Effects of Nighttime Noise Reduction by Using Earplugs on the Recovery of Burn Patients after Reconstructive Surgery.

IF 1.3 4区医学 Q3 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

Noise & Health Pub Date : 2025-01-01 Epub Date: 2025-02-28 DOI:10.4103/nah.nah_134_24

Weixin Chen, Ke Li, Yuan Shi, Wenjun He, Yang Sun, Jianjiang Liu

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Abstract

Objective: This study aims to investigate the effects of postoperative noise reduction by using earplugs at night on the healing time and scar quality of burn patients who underwent reconstructive surgery.

Methods: This retrospective cohort study analyzed the clinical data of adult burn patients after they underwent reconstructive surgery at the First Affiliated Hospital of Soochow University from January 2022 to June 2023. The patients were divided into the postoperative noise reduction group (n = 66) and the control group (n = 75) based on whether they received postoperative noise reduction. The control group received standard humanized clinical care, while the postoperative noise reduction group received additional noise-reducing care by using earplugs at night. The effects of postoperative noise reduction on wound healing time, scar quality (Vancouver Scar Scale [VSS]), psychological state (Self-rating Anxiety Scale [SAS] and Self-rating Depression Scale [SDS]), quality of life (Abbreviated Burn Specific Health Scale [BSHS-A]) and incidence of complications were compared between the two groups.

Results: Compared with the control group, the postoperative noise reduction group demonstrated significant differences in wound healing time (P < 0.001), VSS scores (P = 0.003), SAS scores (P = 0.005), SDS scores (P = 0.003), and BSHS-A scores (P < 0.05). No significant difference was found in the incidence of complications between the two groups (P > 0.05).

Conclusion: In conclusion, this study provides substantive evidence that postoperative noise reduction positively influences wound healing time, scar quality, quality of life, and psychological state in burn patients after reconstructive surgery. Such insight emphasized the importance of creating a healing-conducive hospital environment for burn patients, integrating noise reduction strategies as a part of holistic nursing practices to optimize recovery outcomes.

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夜间耳塞降噪对烧伤重建术后患者恢复的影响。

目的：探讨夜间耳塞降噪对烧伤重建术患者术后愈合时间和瘢痕质量的影响。方法：回顾性队列研究分析2022年1月至2023年6月苏州大学第一附属医院成人烧伤患者行重建手术后的临床资料。根据术后降噪情况将患者分为术后降噪组（n = 66）和对照组（n = 75）。对照组接受标准的人性化临床护理，术后降噪组在夜间使用耳塞进行额外降噪护理。比较两组患者术后降噪对创面愈合时间、疤痕质量（温哥华疤痕量表[VSS]）、心理状态（焦虑自评量表[SAS]和抑郁自评量表[SDS]）、生活质量（简易烧伤特异性健康量表[BSHS-A]）和并发症发生率的影响。结果：与对照组比较，术后降噪组创面愈合时间（P < 0.001）、VSS评分（P = 0.003）、SAS评分（P = 0.005）、SDS评分（P = 0.003）、BSHS-A评分（P < 0.05）差异均有统计学意义。两组患者并发症发生率比较，差异无统计学意义（P < 0.05）。结论：本研究提供了实质性证据，表明术后降噪对烧伤重建术后创面愈合时间、瘢痕质量、生活质量和心理状态有积极影响。这种见解强调了为烧伤患者创造有利于愈合的医院环境的重要性，将降噪策略作为整体护理实践的一部分，以优化恢复结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Noise & Health AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

CiteScore

2.10

自引率

14.30%

发文量

审稿时长

6-12 weeks

期刊介绍： Noise and Health is the only International Journal devoted to research on all aspects of noise and its effects on human health. An inter-disciplinary journal for all professions concerned with auditory and non-auditory effects of occupational, environmental, and leisure noise. It aims to provide a forum for presentation of novel research material on a broad range of topics associated with noise pollution, its control and its detrimental effects on hearing and health. It will cover issues from basic experimental science through clinical evaluation and management, technical aspects of noise reduction systems and solutions to environmental issues relating to social and public health policy.