Evidence map›Paper›PMID 41409351›Full record

ArticleFrontiers in medicine2025

Application of a comprehensive sound environment management program to reduce the incidence of delirium in a pediatric intensive care unit: a quasi-experimental study.

Huangjia Song, Hanjun Huang, Bingxin Wang, Yuru Zhang, Wen Qian, Yaqin Hu, Yaya Xu, Xiaohua Ge, Lili Xu

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In one paragraph

Article in Frontiers in medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Huangjia Song *Department of Pediatric Critical Care Medicine, Xin Hua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Hanjun Huang *Department of Pediatric Critical Care Medicine, Xin Hua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Bingxin Wang *Shanghai General Hospital, Shanghai, China.
Yuru ZhangDepartment of Pediatric Critical Care Medicine, Xin Hua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Wen QianDepartment of Pediatric Critical Care Medicine, Xin Hua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Yaqin HuDepartment of Pediatric Critical Care Medicine, Xin Hua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Yaya XuDepartment of Pediatric Critical Care Medicine, Xin Hua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Xiaohua GeDepartment of Pediatric Critical Care Medicine, Xin Hua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Lili XuDepartment of Pediatric Critical Care Medicine, Xin Hua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To evaluate the effectiveness of a sound environment management program in preventing pediatric delirium (PD) in the pediatric intensive care unit (PICU), and to provide evidence for improving the quality of nursing care and reducing PD incidence. Methods: A sound environment management program was implemented and evaluated using a quasi-experimental design. Patients admitted to the PICU of a tertiary general hospital in Shanghai, China, were recruited by convenience sampling. A total of 354 patients were included and divided into three groups: 139 patients admitted from October 2022 to May 2023 served as the control group (Group A); 109 patients admitted from July to November 2023 received sound environment control (Group B); and 106 patients admitted from December 2023 to April 2024 received sound environment control combined with white noise (WN) intervention (Group C). The control group received routine nursing care, while the intervention groups received additional noise control measures or noise control combined with WN masking. Differences among the three groups were compared in terms of PD incidence, subtype distribution, cortisol level changes, and noise parameters. Results: The incidence of PD was 47.5% (66/139) in Group A, 36.7% (40/109) in Group B, and 31.1% (33/106) in Group C ( Conclusion: Implementation of a comprehensive sound environment management program in the PICU effectively reduced environmental noise and PD incidence while attenuating stress responses in critically ill children. The program demonstrated significant clinical potential in improving nursing quality and promoting both psychological and physiological stability in pediatric patients.

Indexed as

noise controlnursing interventionpediatric deliriumpediatric intensive care unitsound environment managementstress responsewhite noise

Identifiers

PMID41409351
PMCPMC12705631

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.