{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T11:00:40Z","timestamp":1784890840526,"version":"3.55.0"},"reference-count":35,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"132","license":[{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"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":[[2026,5]]},"abstract":"<jats:p>\n                    <jats:bold>Objective:<\/jats:bold>\n                    Investigate how perioperative noise affects sleep quality and psychological stress of lung cancer surgery patients, in order to provide an optimizing ward settings and improving recovery efficacy.\n                    <jats:bold>Method:<\/jats:bold>\n                    This study is a retrospective observational study, with data sourced from the hospital medical record system, including 143 lung cancer surgery patients (November 2022\u2013November 2024), who were divided based on perioperative 24-h average LAeq into two groups: ts (Novem\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    \u2009=\u200969) and &lt;55 dBA (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    \u2009=\u200974). This study assessed sleep using (Pittsburgh Sleep Quality Index [PSQI] and sleep structure parameters: total sleep time [TST], sleep efficiency [SE], sleep latency [SL], psychological status using Depression Anxiety Stress Scale-21 [DASS-21], and Self-Rating Depression Scale [SDS]), saliva cortisol (SC), thyroid-stimulating hormone (TSH), and postoperative complications. Multiple logistic regression was used to control confounders and analyze the association between noise exposure and patient recovery.\n                    <jats:bold>Result:<\/jats:bold>\n                    Post-treatment, the high-exposure group had significantly higher PSQI, DASS-21 and SDS scores, as well as TSH and SC levels, but shorter TST, lower SE, and longer SL compared with the low-exposure group (all\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.05). There was no significant difference in postoperative complications (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &gt; 0.05). Multiple logistic regression showed that after controlling for confounding factors such as age, perioperative noise exposure \u226455 dBA was a protective factor against sleep disorders and increased psychological stress, while open chest surgery was a risk factor for increased psychological stress.\n                    <jats:bold>Conclusion:<\/jats:bold>\n                    Perioperative noise exposure in lung cancer surgery reduces sleep quality, increases psychological stress. Multivariate analysis identifies 55 dBA noise as an independent protective factor, highlighting the need for optimizing the ward environment to improve recovery outcomes.\n                  <\/jats:p>","DOI":"10.4103\/nah.nah_26_26","type":"journal-article","created":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T04:00:13Z","timestamp":1783569613000},"page":"593-603","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Effects of Perioperative Noise Exposure on Sleep Quality and Psychological Stress in Patients Undergoing Lung Cancer Surgery"],"prefix":"10.4103","volume":"28","author":[{"given":"XiaoYi","family":"Zhong","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"ShouJie","family":"Feng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"GuangMei","family":"Xia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,6,30]]},"reference":[{"key":"R1-20260724","first-page":"209","article-title":"Global Cancer Statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries","volume":"71","author":"Sung","year":"2021","journal-title":"CA Cancer J Clin"},{"key":"R2-20260724","doi-asserted-by":"crossref","first-page":"e278S","DOI":"10.1378\/chest.12-2359","article-title":"Treatment of stage I and II non-small cell lung cancer: Diagnosis and management of lung cancer, 3rd ed: American College of Chest Physicians evidence-based clinical practice guidelines","volume":"143","author":"Howington","year":"2013","journal-title":"Chest"},{"key":"R3-20260724","first-page":"134","article-title":"Application of ERAS concept combined with psychological stress intervention in laparoscopic urological surgery nursing","volume":"13","author":"Luo","year":"2021","journal-title":"Health (N Y)"},{"key":"R4-20260724","doi-asserted-by":"crossref","first-page":"617","DOI":"10.1038\/s41598-024-84896-x","article-title":"Latent profiles and determinants of postoperative sleep quality in elective surgery patients","volume":"15","author":"Yang","year":"2025","journal-title":"Sci Rep"},{"key":"R5-20260724","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1097\/ACO.0000000000000538","article-title":"Improve postoperative sleep: what can we do?","volume":"31","author":"Su","year":"2018","journal-title":"Curr Opin Anaesthesiol"},{"key":"R6-20260724","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1007\/s00424-011-1044-0","article-title":"Sleep and immune function","volume":"463","author":"Besedovsky","year":"2012","journal-title":"Pflugers Arch"},{"key":"R7-20260724","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1002\/pon.3409","article-title":"Prevalence of depression in cancer patients: a meta-analysis of diagnostic interviews and self-report instruments","volume":"23","author":"Krebber","year":"2014","journal-title":"Psychooncology"},{"key":"R8-20260724","doi-asserted-by":"crossref","first-page":"19629","DOI":"10.1007\/s11356-021-13211-2","article-title":"Environmental noise in hospitals: a systematic review","volume":"28","author":"de Lima Andrade","year":"2021","journal-title":"Environ Sci Pollut Res Int"},{"key":"R9-20260724","author":"Berglund","year":"1999"},{"key":"R10-20260724","doi-asserted-by":"crossref","first-page":"208","DOI":"10.1186\/cc7154","article-title":"Clinical review: the impact of noise on patients\u2019 sleep and the effectiveness of noise reduction strategies in intensive care units","volume":"13","author":"Xie","year":"2009","journal-title":"Crit Care"},{"key":"R11-20260724","doi-asserted-by":"crossref","first-page":"371","DOI":"10.1093\/postmj\/qgae181","article-title":"The 2024 revision of the Declaration of Helsinki: a modern ethical framework for medical research","volume":"101","author":"Wen","year":"2025","journal-title":"Postgrad Med J"},{"key":"R12-20260724","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1016\/j.genhosppsych.2024.03.002","article-title":"Effects of postoperative environmental noise on surgery induced pain: evidence based on a prospective observational study","volume":"88","author":"Ou","year":"2024","journal-title":"Gen Hosp Psychiatry"},{"key":"R13-20260724","doi-asserted-by":"crossref","first-page":"80","DOI":"10.2174\/1874434602014010080","article-title":"Night-time noise levels and patients\u2019 sleep experiences in a medical assessment unit in Northern England","volume":"14","author":"Astin","year":"2020","journal-title":"Open Nurs J"},{"key":"R14-20260724","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1016\/0165-1781(89)90047-4","article-title":"The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research","volume":"28","author":"Buysse","year":"1989","journal-title":"Psychiatry Res"},{"key":"R15-20260724","doi-asserted-by":"crossref","first-page":"1943","DOI":"10.1007\/s11136-005-4346-x","article-title":"Psychometric evaluation of the Chinese version of the Pittsburgh Sleep Quality Index (CPSQI) in primary insomnia and control subjects","volume":"14","author":"Tsai","year":"2005","journal-title":"Qual Life Res"},{"key":"R16-20260724","first-page":"424","article-title":"Analysis of the reliability and validity of the Chinese version of Pittsburgh Sleep Quality Index among medical college students","volume":"48","author":"Zheng","year":"2016","journal-title":"Beijing Da Xue Xue Bao Yi Xue Ban"},{"key":"R17-20260724","doi-asserted-by":"crossref","first-page":"335","DOI":"10.1016\/0005-7967(94)00075-U","article-title":"The structure of negative emotional states: comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories","volume":"33","author":"Lovibond","year":"1995","journal-title":"Behav Res Ther"},{"key":"R18-20260724","doi-asserted-by":"crossref","first-page":"247","DOI":"10.3389\/fpsyg.2020.00247","article-title":"The Depression Anxiety Stress Scale-21 in Chinese hospital workers: reliability, latent structure, and measurement invariance across genders","volume":"11","author":"Jiang","year":"2020","journal-title":"Front Psychol"},{"issue":"e88\u2013e","key":"R19-20260724","first-page":"100","article-title":"Cross-cultural validation of the Depression Anxiety Stress Scale-21 in China","volume":"28","author":"Wang","year":"2016","journal-title":"Psychol Assess"},{"key":"R20-20260724","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1001\/archpsyc.1965.01720310065008","article-title":"A Self-Rating Depression Scale","volume":"12","author":"Zung","year":"1965","journal-title":"Arch Gen Psychiatry"},{"key":"R21-20260724","doi-asserted-by":"crossref","first-page":"104635","DOI":"10.1016\/j.ajp.2025.104635","article-title":"Exploring the differences in psychometric properties of commonly used self-rating depression scales across various populations in China: a quantitative systematic review","volume":"111","author":"Zhao","year":"2025","journal-title":"Asian J Psychiatr"},{"key":"R22-20260724","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1097\/01.sla.0000133083.54934.ae","article-title":"Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey","volume":"240","author":"Dindo","year":"2004","journal-title":"Ann Surg"},{"key":"R23-20260724","doi-asserted-by":"crossref","first-page":"170","DOI":"10.7326\/0003-4819-156-12-201208070-00472","article-title":"Sleep disruption due to hospital noises: a prospective evaluation","volume":"157","author":"Buxton","year":"2012","journal-title":"Ann Intern Med"},{"key":"R24-20260724","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1093\/bmb\/ldg033","article-title":"Noise pollution: non-auditory effects on health","volume":"68","author":"Stansfeld","year":"2003","journal-title":"Br Med Bull"},{"key":"R25-20260724","doi-asserted-by":"crossref","first-page":"343","DOI":"10.1016\/j.jad.2012.03.025","article-title":"Anxiety and depression after cancer diagnosis: prevalence rates by cancer type, gender, and age","volume":"141","author":"Linden","year":"2012","journal-title":"J Affect Disord"},{"key":"R26-20260724","doi-asserted-by":"crossref","first-page":"167395","DOI":"10.1016\/j.scitotenv.2023.167395","article-title":"Exposure to low-intensity noise exacerbates nonalcoholic fatty liver disease by activating hypothalamus pituitary adrenal axis","volume":"906","author":"Luo","year":"2024","journal-title":"Sci Total Environ"},{"key":"R27-20260724","first-page":"1406","article-title":"Impact of chronic noise stress on thyroid health: a comparative histomorphological and endocrine study in adult male and female rats","volume":"34","author":"Safdar","year":"2024","journal-title":"J Coll Physicians Surg Pak"},{"key":"R28-20260724","first-page":"13","article-title":"The enhanced recovery after surgery approach in heart valve surgery: a systematic review of clinical studies","author":"Malvindi","year":"2024","journal-title":"J Clin Med"},{"key":"R29-20260724","doi-asserted-by":"crossref","first-page":"1395","DOI":"10.2147\/NSS.S320745","article-title":"The role of perioperative sleep disturbance in postoperative neurocognitive disorders","volume":"13","author":"Wang","year":"2021","journal-title":"Nat Sci Sleep"},{"key":"R30-20260724","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1038\/s41370-024-00642-5","article-title":"Noise and mental health: evidence, mechanisms, and consequences","volume":"35","author":"Hahad","year":"2025","journal-title":"J Expo Sci Environ Epidemiol"},{"key":"R31-20260724","doi-asserted-by":"crossref","first-page":"1325","DOI":"10.1016\/S0140-6736(13)61613-X","article-title":"Auditory and non-auditory effects of noise on health","volume":"383","author":"Basner","year":"2014","journal-title":"Lancet"},{"key":"R32-20260724","doi-asserted-by":"crossref","first-page":"1625","DOI":"10.2147\/CCID.S528730","article-title":"The Impact of psychological stress on wound healing: implications for neocollagenesis and scar treatment efficacy","volume":"18","author":"Mochel","year":"2025","journal-title":"Clin Cosmet Investig Dermatol"},{"key":"R33-20260724","doi-asserted-by":"crossref","first-page":"355","DOI":"10.1037\/0033-2909.130.3.355","article-title":"Acute stressors and cortisol responses: a theoretical integration and synthesis of laboratory research","volume":"130","author":"Dickerson","year":"2004","journal-title":"Psychol Bull"},{"key":"R34-20260724","doi-asserted-by":"crossref","first-page":"41289","DOI":"10.1038\/s41598-025-25064-7","article-title":"Preoperative anxiety in patients undergoing minimally invasive thoracic surgery: a prospective study of predictors and patient-reported concerns","volume":"15","author":"Huang","year":"2025","journal-title":"Sci Rep"},{"key":"R35-20260724","doi-asserted-by":"crossref","first-page":"4321","DOI":"10.1111\/jan.14914","article-title":"Effect of earplugs and eye masks on the sleep quality of intensive care unit patients: a systematic review and meta-analysis","volume":"77","author":"Fang","year":"2021","journal-title":"J Adv Nurs"}],"container-title":["Noise and Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.4103\/nah.nah_26_26","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T10:00:38Z","timestamp":1784887238000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.4103\/nah.nah_26_26"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5]]},"references-count":35,"journal-issue":{"issue":"132","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/nah.nah_26_26","relation":{},"ISSN":["1463-1741"],"issn-type":[{"value":"1463-1741","type":"print"}],"subject":[],"published":{"date-parts":[[2026,5]]},"assertion":[{"value":"2026-01-29","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-26","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}