通过噪声管理,可持续地降低重症监护病房的噪声水平 - - 实施研究
Sandra Witek1, Claudia Schmoor2, Fabian Montigel1
1Center of Implementing Nursing Care Innovations Freiburg, Nursing Direction, Medical Center - University of Freiburg, Freiburg, Germany.
BMC health services research
|January 3, 2025
概括
重症监护病房 (ICU) 经常超过建议的噪音限制. 一个减少噪音干预捆绑显著降低了声音水平,但临床相关性需要进一步研究可持续的降噪.
科学领域:
- 医疗保健管理的管理
- 环境健康 环境健康
- 临床实践 临床实践
背景情况:
- 重症监护室 (ICU) 的噪音水平经常超过推值,这可能会影响患者的康复和工作人员的表现.
- 高噪音水平在ICU是一个重要的环境问题,影响患者的结果和医疗保健的效率.
研究的目的:
- 在三个不同的重症监护病房 (麻醉学,神经学和新生儿学) 实施和评估降噪干预包.
- 评估多组件干预措施在降低重症监护机构病房噪音水平方面的有效性.
主要方法:
- 一项采用前后设计的实施研究评估了特定环境的干预包.
- 干预措施包括噪音管理指南,降噪措施和"噪音交通信号灯".
- 主要终点是12周对等持续声压 (LAeq) 的变化;次要终点包括24周随访时的声音水平变化.
主要成果:
- 在干预后观察到0.77 dB (A) 的声音水平的显著整体降低 (p=0.034).
- 一个ICU显示2.21 dB (A) (p<0.0001) 的显著减少.
- 在调整护理工作量后,降低噪音的程度较低,并在随访期间略有增加.
结论:
- 干预包显示,ICU噪音水平的统计显著降低.
- 观察到的降噪的临床相关性是可疑的,需要可持续的降噪策略.
- 有效的噪音管理需要足够的资源和在实施框架内的参与式方法.
相关概念视频
Sound Intensity Level
4.1K
Humans perceive sound by hearing. The human ear helps sound waves reach the brain, which then interprets the waves and creates the perception of hearing. The loudness of the environment in which a person is located determines whether they can distinguish between different sound sources.
The human ear can perceive an extensive range of sound intensity, necessitating the use of the logarithmic scale to define a physical quantity—the intensity level. It is a ratio of two intensities and...
The human ear can perceive an extensive range of sound intensity, necessitating the use of the logarithmic scale to define a physical quantity—the intensity level. It is a ratio of two intensities and...
4.1K
Pneumonia V: Nursing management and Prevention
1.6K
Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
1.6K
Chronic Obstructive Pulmonary Disease-V: Nursing Management
3.4K
Nursing management of Chronic Obstructive Pulmonary Disease (COPD) is crucial for providing thorough care and support to patients. Nurses play an integral role in this process through detailed assessment, careful planning, targeted interventions, and ongoing evaluation. Here's an overview of the critical steps in nursing management for COPD.
Assessment
Assessment
3.4K
Healthcare Associated Infections II: Preventive Measures
2.2K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.2K
Chronic Obstructive Pulmonary Disease-V: Management
2.5K
Managing Chronic Obstructive Pulmonary Disease (COPD) involves a multifaceted approach to reduce symptoms, prevent exacerbations, improve overall health status, and slow disease progression. Key strategies include lifestyle modifications, pharmacotherapy, supportive therapies, and, in some cases, surgery. Here is an overview of the primary COPD management strategies:
Smoking Cessation
Smoking Cessation
2.5K
Acute Respiratory Failure-V
96
The treatment for acute respiratory failure varies based on factors like the underlying cause, overall health, and severity. A collaborative healthcare team is essential for early detection, often through arterial blood gas analysis. Identifying the cause is the primary goal, with treatment strategies adjusted for ventilation/perfusion (V/Q) mismatch, shunting, or diffusion impairment.
Ensure that patients are monitored continuously for their response to therapy, including changes in...
Ensure that patients are monitored continuously for their response to therapy, including changes in...
96


