{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:23:05Z","timestamp":1787772185085,"version":"build-2784847793"},"reference-count":25,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"120","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,1]]},"abstract":"\n Objective:<\/jats:bold>\n Noise is a kind of perceived public nuisance that is closely related to people\u2019s subjective feelings and lives. This study explores the clinical application effect of comprehensive noise reduction technology in outpatients with vitiligo.\n Methods:<\/jats:bold>\n 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.\n Results:<\/jats:bold>\n 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\n P<\/jats:italic>\n < 0.001). The Hamilton Anxiety Scale (HAMA) scores of the two groups at the end of treatment were significantly lower than those on admission (\n P<\/jats:italic>\n < 0.05), with SG showing a lower score than CG (\n P<\/jats:italic>\n < 0.001). Correlation analysis showed that noise levels and HAMA scores had a positive correlation (\n r<\/jats:italic>\n \u2009=\u20090.423,\n P<\/jats:italic>\n < 0.001). Patients with negative feelings about medical treatment caused by various noise sources in SG were obviously less than those in CG (\n P<\/jats:italic>\n < 0.05). Both the groups had a statistical difference in overall satisfaction (\n P<\/jats:italic>\n < 0.05).\n Conclusion:<\/jats:bold>\n 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\u2019 anxiety and improve their satisfaction. It has great benefits for the outpatient environment and patients.\n <\/jats:p>","DOI":"10.4103\/nah.nah_60_23","type":"journal-article","created":{"date-parts":[[2024,4,3]],"date-time":"2024-04-03T23:00:10Z","timestamp":1712185210000},"page":"37-43","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Application Effect of Comprehensive Noise Reduction Technology in Outpatients with Vitiligo: A Retrospective Study"],"prefix":"10.4103","volume":"26","author":[{"given":"Yong","family":"Liu","sequence":"first","affiliation":[{"name":"Dermatology Venereal Disease Department, Baoding NO. 2 Central Hospital, Zhuozhou, Hebei, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jingjing","family":"Wang","sequence":"additional","affiliation":[{"name":"Dermatology Venereal Disease Department, Baoding NO. 2 Central Hospital, Zhuozhou, Hebei, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jianli","family":"Huo","sequence":"additional","affiliation":[{"name":"Dermatology Venereal Disease Department, Baoding NO. 2 Central Hospital, Zhuozhou, Hebei, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shaoguang","family":"Zhang","sequence":"additional","affiliation":[{"name":"Dermatology Venereal Disease Department, Baoding NO. 2 Central Hospital, Zhuozhou, Hebei, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li","family":"Han","sequence":"additional","affiliation":[{"name":"Dermatology Venereal Disease Department, Baoding NO. 2 Central Hospital, Zhuozhou, Hebei, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yong","family":"Lei","sequence":"additional","affiliation":[{"name":"Dermatology Venereal Disease Department, Baoding NO. 2 Central Hospital, Zhuozhou, Hebei, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ya\u2019nan","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Neurology, Baoding NO. 2 Central Hospital, Zhuozhou, Hebei, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,3,23]]},"reference":[{"key":"R1-20240908","first-page":"e34031","article-title":"Thyroid autoimmunity in vitiligo: a case-control study","volume":"15","author":"Prashant","year":"2023","journal-title":"Cureus"},{"key":"R2-20240908","doi-asserted-by":"crossref","first-page":"62","DOI":"10.4103\/ipj.ipj_16_20","article-title":"Assessment of quality of life in vitiligo patients attending a tertiary care hospital \u2212 a cross sectional study","volume":"30","author":"Baidya","year":"2021","journal-title":"Ind Psychiatry J"},{"key":"R3-20240908","doi-asserted-by":"crossref","first-page":"102932","DOI":"10.1016\/j.autrev.2021.102932","article-title":"Autoimmunity in vitiligo: therapeutic implications and opportunities","volume":"21","author":"Khaitan","year":"2022","journal-title":"Autoimmun Rev"},{"key":"R4-20240908","article-title":"5S management improves the service quality in the outpatient-emergency pharmacy: from management process optimisation to staff capacity enhancement","author":"Huang","year":"2022","journal-title":"Eur J Hosp Pharm"},{"key":"R5-20240908","doi-asserted-by":"crossref","first-page":"380","DOI":"10.21037\/gs.2020.04.09","article-title":"Noise in the outpatient operating room","volume":"9","author":"Liu","year":"2020","journal-title":"Gland Surg"},{"key":"R6-20240908","doi-asserted-by":"crossref","first-page":"1018","DOI":"10.1111\/anae.14690","article-title":"Mapping sources of noise in an intensive care unit","volume":"74","author":"Darbyshire","year":"2019","journal-title":"Anaesthesia"},{"key":"R7-20240908","first-page":"360","article-title":"Application of comprehensive noise reduction management in pediatric clinic","volume":"21","author":"Zhao","year":"2019","journal-title":"J Shenyang Med Coll"},{"key":"R8-20240908","doi-asserted-by":"crossref","first-page":"e2104552","DOI":"10.1002\/adma.202104552","article-title":"Additively manufactured deformation-recoverable and broadband sound-absorbing microlattice inspired by the concept of traditional perforated panels","volume":"33","author":"Li","year":"2021","journal-title":"Adv Mater"},{"key":"R9-20240908","doi-asserted-by":"crossref","first-page":"1388","DOI":"10.3390\/polym14071388","article-title":"Sound insulation properties of hollow polystyrene spheres\/polyethylene glycol\/epoxy composites","volume":"14","author":"Shi","year":"2022","journal-title":"Polymers (Basel)"},{"key":"R10-20240908","first-page":"247","article-title":"The Pigment Disease Group of the Dermatology and Venereology Professional Committee of the Chinese Society of Integrated Traditional and Western Medicine. 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satisfaction with tertiary hospitals in China: the role of sociodemographic characteristics","volume":"16","author":"Hu","year":"2019","journal-title":"Int J Environ Res Public Health"},{"key":"R25-20240908","doi-asserted-by":"crossref","first-page":"2653","DOI":"10.1097\/CORR.0000000000000927","article-title":"Depression and non-modifiable patient factors associated with patient satisfaction in an academic orthopaedic outpatient clinic: is it more than a provider issue?","volume":"477","author":"Tisano","year":"2019","journal-title":"Clin Orthop Relat Res"}],"container-title":["Noise and 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