Application of Ward Noise Management in Patients with Laryngeal Cancer after Laryngectomy: A Retrospective Study

This study evaluated the effect of a comprehensive noise management strategy on postlaryngectomy recovery by focusing on noise levels, sleep quality, psychological status, and complications.

A retrospective study was conducted on 100 patients with laryngeal cancer who had undergone laryngectomy at the General Hospital of Ningxia Medical University between February 2023 and November 2024. The patients were divided into two groups on the basis of the time of their admission. The routine nursing group (47 patients, prerenovation phase, February-November 2023) received standard postoperative care, and the noise management group (53 patients, postrenovation phase, February-November 2024) received comprehensive noise management. The key indicators assessed were ward noise levels, Visual Analog Scale (VAS) score, Pittsburgh Sleep Quality Index (PSQI) value, Hospital Anxiety and Depression Scale (HADS) score, and postoperative complications.

The noise management group had significantly lower daytime and nighttime noise levels compared with the routine nursing group (P < 0.05). The VAS scores did not differ significantly between the groups before or after nursing (P > 0.05). The PSQI and total scores and the HADS anxiety and depression scores in the noise management group were significantly lower than those in the routine nursing group (P < 0.05). The postoperative complications in the noise management group amounted to 7.55% versus the 10.64% in the routine group, with no significant difference (P > 0.05).

Noise management positively affects postlaryngectomy recovery by improving sleep quality and reducing psychological distress. These findings emphasize the importance of noise control in postoperative care and suggest that noise control strategies should be incorporated into routine care protocols.