Yu Jing, Xu Dongyan, Zhou Lihui
Department of Gastroenterology, Affiliated Wuxi Fifth Hospital of Jiangnan University (The Fifth People's Hospital of Wuxi), Wuxi 214000, Jiangsu, China.
School of Nursing, Jiangnan University, Wuxi 214000, Jiangsu, China.
Noise Health. 2025;27(125):194-200. doi: 10.4103/nah.nah_125_24. Epub 2025 Apr 29.
The aim of the study was to investigate the effect of nighttime noise control, combined with detailed nursing, on negative emotions and sleep quality in patients suffering from upper gastrointestinal bleeding.
This retrospective analysis was conducted on 100 patients with upper gastrointestinal bleeding who were admitted to the Fifth People's Hospital of Wuxi from January 2021 to January 2024. Patients were divided into the noise control group and the detailed nursing group based on different nursing care methods, with each group containing 50 cases. The detailed nursing group received detailed nursing, whereas the noise control group received nighttime noise control combined with detailed nursing. The results of the Fear Visual Analog Scale (FVAS), Pittsburgh Sleep Quality Index (PSQI), Hamilton Anxiety Rating Scale (HAMA), Hamilton Depression Rating Scale (HAMD), and subjective assessment of noise of the two groups were compared.
After management, the HAMA, HAMD, FVAS, and PSQI scores of both groups showed a significant decrease compared to baseline (P < 0.05). Additionally, the HAMA, HAMD, FVAS, and PSQI scores of the noise control group were significantly lower than those of the detailed nursing group (P < 0.05).The subjective assessment of noise in both groups was significantly higher after management than before management, with the noise control group reporting a significantly higher subjective noise assessment than the detailed nursing group (P < 0.05).
Nighttime noise control combined with detailed nursing is effective in patients with upper gastrointestinal bleeding. This approach helps reduce negative emotions such as anxiety, depression, and fear; lowers the subjective assessment of noise; and improves sleep quality.
本研究旨在探讨夜间噪声控制结合精细化护理对上消化道出血患者负面情绪及睡眠质量的影响。
对2021年1月至2024年1月在无锡市第五人民医院住院的100例上消化道出血患者进行回顾性分析。根据不同护理方式将患者分为噪声控制组和精细化护理组，每组50例。精细化护理组接受精细化护理，而噪声控制组接受夜间噪声控制结合精细化护理。比较两组的恐惧视觉模拟量表（FVAS）、匹兹堡睡眠质量指数（PSQI）、汉密尔顿焦虑量表（HAMA）、汉密尔顿抑郁量表（HAMD）结果及噪声主观评估。
处理后，两组的HAMA、HAMD、FVAS和PSQI评分均较基线显著降低（P<0.05）。此外，噪声控制组的HAMA、HAMD、FVAS和PSQI评分显著低于精细化护理组（P<0.05）。两组处理后的噪声主观评估均显著高于处理前，且噪声控制组的噪声主观评估显著高于精细化护理组（P<0.05）。
夜间噪声控制结合精细化护理对上消化道出血患者有效。该方法有助于减轻焦虑、抑郁和恐惧等负面情绪；降低噪声主观评估；改善睡眠质量。
