Chen Weixin, Li Ke, Shi Yuan, He Wenjun, Sun Yang, Liu Jianjiang
Department of Burn and Plastic Surgery, The First Affiliated Hospital of Soochow University, Suzhou 215000, Jiangsu, China.
Noise Health. 2025;27(124):65-71. doi: 10.4103/nah.nah_134_24. Epub 2025 Feb 28.
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.
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.
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).
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.
本研究旨在探讨夜间使用耳塞进行术后降噪对接受重建手术的烧伤患者愈合时间和瘢痕质量的影响。
这项回顾性队列研究分析了2022年1月至2023年6月在苏州大学附属第一医院接受重建手术后成年烧伤患者的临床资料。根据患者是否接受术后降噪，将其分为术后降噪组（n = 66）和对照组（n = 75）。对照组接受标准的人性化临床护理，而术后降噪组在夜间使用耳塞接受额外的降噪护理。比较两组术后降噪对伤口愈合时间、瘢痕质量（温哥华瘢痕量表[VSS]）、心理状态（自评焦虑量表[SAS]和自评抑郁量表[SDS]）、生活质量（简化烧伤特异性健康量表[BSHS-A]）和并发症发生率的影响。
与对照组相比，术后降噪组在伤口愈合时间（P < 0.001）、VSS评分（P = 0.003）、SAS评分（P = 0.005）、SDS评分（P = 0.003）和BSHS-A评分（P < 0.05）方面存在显著差异。两组并发症发生率无显著差异（P > 0.05）。
总之，本研究提供了实质性证据，表明术后降噪对重建手术后烧伤患者的伤口愈合时间、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康复的医院环境的重要性，将降噪策略纳入整体护理实践的一部分，以优化康复结果。
