ArticleNoise & health
Effects of Noise Reduction Protocol-Based Integrated Nursing Care on Perceived Comfort Level and Physiological and Psychological Stress Responses in Patients with Gastrointestinal Tumors.
Article in Noise & health. 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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Abstract
objectiveThe effects of noise reduction protocol-based integrated nursing care on perceived comfort level and stress responses were analyzed in patients with gastrointestinal tumors.
methodsA retrospective analysis was conducted on clinical data from 110 surgical patients with gastrointestinal tumors treated at our institution between January 2023 and January 2024. The patients were assigned according to postoperative nursing care received: 56 patients received conventional care (conventional care group), and 54 patients received noise reduction protocol-based integrated nursing care (integrated noise reduction group). Both groups were monitored until discharge. Outcome measures included postoperative recovery parameters, comfort level [Kolcaba General Comfort Questionnaire (GCQ)], sleep quality [Pittsburgh Sleep Quality Index (PSQI)], psychological stress [Hospital Anxiety and Depression Scale-Depression (HADS-D) and -Anxiety (HADS-A) subscales], quality of life [Generic Quality of Life Inventory-74 (GQOLI-74)], and environmental noise levels.
resultsNo significant differences were found between the groups in time to first ambulation, length of hospital stay, or Visual Analog Scale pain scores on postoperative day 7 (P > 0.05). The integrated noise reduction group showed significantly greater improvements in GCQ and all domains of the GQOLI-74 than the conventional care group (P < 0.05). Significantly greater reductions in preoperative PSQI, HADS-D, and HADS-A scores; equivalent continuous sound levels; and maximum sound levels were observed in the integrated noise reduction group (P < 0.05).
conclusionNoise reduction protocol-based integrated nursing care effectively reduces environmental noise exposure in patients with gastrointestinal tumors and is associated with decreased psychological stress, improved sleep quality, and enhanced perceived comfort and quality of life.
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