噪音水平与重症监护病人的临床复杂性之间的关系:一个观察模拟研究
Guglielmo Imbriaco1,2, Martina Capitano3, Margherita Rocchi4
1Centrale Operativa 118 Emilia Est, Prehospital Emergency Dispatch Center, Helicopter Emergency Medical Service, Maggiore Hospital Carlo Alberto Pizzardi, Bologna, Italy.
Nursing in critical care
|June 2, 2023
概括
来自医疗器械的重症监护室 (ICU) 噪音比预期的更少破坏. 特定的护理任务和对话会产生更高的声音水平,突出了减少噪音策略的领域,以改善患者和工作人员的福祉.
科学领域:
- 关键护理医学 关键护理医学
- 环境健康 环境健康
- 患者安全 患者安全
背景情况:
- 在重症监护室 (ICU) 的噪音污染对患者和工作人员构成风险.
- 这些来源包括医疗设备,报警器,通信和人类活动.
研究的目的:
- 评估ICU中医疗器械增加的累积噪声.
- 测量报警和护理活动的声音水平.
- 在模拟复杂的患者场景中识别破坏性噪音源.
主要方法:
- 使用电子音量计进行观察模拟研究.
- 在七个模拟的临床场景中测量了ICU房间的噪音水平.
- 分析了医疗器械报警器和护理任务的声音水平在3米.
主要成果:
- 基线噪声为37.8dBA;模拟场景范围为45.3至53.5dBA.
- 警报测量了76.481.3dBA;护理任务和语音超过了80dBA.
- 打开无菌包装的噪音达到98dBA,这是最高的噪音水平.
结论:
- 增加的医疗设备并没有显著提高整体ICU噪音.
- 某些护理活动和对话比警报和设备更大声.
- 建议对ICU进行进一步的研究和降噪策略.
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