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降噪包对ICU工作人员的影响:一个阶梯集群随机临床试验

Jeanette Vreman¹, Cris Lanting², Tim Frenzel¹

¹Radboud University Medical Center, Department of Intensive Care, Nijmegen, Netherlands (the).

Intensive & critical care nursing

|December 12, 2025

概括

一项多组件干预措施显著降低了重症监护室 (ICU) 的噪音水平,报警和护士分心. 虽然从统计学上显著,但声音水平的降低在临床上并不重要.

科学领域:

关键护理医学关键护理医学
医疗保健改善科学科学

背景情况:

重症监护室 (ICU) 的高噪音水平会对患者的治疗结果和工作人员的幸福感产生负面影响.
减少噪音是改善ICU环境的一个关键目标.

研究的目的:

评估旨在降低ICU中的噪音水平的多组件干预组合的有效性.

主要方法:

在四个重症监护室进行了为期14个月的阶梯集群随机临床试验.
干预包括教育,设备调整,指定安静时间和反.
测量结果是A级加权音量 (LAeq),每天每张床的报警,护士烦评级,以及在药物准备过程中观察到的分心.

主要成果:

观察到LAeq从53.7到52.9dBA的统计显著下降 (p < 0.001).
报警/日/床数量从228个显著下降到194个 (p < 0.001).
护士烦评分显示统计学上显著下降 (p < 0.001),分心率从 73% 降至 61% (p < 0.001).

结论:

多组件干预包实现了统计学上显著的ICU声音水平,报警,护士烦和分心的减少.
虽然从统计学上显著,但噪声水平的降低并没有达到临床上重要的最小差异.
该干预措施对ICU环境和护理经验产生了积极影响.

关键词:

声学声学在声学上.病情危急,病情危急.在重症监护病房的重症监护病房.干预措施干预措施噪声噪声噪声

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