儿童重症监护中的声音暴露来源
Laura Beth Kalvas1, Tondi M Harrison2
1Laura Beth Kalvas is a postdoctoral fellow, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania.
儿科重症监护室 (PICU) 的噪音主要来自媒体,家庭和临床医生的声音. 减少夜间噪音污染需要临床医生和家庭之间的合作,以改善患者的环境.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 环境健康 环境健康
- 声学 声学 在声学方面
背景情况:
- 儿科重症监护室 (PICU) 的噪音水平经常超过推指南.
- 这种噪音污染的具体来源仍未得到充分研究.
研究的目的:
- 系统地识别和量化PICU环境中的声音暴露源.
主要方法:
- 二次分析220.7小时的连续床边视频和剂量计数据.
- 针对儿科应用,对一个经过验证的成人ICU声音源编码方案进行了调整.
- 在高和低音量,白天和夜间班次以及峰值声音事件期间,比较声源流行率.
主要成果:
- 人类来源包括家庭发音 (38%),临床医生发音 (32%) 和儿童非语言声音 (29.4%).
- 环境来源包括媒体声音 (57.7%),一般活动 (40.7%) 和医疗设备 (31.3%).
- 媒体声音出现在超过一半的观察中;家庭和儿童的声音主导了峰值噪音事件.
结论:
- 临床医生和家庭之间的合作对于减轻PICU的夜间噪音污染至关重要.
- 使用这种编码方案进行进一步的大规模研究是必要的,以充分描述PICU声景.
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