Environment in pediatric wards: light, sound, and temperature
Lia Oliveira1, Cláudia Gomes1, Leonor Bacelar Nicolau2
1Department of Pediatrics, Santa Maria Hospital, Academic Medical Centre of Lisbon, Avenida Professor Egas Moniz, 1649-035 Lisbon, Portugal.
Hospital environmental factors like noise and temperature negatively impact pediatric patient sleep quality. These conditions, exceeding recommended levels, may hinder recovery and require further investigation for improved patient care.
Area of Science:
- Pediatric healthcare
- Environmental health
- Sleep medicine
Background:
- The relationship between sleep and disease is critical, especially during hospitalization.
- Hospital environments can significantly influence patient sleep and recovery.
- Understanding environmental factors in pediatric wards is essential.
Purpose of the Study:
- To describe environmental factors (light, sound, temperature) in pediatric wards.
- To assess if these factors align with recommended standards.
- To characterize sleep quality in hospitalized children.
Main Methods:
- Measured light, sound, and temperature in five pediatric wards.
- Compared measurements against recommended standards (light ≤100 Lux, sound ≤45 dB, temperature 20-24°C).
- Assessed children's sleep quality via caregiver questionnaires.
Main Results:
- Light levels were acceptable 86% of the time.
- Sound levels exceeded recommendations (above 45 dB) 85% of the time.
- Temperatures were above 24°C for 78% of the time.
- Caregivers reported worse sleep quality and more restlessness in the hospital.
- Noise was a primary cause for awakenings.
Conclusions:
- Hospital sound and temperature levels frequently exceeded recommendations.
- Variations between wards suggest a lack of standardized environmental controls.
- Hospitalization was associated with poorer sleep quality and shorter sleep duration.
- Further research is needed on environmental impacts on pediatric recovery.
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