{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T11:44:57Z","timestamp":1788435897790,"version":"build-2803163510"},"reference-count":27,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"129","license":[{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"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":[[2025,11]]},"abstract":"\n Objectives:<\/jats:bold>\n The effectiveness of dynamic noise monitoring combined with staged nursing care on nocturnal motor symptoms was evaluated in patients with Parkinson\u2019s disease (PD).\n Methods:<\/jats:bold>\n This retrospective clinical study enrolled 200 patients with PD, who were hospitalised from March 2021 to December 2024. The patients were divided into the following two groups based on the nursing methods they received: dynamic noise monitoring group (\n n<\/jats:italic>\n \u2009=\u2009102), which underwent dynamic noise monitoring and received staged nursing care, or the staged nursing care group (\n n<\/jats:italic>\n \u2009=\u200998), which received staged nursing care alone. The primary outcomes comprised the nighttime scores of the Unified Parkinson\u2019s Disease Rating Scale Part III (UPDRS-III) and the Parkinson\u2019s Disease Sleep Scale-2 (PDSS-2). The assessed secondary outcomes included heart rate (HR), blood pressure, salivary cortisol levels, Parkinson\u2019s Disease Questionnaire-39 (PDQ-39) and Patient Satisfaction Questionnaire-18 (PSQ-18). We used independent samples\n t<\/jats:italic>\n -tests for intergroup comparisons, paired\n t<\/jats:italic>\n -tests for intragroup comparisons and\n \u03c72<\/jats:italic>\n tests for categorical variables.\n Results:<\/jats:bold>\n The dynamic noise monitoring group exhibited markedly lower noise levels and reduced noise exposure events exceeding 50 and 60 dBA in comparison to the staged nursing care group (\n P<\/jats:italic>\n < 0.001). Compared with the staged nursing care group, the dynamic noise monitoring group exhibited markedly reduced UPDRS-III nighttime scores and PDSS-2 ratings (\n P<\/jats:italic>\n < 0.001). Moreover, notable enhancements were noted in HR, systolic blood pressure, diastolic blood pressure and salivary cortisol levels. The PDQ-39 Summary Index scores and PSQ-18 total satisfaction scores demonstrated significant enhancements in the dynamic noise monitoring group (all\n P<\/jats:italic>\n < 0.05).\n Conclusion:<\/jats:bold>\n Dynamic noise monitoring, when integrated into staged nursing care, considerably enhances nocturnal motor symptoms, sleep quality and overall well-being in patients with PD.\n <\/jats:p>","DOI":"10.4103\/nah.nah_157_25","type":"journal-article","created":{"date-parts":[[2026,1,3]],"date-time":"2026-01-03T12:00:17Z","timestamp":1767441617000},"page":"802-810","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Effectiveness of Dynamic Noise Monitoring Combined with Staged Nursing Care on Nocturnal Motor Symptoms in Patients with Parkinson\u2019s Disease"],"prefix":"10.4103","volume":"27","author":[{"given":"XiaoYu","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Neurology, Tianshui Hospital of Integrated Traditional Chinese and Western Medicine, Tianshui, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"YinXia","family":"Dong","sequence":"additional","affiliation":[{"name":"Pediatrics Department, Tianshui Hospital of Integrated Traditional Chinese and Western Medicine, Tianshui, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kun","family":"Gao","sequence":"additional","affiliation":[{"name":"Department of Neurology, Tianshui Hospital of Integrated Traditional Chinese and Western Medicine, Tianshui, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"XuXia","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Neurology, Tianshui Hospital of Integrated Traditional Chinese and Western Medicine, Tianshui, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"HongMei","family":"Chen","sequence":"additional","affiliation":[{"name":"Pharmacy Department, Tianshui 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