{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T17:10:43Z","timestamp":1788887443246,"version":"build-2803163510"},"reference-count":21,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"133","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,7]]},"abstract":"\n Objective:<\/jats:bold>\n To investigate the effects of comprehensive noise reduction nursing on pain management and quality of life in patients with T-tube drainage after choledocholithiasis surgery.\n Methods:<\/jats:bold>\n We retrospectively analysed 170 patients who underwent choledocholithiasis surgery with T-tube drainage between January 2023 and June 2025. Patients received either conventional nursing (\n n<\/jats:italic>\n \u2009=\u200973) or comprehensive noise reduction nursing (\n n<\/jats:italic>\n \u2009=\u200997). Outcomes included postoperative pain assessed using the Visual Analogue Scale (VAS), sleep quality assessed using the Pittsburgh Sleep Quality Index (PSQI), stress indicators (cortisol [COR] and norepinephrine [NE]), T-tube-related complications, quality of life assessed using the 36-Item Short Form Health Survey (SF-36) and readiness for hospital discharge assessed using the Readiness for Hospital Discharge Scale (RHDS).\n Results:<\/jats:bold>\n The noise reduction group showed significantly lower VAS scores on postoperative days 1, 3 and 7 (all\n P<\/jats:italic>\n < 0.05). On postoperative day 7, the noise reduction group had better PSQI scores (except sleep medication use,\n P<\/jats:italic>\n \u2009=\u20090.307) and lower serum COR and NE levels than the conventional nursing group (all\n P<\/jats:italic>\n < 0.05). T-tube-related complications were fewer in the noise reduction group (9.28% vs. 21.92%,\n P<\/jats:italic>\n < 0.05). Before discharge, the noise reduction group exhibited higher SF-36 scores in most dimensions (all\n P<\/jats:italic>\n < 0.05), though differences in social functioning and role-emotional were not significant. RHDS scores were also significantly higher in the noise reduction group (all\n P<\/jats:italic>\n < 0.05). Sensitivity analyses confirmed the robustness of the main findings, with no significant differences in baseline characteristics or perioperative management between the two study periods. In addition, a contemporaneous subgroup analysis (patients admitted after June 2024) demonstrated consistent results across most study endpoints.\n Conclusion:<\/jats:bold>\n Comprehensive noise reduction nursing was associated with reduced postoperative pain, improved sleep quality, fewer T-tube-related complications and stress responses and better quality of life and discharge readiness in patients after choledocholithiasis surgery with T-tube drainage.\n <\/jats:p>","DOI":"10.4103\/nah.nah_108_26","type":"journal-article","created":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T10:03:13Z","timestamp":1788343393000},"page":"1026-1035","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Effect of Comprehensive Noise Reduction Nursing on Pain Management and Quality of Life in Patients with T-tube Drainage after Choledocholithiasis Surgery"],"prefix":"10.4103","volume":"28","author":[{"given":"Dandan","family":"Cheng","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hui","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhanchang","family":"Xie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ziwen","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,8,31]]},"reference":[{"key":"R1-20260908","doi-asserted-by":"crossref","first-page":"2570795","DOI":"10.1080\/07853890.2025.2570795","article-title":"Estimating global prevalence of gallbladder stones in general population from 2000 to 2024: systematic review and meta-analysis","volume":"57","author":"Ning","year":"2025","journal-title":"Ann 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