Dermatology Venereal Disease Department, Baoding NO. 2 Central Hospital, Zhuozhou, Hebei, China.
Department of Neurology, Baoding NO. 2 Central Hospital, Zhuozhou, Hebei, China.
Noise Health. 2024;26(120):37-43. doi: 10.4103/nah.nah_60_23. Epub 2024 Mar 23.
Noise is a kind of perceived public nuisance that is closely related to people's subjective feelings and lives. This study explores the clinical application effect of comprehensive noise reduction technology in outpatients with vitiligo.
A total of 76 patients with vitiligo were selected in the Department of Dermatology at Baoding No. 2 Central Hospital from January 2020 to January 2021, as the control group (CG), receiving 5S management mode, and 80 patients with vitiligo from February 2021 to October 2022 were selected as the study group (SG), receiving comprehensive noise reduction technology combined with the 5S management mode for this retrospective study. The effects of different management modes on these patients were observed.
SG had higher nursing quality scores in service attitude, service initiative, communication skills, environmental management and item management and overtly a lower noise level than CG (all P < 0.001). The Hamilton Anxiety Scale (HAMA) scores of the two groups at the end of treatment were significantly lower than those on admission (P < 0.05), with SG showing a lower score than CG (P < 0.001). Correlation analysis showed that noise levels and HAMA scores had a positive correlation (r = 0.423, P < 0.001). Patients with negative feelings about medical treatment caused by various noise sources in SG were obviously less than those in CG (P < 0.05). Both the groups had a statistical difference in overall satisfaction (P < 0.05).
The investigation and data analysis demonstrated that comprehensive noise reduction in outpatients with vitiligo had a considerable effect. This technology can standardise the behaviour of medical staff, enhance nursing quality, reduce noise levels and alleviate patients' anxiety and improve their satisfaction. It has great benefits for the outpatient environment and patients.
噪声是一种与人的主观感受和生活密切相关的感知性公共危害。本研究探讨了综合降噪技术在白癜风门诊患者中的临床应用效果。
选取 2020 年 1 月至 2021 年 1 月保定第二中心医院皮肤科 76 例白癜风患者作为对照组（CG），采用 5S 管理模式，2021 年 2 月至 2022 年 10 月选取 80 例白癜风患者作为研究组（SG），采用综合降噪技术联合 5S 管理模式进行回顾性研究。观察不同管理模式对这些患者的影响。
SG 在服务态度、服务主动性、沟通技巧、环境管理和项目管理方面的护理质量评分均高于 CG（均 P<0.001），且噪声水平低于 CG（均 P<0.001）。两组治疗结束时的汉密尔顿焦虑量表（HAMA）评分均明显低于入院时（P<0.05），SG 评分低于 CG（P<0.001）。相关性分析显示，噪声水平与 HAMA 评分呈正相关（r=0.423，P<0.001）。SG 中因各种噪声源对治疗产生负面情绪的患者明显少于 CG（P<0.05）。两组总体满意度均有统计学差异（P<0.05）。
调查和数据分析表明，白癜风门诊综合降噪效果显著。该技术规范了医护人员的行为，提高了护理质量，降低了噪声水平，缓解了患者的焦虑，提高了患者满意度。对门诊环境和患者均有益处。
