ArticleNoise & health
Effects of Ward Noise on Sleep Quality and Emotional State in Older Patients with Proximal Humerus Fractures: A Retrospective Study.
Article in Noise & health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Effects of Acoustic Environments on Well-Being in Sensory-Vulnerable Populations: A Systematic Review.Journal of multidisciplinary healthcare · 2026Review
- A Study on the Correlation between Noise and Sleep Disorders in the Emergency Observation Ward for Elderly Patients.Noise & healthObservational
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThis retrospective study evaluates the effects of ward noise levels on sleep quality and emotional state in older patients with proximal humerus fractures.
methodsA total of 156 older patients (aged ≥65 years) admitted with proximal humerus fractures between January 2022 and December 2024 were enrolled and stratified into two groups based on average ward noise exposure: a high noise exposure (HNE) group (n = 78, average noise >55 dB) and low noise exposure (LNE) group (n = 78, average noise ≤55 dB). Primary outcomes were sleep quality [Pittsburgh Sleep Quality Index (PSQI)], emotional state [Hospital Anxiety and Depression Scale (HADS)], and physiological stress (salivary cortisol levels). Additional assessments included pain intensity [Visual Analog Scale (VAS)], functional outcomes [Disabilities of the Arm, Shoulder, and Hand questionnaire (DASH)], and length of hospital stay. Data were collected at baseline and discharge.
resultsAt discharge, the HNE group exhibited significantly higher PSQI scores (9.24 ± 2.15 vs. 6.87 ± 1.93, P < 0.001) and HADS scores for anxiety (8.42 ± 2.38 vs. 5.96 ± 2.12, P < 0.001) and depression (7.85 ± 2.26 vs. 5.43 ± 1.89, P < 0.001) compared with the LNE group. Salivary cortisol levels were elevated in the HNE group (0.67 ± 0.14 vs. 0.45 ± 0.11 µg/dL, P < 0.001). The HNE group had higher VAS pain scores (6.78 ± 1.45 vs. 4.92 ± 1.32, P < 0.001), worse functional outcomes (DASH: 58.92 ± 12.34 vs. 48.76 ± 11.28, P < 0.001), and longer hospital stays (8.45 ± 2.67 vs. 6.83 ± 2.14 days, P < 0.001).
conclusionElevated noise levels in hospital wards correlate with impaired sleep quality, worsened emotional state, heightened physiological stress, and prolonged recovery in older patients with proximal humerus fractures, highlighting the importance of noise-reduction interventions in orthopedic wards.
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