Objective: This study aimed to investigate the effects of comprehensive ward noise management measures on anxiety, depression, and sleep quality in hematological patients after hematopoietic stem cell transplantation. Methods: From October 2023 to October 2024, 130 hematopoietic stem cell transplant patients admitted to Shanghai Changzheng Hospital were divided into an observation group (65 cases) and a control group (65 cases) based on whether they received ward noise management. Measures for managing noise in patient wards include environmental noise reduction modifications, the establishment of quiet protocols, the optimization of treatment processes, and health education. Ward noise levels, Hamilton Anxiety Rating Scale (HAMA) and Hamilton Depression Rating Scale (HAMD) scores, Pittsburgh Sleep Quality Index (PSQI) scores, and polysomnography (PSG) parameters were compared between the two groups before and after treatment. Independent samples t-tests were used to compare differences across groups, while chi-square tests were applied to count data. Multiple comparisons were corrected using the Holm–Bonferroni method. Results: After treatment, the daytime and nighttime ward noise levels in the observation group were significantly lower than those in the control group ( P < 0.05). The HAMA, HAMD, and PSQI scores in the observation group were all lower than those in the control group ( P < 0.05). PSG showed that the wake-after-sleep-onset time and sleep-onset latency in the observation group were significantly shorter than those in the control group after treatment, while the total sleep time was significantly longer ( P < 0.05). Conclusion: Patients who received noise management in our hospital wards experienced lower noise levels, reduced anxiety and depression, and improved both subjective and objective sleep quality.
Niu et al. (Sun,) studied this question.