ArticleNoise & health
Correlation between Noise and Anxiety/Depression in Patients with Haemophiliac Osteoarthropathy after Hip and Knee Replacement.
Article in Noise & health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
- Effects of Acoustic Environments on Well-Being in Sensory-Vulnerable Populations: A Systematic Review.Journal of multidisciplinary healthcare · 2026Review
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThis study aimed to investigate the correlation between postoperative noise exposure and anxiety/depression in patients with haemophilic osteoarthropathy undergoing hip/knee replacement.
methodsThis retrospective study included 58 patients with haemophilic osteoarthropathy who underwent hip/knee replacement in four tertiary hospitals between 2020 and 2025. Data were collected from clinical records. Ward noise levels (daytime/nighttime) were measured on postoperative days 1-3 by using a sound level metre. Patients were divided into high-noise (≥45 dB, n = 30) and low-noise (<45 dB, n = 28) groups. The Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS), sleep quality (Pittsburgh Sleep Quality Index, PSQI) and pain (Visual Analog Scale, VAS) were assessed. Pearson's correlation and t-tests were used for statistical analysis.
resultsThe high-noise group had significantly higher mean noise levels (52.89 ± 6.24 dB vs. 44.57 ± 5.25 dB, P < 0.001). The SAS (51.41 ± 6.37 vs. 48.84 ± 5.23, P = 0.011) and SDS scores (54.16 ± 7.48 vs. 50.31 ± 5.25, P = 0.028) were higher in the high-noise group. Noise levels were positively correlated with anxiety (r = 0.682, P < 0.001) and depression (r = 0.659, P < 0.001). The high-noise group had poorer sleep quality (PSQI: 7.21 ± 2.35 vs. 5.19 ± 1.89, P < 0.001) and higher pain scores (VAS: 5.86 ± 1.54 vs. 4.23 ± 1.27, P < 0.001).
conclusionPostoperative noise exposure is significantly associated with increased anxiety, depression, poor sleep and pain in patients with haemophiliac osteoarthropathy. Reducing ward noise may enhance their psychological well-being and postoperative recovery.
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