{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:42:27Z","timestamp":1787071347224,"version":"build-2736575974"},"reference-count":20,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"126","license":[{"start":{"date-parts":[[2025,5,1]],"date-time":"2025-05-01T00:00:00Z","timestamp":1746057600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,5]]},"abstract":"\n Objective:<\/jats:bold>\n This study aimed to explore the effects of long-term noise exposure on the mental health and sleep quality of medical staff in an emergency department and noise-coping strategies.\n Methods:<\/jats:bold>\n In this cross-sectional study, 126 emergency medical staff (49 doctors and 77 nurses) and 100 medical staff (40 doctors and 60 nurses) from the general inpatient department of two hospitals in China were selected as subjects. The research period was from January to October 2024. The daytime and night-time noise levels in the emergency department and general inpatient department were collected. The Symptom Checklist-90 (SCL-90) was used to assess the mental health status. The Pittsburgh Sleep Quality Index (PSQI) and polysomnography were used to evaluate sleep quality. Pearson correlation analysis was used to evaluate the correlation amongst variables.\n Results:<\/jats:bold>\n The daytime and night-time noise-exposure levels in the emergency department were significantly higher than those in the general inpatient department (\n P<\/jats:italic>\n < 0.05). The scores for somatisation, obsessive\u2013compulsive symptoms, depression, anxiety, hostility, terror, psychoticism, PSQI and SCL-90 in the emergency department were higher than those in the general inpatient department (\n P<\/jats:italic>\n < 0.05). The sleep duration and sleep efficiency of medical staff in the emergency department were significantly lower than those in the general inpatient department. The sleep latency time and awakening time were significantly higher than those in the general inpatient department (\n P<\/jats:italic>\n < 0.05). Pearson correlation analysis showed that daytime noise-exposure level was positively correlated with the SCL-90 total score (\n r\u2009<\/jats:italic>\n =\u20090.326,\n P<\/jats:italic>\n < 0.001) and total PSQI score (\n r\u2009<\/jats:italic>\n =\u20090.298,\n P\u2009<\/jats:italic>\n =\u20090.021). Meanwhile, the night-time noise-exposure level was positively correlated with the SCL-90 total score (\n r\u2009<\/jats:italic>\n =\u20090.435,\n P<\/jats:italic>\n < 0.001), PSQI total score (\n r\u2009<\/jats:italic>\n =\u20090.515,\n P<\/jats:italic>\n < 0.001), sleep latency time (\n r\u2009<\/jats:italic>\n =\u20090.422,\n P<\/jats:italic>\n <0.001) and awakening time of emergency medical staff (\n r\u2009<\/jats:italic>\n =\u20090.261,\n P<\/jats:italic>\n < 0.001). Night-time noise exposure had negative correlations with sleep duration (\n r\u2009<\/jats:italic>\n =\u2009\u22120.503,\n P<\/jats:italic>\n < 0.001) and sleep efficiency (\n r\u2009<\/jats:italic>\n =\u2009\u22120.293,\n P<\/jats:italic>\n < 0.001).\n <\/jats:p>","DOI":"10.4103\/nah.nah_12_25","type":"journal-article","created":{"date-parts":[[2025,6,27]],"date-time":"2025-06-27T02:00:29Z","timestamp":1750989629000},"page":"289-295","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Effects of Long-Term Noise Exposure on Mental Health and Sleep Quality of Emergency Medical Staff and Coping Strategies"],"prefix":"10.4103","volume":"27","author":[{"given":"Dong","family":"Ren","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ya","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lingfeng","family":"Xu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,6,26]]},"reference":[{"key":"R1-20250627","doi-asserted-by":"crossref","first-page":"547","DOI":"10.5811\/westjem.2013.5.16215","article-title":"Perception of noise by emergency department nurses","volume":"14","author":"Graneto","year":"2013","journal-title":"West J Emerg Med"},{"key":"R2-20250627","doi-asserted-by":"crossref","first-page":"538","DOI":"10.1136\/emermed-2023-213471","article-title":"Reduced noise in the emergency department: the impact on staff well-being and room acoustics","volume":"41","author":"Hendriks","year":"2024","journal-title":"Emerg Med J"},{"key":"R3-20250627","year":"1999"},{"key":"R4-20250627","doi-asserted-by":"crossref","first-page":"115815","DOI":"10.1016\/j.envres.2023.115815","article-title":"Traffic noise annoyance in the LIFE-adult study in Germany: exposure-response relationships and a comparison to the WHO curves","volume":"228","author":"Romero Starke","year":"2023","journal-title":"Environ Res"},{"key":"R5-20250627","doi-asserted-by":"crossref","first-page":"76001","DOI":"10.1289\/EHP10197","article-title":"Environmental noise and effects on sleep: an update to the who systematic review and meta-analysis","volume":"130","author":"Smith","year":"2022","journal-title":"Environ Health Perspect"},{"key":"R6-20250627","doi-asserted-by":"crossref","first-page":"102","DOI":"10.4103\/nah.nah_127_23","article-title":"Effect of noise in the emergency department on occupational burnout and resignation intention of medical staff","volume":"26","author":"Tang","year":"2024","journal-title":"Noise Health"},{"key":"R7-20250627","doi-asserted-by":"crossref","first-page":"826","DOI":"10.1097\/PEC.0b013e31822c1357","article-title":"Physicians\u2019 perceptions of background noise in a pediatric emergency department","volume":"27","author":"Ratnapalan","year":"2011","journal-title":"Pediatr Emerg Care"},{"key":"R8-20250627","doi-asserted-by":"crossref","first-page":"101846","DOI":"10.1016\/j.smrv.2023.101846","article-title":"The effects of occupational noise on sleep: a systematic review","volume":"72","author":"Yazdanirad","year":"2023","journal-title":"Sleep Med Rev"},{"key":"R9-20250627","first-page":"481","article-title":"[Validity study of Chinese Version SCL-90]","volume":"23","author":"Feng","year":"2001","journal-title":"J Third Milit Med Univ"},{"key":"R10-20250627","first-page":"260","article-title":"[Reliability and validity analysis of Pittsburgh Sleep Quality Index]","volume":"18","author":"Lu","year":"2014","journal-title":"Chongqing Med J"},{"key":"R11-20250627","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1016\/j.ajem.2023.11.007","article-title":"Amidst the clamor: effects of emergency department noise on Physicians\u2019 health and attention","volume":"76","author":"Taskin","year":"2024","journal-title":"Am J Emerg Med"},{"key":"R12-20250627","doi-asserted-by":"crossref","first-page":"489","DOI":"10.4103\/nah.nah_83_24","article-title":"Effect of the levels and sources of noise on the sleep quality of conscious patients in emergency intensive care unit","volume":"26","author":"Yang","year":"2024","journal-title":"Noise Health"},{"key":"R13-20250627","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1177\/21650799211044365","article-title":"Noise exposure and quality of life among nurses","volume":"70","author":"McCullagh","year":"2022","journal-title":"Workplace Health Saf"},{"key":"R14-20250627","doi-asserted-by":"crossref","first-page":"2002","DOI":"10.3390\/healthcare11142002","article-title":"Excessive noise in neonatal units and the occupational stress experienced by healthcare professionals: an assessment of burnout and measurement of cortisol levels","volume":"11","author":"Bringel","year":"2023","journal-title":"Healthcare (Basel)"},{"key":"R15-20250627","doi-asserted-by":"crossref","first-page":"119","DOI":"10.20344\/amp.19042","article-title":"Night-time noise and sleep quality in an internal medicine ward in Portugal: an observational study","volume":"37","author":"Alves","year":"2024","journal-title":"Acta Med Port"},{"key":"R16-20250627","doi-asserted-by":"crossref","first-page":"370","DOI":"10.1111\/nhs.12416","article-title":"Relationship of nurses\u2019 intrapersonal characteristics with work performance and caring behaviors: a cross-sectional study","volume":"20","author":"Geyer","year":"2018","journal-title":"Nurs Health Sci"},{"key":"R17-20250627","doi-asserted-by":"crossref","first-page":"460","DOI":"10.1186\/s12912-023-01611-3","article-title":"Noise exposure among staff in intensive care units and the effects of unit-based noise management: a monocentric prospective longitudinal study","volume":"22","author":"Armbruster","year":"2023","journal-title":"BMC Nurs"},{"key":"R18-20250627","doi-asserted-by":"crossref","first-page":"1245","DOI":"10.1007\/s00431-023-05335-z","article-title":"Analysis of noise levels in the neonatal intensive care unit: the impact of clinical microsystems","volume":"183","author":"Fusch","year":"2024","journal-title":"Eur J Pediatr"},{"key":"R19-20250627","doi-asserted-by":"crossref","first-page":"103810","DOI":"10.1016\/j.iccn.2024.103810","article-title":"Reduction of sound levels in the intermediate care unit; a quasi-experimental time-series design study","volume":"85","author":"Jeanette","year":"2024","journal-title":"Intensive Crit Care Nurs"},{"key":"R20-20250627","doi-asserted-by":"crossref","first-page":"E183","DOI":"10.1097\/ANC.0000000000000985","article-title":"Noise in a neonatal intensive care unit: exploring its state and solutions","volume":"22","author":"Sabetsarvestani","year":"2022","journal-title":"Adv Neonatal Care"}],"container-title":["Noise and Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/nah.nah_12_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:44:44Z","timestamp":1787067884000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/nah.nah_12_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5]]},"references-count":20,"journal-issue":{"issue":"126","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/nah.nah_12_25","relation":{},"ISSN":["1463-1741"],"issn-type":[{"value":"1463-1741","type":"print"}],"subject":[],"published":{"date-parts":[[2025,5]]},"assertion":[{"value":"2025-01-22","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-27","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}