Observational studyNoise & health
Effect of Ward Noise Management Based on the SHEL Model on Rehabilitation Exercise Compliance and Sleep Quality in Patients After Knee Arthroplasty.
Observational study 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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Authors and funding
4 authors.
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Abstract
objectiveTo investigate the effect of a multidimensional comprehensive management plan with noise control as the core, based on the Software, Hardware, Environment, Liveware (SHEL) risk assessment model, on rehabilitation exercise compliance, balance ability, and sleep quality in patients after knee arthroplasty (KA).
methodsThis retrospective observational study was conducted on 90 patients who underwent KA at Daqing People's Hospital between January 2022 and December 2024. Patients were categorized into an observation group and a control group (45 cases each) based on the ward management and nursing protocols received during hospitalization. The control group received routine nursing care and ward management, whereas the observation group received a comprehensive ward management plan with noise control as the core, based on the SHEL model, in addition to the routine care. Rehabilitation exercise compliance, balance ability (Berg Balance Scale [BBS]), and sleep quality (Pittsburgh Sleep Quality Index [PSQI]) were compared between the two groups at 5 and 10 days postoperatively. Postoperative complications were also recorded.
resultsCompared with the control group, the observation group showed significantly lower mean daytime and nighttime noise levels in the ward during hospitalization, lower PSQI scores, and higher functional exercise compliance and BBS scores at 5 and 10 days postoperatively (all P < 0.05). There was no significant difference in the incidence of postoperative complications between the two groups ( P > 0.05).
conclusionThe comprehensive noise management scheme based on the SHEL model was associated with improved sleep quality, rehabilitation exercise compliance, and balance function in patients after KA. This model may have good clinical application value in environmental management following orthopedic surgery.
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