Improving the Recovery of Haemato-Oncological Inpatients by Implementing a Multifaceted Noise Control Programme

通过实施多方面的噪音控制方案来改善血液肿瘤住院患者的康复情况

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Abstract

OBJECTIVE: Investigate the effect of implementing a multidirectional noise control programme on the rehabilitation outcomes of hospitalised haemato-oncological patients. METHODS: The clinical data of haemato-oncological patients who received their first chemotherapy treatment in Ganzhou People's Hospital between March 2022 and February 2024 were retrospectively analysed. The patients were categorised into the noise reduction group and the conventional group in accordance with whether they had received the multidirectional noise control programme during their hospitalisation. A total of 72 cases were included in the final noise reduction group and 73 cases in the conventional group. The measurement of the acoustic environment in the wards of both groups and the monitoring of various serological indicators, such as the 12-item General Health Questionnaire (GHQ-12) and the Pittsburgh Sleep Quality Index (PSQI), were used to evaluate the clinical effects of the multidirectional noise control programme. In addition, patient satisfaction with health care services was evaluated using the Inpatient Satisfaction and Experience Monitoring scale. RESULTS: After the implementation of the noise control intervention, the ward noise levels of the noise reduction group were significantly lower than those of the conventional group (P < 0.001). After the intervention, the noise reduction group exhibited significantly lower levels of norepinephrine, adrenocorticotropic hormone and cortisol compared with those of the conventional group (P < 0.05). The GHQ-12 and PSQI scores of the patients in the noise reduction group were significantly lower than those of the patients in the conventional group after the end of the programme (P < 0.001). In addition, the satisfaction scores with the clinical medical services of the patients in the noise reduction group were significantly higher than those of the patients in the conventional group (P < 0.001). CONCLUSION: Systematic noise management significantly improved the sleep quality and mood and stress levels of haemato-oncological inpatients whilst enhancing medical satisfaction.

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