减少婴儿重症监护室中的噪音
Annmarie Gennattasio1,2, Brigit Carter1,2, Diana Maffei1,2
1Division of Neonatal-Perinatal Medicine, Cohens Children's Medical Center, Northwell Health, New York, New York(Drs Gennattasio, Maffei, Weinberger, and Boyar); and Duke University School of Nursing, Durham, North Carolina(Drs Gennattasio, Carter, and Turner).
概括
实施HUSH (住院婴儿的健康,不受干扰的睡眠) 战略显著降低了新生儿重症监护室 (NICU) 的噪音水平. 这一举措表明了改善婴儿神经发育NICU环境的可持续方法.
科学领域:
- 新生儿重症监护室 (NICU) 的环境
- 儿科神经发育 儿童神经发育
- 婴儿的睡眠科学 在婴儿中
背景情况:
- 婴儿重症监护室中的噪音增加会对婴儿的神经发育,睡眠和大脑发育产生不利影响.
- 美国儿科学会建议NICU噪音水平不超过45dB.
研究的目的:
- 与基线相比,将NICU平均噪音水平降低10%.
- 将暴露于严重噪音 (>65 dB) 的时间减少到不到5%.
主要方法:
- 在IV级NICU (2021-2022) 中进行前/后观测质量改进项目.
- 干预措施包括员工/家长教育,视觉线索,技术设备升级和HUSH (住院婴儿的健康,不受干扰的睡眠) 的安静时间.
- 监测声音水平是每天20-24小时,每周5天.
主要成果:
- 工作人员的教育和技术改进降低了降级单位 (P < .001) 的中位噪声,但并没有降低急性护理NICU的中位噪声.
- 在HUSH策略中强制执行的2小时安静时间有效地减少了NICU区域中的中位噪音和严重噪音 (>65dB).
结论:
- 哈什策略提供了一种可持续的方法来减少NICU噪音.
- 未来的努力应专注于教育和专门的安静时间,以达到推标准.
- 需要进一步研究过度噪音对新生儿的长期发育影响.
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