160 elderly patients who underwent total hip arthroplasty at Nanchang First Hospital from March 2021 to January 2023. The observation group received ward noise management (n = 75) and the control group received perioperative routine management (n = 85). The noise level, Self-rating Depression Scale (SDS), Self-rating Anxiety Scale (SAS), the Generic Quality of Life Inventory-74 (GQOLI-74), Harris Hip Score (HHS) system, and satisfaction scale were used to evaluate patients. T test and chi-square tests were used for statistical analysis.
The observation group exhibited a significantly lower noise level compared to the control group (P < 0.05). No significant differences were observed in the general information and preoperative SDS, SAS, HHS, and GQOLI-74 scores between the two groups (P > 0.05). No significant differences were observed in the SDS and HHS between the two groups 7 days after the operation (P > 0.05). The observation group presented a significantly lower SAS score than the control group 7 days after the operation (P < 0.05). The score of the observation group 7 days after the operation was lower than that before the operation (P < 0.05). At 7 days after the operation, the observation group showed a higher score in the "social function" dimension of GQOLI-74 compared to the control group (P < 0.05), and the satisfaction of the observation group was significantly higher than that of the control group (94.67 vs. 77.65%, P < 0.05).
Ward noise management can help reduce anxiety among elderly patients after total hip arthroplasty, improve their quality of life and social function, and obtain higher satisfaction.
本研究旨在探讨病房噪声管理对老年全髋关节置换术后患者心理健康和髋关节功能的影响。
回顾性分析了 2021 年 3 月至 2023 年 1 月在南昌大学第一附属医院接受全髋关节置换术的 160 例老年患者的病历资料。观察组（n=75）接受病房噪声管理，对照组（n=85）接受围手术期常规管理。采用噪声水平、抑郁自评量表（SDS）、焦虑自评量表（SAS）、一般健康问卷-74（GQOLI-74）、Harris 髋关节评分（HHS）系统和满意度量表对患者进行评估。采用 t 检验和卡方检验进行统计学分析。
观察组的噪声水平明显低于对照组（P<0.05）。两组患者的一般资料及术前 SDS、SAS、HHS 和 GQOLI-74 评分无显著差异（P>0.05）。两组患者术后 7 天 SDS 和 HHS 无显著差异（P>0.05）。观察组术后 7 天 SAS 评分明显低于对照组（P<0.05）。观察组术后 7 天评分低于术前（P<0.05）。术后 7 天，观察组 GQOLI-74 的“社会功能”维度评分高于对照组（P<0.05），观察组的满意度明显高于对照组（94.67%比 77.65%，P<0.05）。
病房噪声管理可以帮助减轻老年全髋关节置换术后患者的焦虑，提高其生活质量和社会功能，并获得更高的满意度。
