{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T20:39:17Z","timestamp":1786653557912,"version":"build-2736575974"},"reference-count":23,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"131","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"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":[[2026,3]]},"abstract":"\n Objective:<\/jats:bold>\n This study aimed to examine the effects of an optimised environmental noise management protocol on sleep quality and fatigue levels in patients with colorectal cancer.\n Methods:<\/jats:bold>\n A retrospective analysis was conducted. Patients admitted before the implementation of the optimised protocol (January 2023 to December 2023, receiving conventional noise management) were assigned to the conventional care group (\n n<\/jats:italic>\n \u2009=\u200963). Those admitted after implementation (January 2024 to December 2024, receiving optimised environmental noise management) were assigned to the optimised management group (\n n<\/jats:italic>\n \u2009=\u200964). A comparison was made between the two groups regarding noise decibel levels (daytime and nighttime), sleep quality (Pittsburgh Sleep Quality Index [PSQI]), fatigue (Cancer Fatigue Scale [CFS]) and comfort status (General Comfort Questionnaire [GCQ]).\n Results:<\/jats:bold>\n The optimised management group demonstrated significantly lower noise decibel levels during daytime and nighttime compared with the conventional care group (\n P<\/jats:italic>\n < 0.05). Significantly reduced scores were observed in all PSQI domains and the global PSQI score in the optimised management group (\n P<\/jats:italic>\n < 0.05). Similarly, scores across all domains of the CFS and its total score significantly decreased in this group (\n P<\/jats:italic>\n < 0.05). Conversely, scores for all domains of the GCQ and its total score were significantly elevated in the optimised management group (\n P<\/jats:italic>\n < 0.05). Pearson correlation analysis revealed a significant positive correlation between noise decibel levels and PSQI (\n r<\/jats:italic>\n > 0,\n P<\/jats:italic>\n < 0.05) and CFS scores (\n r<\/jats:italic>\n > 0,\n P<\/jats:italic>\n < 0.05). A significant negative correlation was observed between noise decibel levels and GCQ scores (\n r<\/jats:italic>\n < 0,\n P<\/jats:italic>\n < 0.05).\n Conclusion:<\/jats:bold>\n Implementing an optimised environmental noise management protocol can effectively reduce noise levels in patient care units, thereby improving sleep quality, reducing fatigue, and enhancing overall patient comfort during hospitalisation.\n <\/jats:p>","DOI":"10.4103\/nah.nah_156_25","type":"journal-article","created":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T14:00:35Z","timestamp":1777557635000},"page":"316-323","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["The Impact of an Optimised Environmental Noise Management Protocol on Sleep Quality and Fatigue in Patients with Colorectal Cancer"],"prefix":"10.4103","volume":"28","author":[{"given":"BiQin","family":"Wu","sequence":"first","affiliation":[{"name":"Department of Gastrointestinal Surgery, The First Hospital of Putian, Putian, Fujian, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"XiaoRong","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Digestive Endoscopy, The First Hospital of Putian, Putian, Fujian, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,4,30]]},"reference":[{"key":"R1-20260430","doi-asserted-by":"crossref","first-page":"262","DOI":"10.1016\/S2468-1253(21)00426-X","article-title":"The rising tide of early-onset colorectal cancer: a comprehensive review of epidemiology, clinical features, biology, risk factors, prevention, and early detection","volume":"7","author":"Patel","year":"2022","journal-title":"Lancet Gastroenterol Hepatol"},{"key":"R2-20260430","doi-asserted-by":"crossref","first-page":"zsac197","DOI":"10.1093\/sleep\/zsac197","article-title":"Association between indoor noise level at night and 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