The Combined Effects of Inpatient Environmental Noise Management and Mindful Breathing Regulation on Nocturnal Blood Pressure and Sleep Quality in Patients with Stroke Sequelae of Hyperactivity of Liver Yang Type.
Fenghui Li, Yuanyuan Zhang, Qiuju Su, Tingting He
Noise & health June 30, 2026 DOI: 10.4103/nah.nah_29_26 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Retrospective cohort study Peer reviewed |
|---|---|
| Sample size | 200 |
| Population | Hospitalized patients with post-stroke sequelae of the liver-yang hyperactivity type in the Department of Neurology at Qingdao Municipal Hospital, June 2022 to March 2025 |
| Intervention | Inpatient environmental noise management |
| Duration | 4 weeks of nursing |
| Measures | Systolic blood pressure (SBP), diastolic blood pressure (DBP), Pittsburgh sleep quality index (PSQI), Sleep Environment Satisfaction Scale |
| Topics | Meditation |
| Keywords | Chinese traditional Blood pressure Environmental noise Sleep quality Stroke |
| Key findings | Adding inpatient environmental noise management and mindful breathing regulation to routine integrated TCM and Western nursing was associated with significantly lower nocturnal systolic and diastolic blood pressure and better sleep quality (PSQI) than routine nursing alone after 4 weeks. The combined group also scored higher on the cognitive dimension of emotional regulation, lower on expression inhibition, and higher on sleep environment satisfaction. |
Abstract
This study aimed to investigate the effects of inpatient environmental noise management combined with meditation and pranayama nursing on nocturnal blood pressure and sleep quality in patients with post-stroke sequelae of the liver-yang hyperactivity type. This retrospective cohort study included 200 patients with post-stroke sequelae of the liver-yang hyperactivity type who were hospitalized in the Department of Neurology at Qingdao Municipal Hospital from June 2022 to March 2025. Patients were divided into a conventional nursing group and a combined nursing group according to different nursing protocols. The conventional nursing group received routine integrated traditional Chinese medicine (TCM) and Western medicine nursing, and the combined nursing group received inpatient environmental noise management combined with mindful breathing regulation on this basis, and the nursing was carried out for 4 weeks. Blood pressure, sleep quality, emotional regulation scores, psychological stability scores, and environmental satisfaction scores were compared between the two groups of patients before and after nursing. Before nursing, no significant differences in baseline data were observed between the two groups ( P > 0.05). After 4 weeks of nursing, the systolic blood pressure (SBP) and diastolic blood pressure (DBP) decreased significantly in both groups. Nocturnal SBP, DBP, and Pittsburgh sleep quality index (PSQI) scores in the combined nursing group were significantly lower than those in the conventional nursing group ( P < 0.05); after nursing, the cognitive dimension of the combined nursing group was significantly higher than that of the usual nursing group, and the expression inhibition dimension score was significantly lower than that of the usual nursing group ( P < 0.05); after nursing, the total Sleep Environment Satisfaction Scale score of the combined nursing group was significantly higher than that of the conventional nursing group ( P < 0.05). Noise management combined with meditative pranayama is associated with improvements in nocturnal blood pressure and sleep quality in patients with post-stroke sequelae of the liver-yang hyperactivity type, promoting emotional adjustment and mental stability, improving hospitalization comfort and environmental satisfaction, and demonstrating good clinical application value.