{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T08:57:05Z","timestamp":1791622625634,"version":"4.3.4"},"reference-count":26,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"127","license":[{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"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":[[2025,7]]},"abstract":"\n Objective:<\/jats:bold>\n This study aimed to investigate the correlation between postoperative noise exposure and anxiety\/depression in patients with haemophilic osteoarthropathy undergoing hip\/knee replacement.\n Methods:<\/jats:bold>\n This retrospective study included 58 patients with haemophilic osteoarthropathy who underwent hip\/knee replacement in four tertiary hospitals between 2020 and 2025. Data were collected from clinical records. Ward noise levels (daytime\/nighttime) were measured on postoperative days 1\u20133 by using a sound level metre. Patients were divided into high-noise (\u226545\u2009dB,\n n<\/jats:italic>\n \u2009=\u200930) and low-noise (<45\u2009dB,\n n<\/jats:italic>\n \u2009=\u200928) groups. The Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS), sleep quality (Pittsburgh Sleep Quality Index, PSQI) and pain (Visual Analog Scale, VAS) were assessed. Pearson\u2019s correlation and\n t<\/jats:italic>\n -tests were used for statistical analysis.\n Results:<\/jats:bold>\n The high-noise group had significantly higher mean noise levels (52.89\u2009\u00b1\u20096.24\u2009dB vs. 44.57\u2009\u00b1\u20095.25\u2009dB,\n P<\/jats:italic>\n < 0.001). The SAS (51.41\u2009\u00b1\u20096.37 vs. 48.84\u2009\u00b1\u20095.23,\n P<\/jats:italic>\n \u2009=\u20090.011) and SDS scores (54.16\u2009\u00b1\u20097.48 vs. 50.31\u2009\u00b1\u20095.25,\n P<\/jats:italic>\n \u2009=\u20090.028) were higher in the high-noise group. Noise levels were positively correlated with anxiety (\n r<\/jats:italic>\n \u2009=\u20090.682,\n P<\/jats:italic>\n < 0.001) and depression (\n r<\/jats:italic>\n \u2009=\u20090.659,\n P<\/jats:italic>\n < 0.001). The high-noise group had poorer sleep quality (PSQI: 7.21\u2009\u00b1\u20092.35 vs. 5.19\u2009\u00b1\u20091.89,\n P<\/jats:italic>\n < 0.001) and higher pain scores (VAS: 5.86\u2009\u00b1\u20091.54 vs. 4.23\u2009\u00b1\u20091.27,\n P<\/jats:italic>\n < 0.001).\n Conclusion:<\/jats:bold>\n Postoperative noise exposure is significantly associated with increased anxiety, depression, poor sleep and pain in patients with haemophiliac osteoarthropathy. Reducing ward noise may enhance their psychological well-being and postoperative recovery.\n <\/jats:p>","DOI":"10.4103\/nah.nah_68_25","type":"journal-article","created":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T12:01:20Z","timestamp":1757592080000},"page":"351-357","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Correlation between Noise and Anxiety\/Depression in Patients with Haemophiliac Osteoarthropathy after Hip and Knee Replacement"],"prefix":"10.4103","volume":"27","author":[{"given":"WenLong","family":"Gao","sequence":"first","affiliation":[{"name":"Department of Orthopedics, Fourth Affiliated Hospital of Harbin Medical University, Harbin 150010, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"HongYu","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Surgery, Xinlin District People\u2019s Hospital, Greater Khingan Region 165000, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"DeJun","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Imaging, Xinlin District People\u2019s Hospital, Greater Khingan Region 165000, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ying","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Hematology and Oncology, Harbin First Hospital, Harbin 150010, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,9,11]]},"reference":[{"key":"R1-20250912","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1186\/s10195-022-00648-5","article-title":"Total knee arthroplasty in patients with haemophilic arthropathy is effective and safe according to the outcomes at a mid-term follow-up","volume":"23","author":"Wang","year":"2022","journal-title":"J Orthop Traumatol"},{"key":"R2-20250912","doi-asserted-by":"crossref","first-page":"9395","DOI":"10.3390\/ijms24119395","article-title":"Haemophilia and fragility fractures: from pathogenesis to multidisciplinary approach","volume":"24","author":"Alito","year":"2023","journal-title":"Int J Mol Sci"},{"key":"R3-20250912","doi-asserted-by":"crossref","first-page":"e0248952","DOI":"10.1371\/journal.pone.0248952","article-title":"Correlation between Hemophilia Early Arthropathy Detection with Ultrasound (HEAD-US) score and Hemophilia Joint Health Score (HJHS) in patients with hemophilic arthropathy","volume":"16","author":"Prasetyo","year":"2021","journal-title":"PLoS One"},{"key":"R4-20250912","doi-asserted-by":"crossref","first-page":"589","DOI":"10.2147\/JBM.S343924","article-title":"Hemophilic arthropathy: barriers to early diagnosis and management","volume":"13","author":"Cuesta-Barriuso","year":"2022","journal-title":"J Blood Med"},{"key":"R5-20250912","doi-asserted-by":"crossref","first-page":"zsac197","DOI":"10.1093\/sleep\/zsac197","article-title":"Association between indoor noise level at night and objective\/subjective sleep quality in the older population: a cross-sectional study of the HEIJO-KYO cohort","volume":"46","author":"Yamagami","year":"2023","journal-title":"Sleep"},{"key":"R6-20250912","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":"R7-20250912","first-page":"e72332","article-title":"Total knee replacement as treatment for hemophilic arthropathy: a case series","volume":"16","author":"Govindasamy","year":"2024","journal-title":"Cureus"},{"key":"R8-20250912","doi-asserted-by":"crossref","first-page":"2061","DOI":"10.1080\/07448481.2020.1842422","article-title":"The day-to-day impact of nighttime noise disturbances on college students\u2019 psychological functioning","volume":"70","author":"Peltz","year":"2022","journal-title":"J Am Coll Health"},{"key":"R9-20250912","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1111\/nicc.12525","article-title":"The effects of noise levels on pain, anxiety, and sleep in patients","volume":"26","author":"Aydin Sayilan","year":"2021","journal-title":"Nurs Crit Care"},{"key":"R10-20250912","first-page":"881","article-title":"Chinese Society of Hematology, Chinese Medical Association; Hemophilia Treatment Center Collaborative Network of China. 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