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普通外科病房的噪音水平:一项描述性研究。

Noise levels in a general surgical ward: a descriptive study.

作者信息

Christensen Martin

机构信息

Nursing Studies, Bournemouth University, Bournemouth BH1 3LT, UK.

出版信息

J Clin Nurs. 2005 Feb;14(2):156-64. doi: 10.1111/j.1365-2702.2004.01040.x.

Abstract

AIMS AND OBJECTIVES

This study was undertaken to measure and analyse levels of acoustic noise in a General Surgical Ward.

METHOD

Measurements were undertaken using the Norsonic 116 sound level meter (SLM) recording noise levels in the internationally agreed 'A' weighted scale. Noise level data and observational data as to the number of staff present were obtained and recorded at 5-min intervals over three consecutive days.

RESULTS

Results of noise level analysis indicated that mean noise level within this clinical area was 42.28 dB with acute spikes reaching 70 dB(A). The lowest noise level attained was that of 36 dB(A) during the period midnight to 7 a.m. Non-parametric testing, using Spearman's Rho (two-tailed), found a positive relationship between the number of staff present and the level of noise recorded, indicating that the presence of hospital personnel strongly influences the level of noise within this area.

RELEVANCE TO CLINICAL PRACTICE

Whilst the results of this may seem self-evident in many respects the problems of excessive noise production and the exposure to it for patients, hospital personnel and relatives alike continues unabated. What must be of concern is the psychophysiological effects excessive noise exposure has on individuals, for example, decreased wound healing, sleep deprivation and cardiovascular stimulation.

摘要

目的

本研究旨在测量和分析普通外科病房的噪音水平。

方法

使用Norsonic 116声级计进行测量,以国际认可的“A”加权量表记录噪音水平。在连续三天内,每隔5分钟获取并记录噪音水平数据以及在场工作人员数量的观察数据。

结果

噪音水平分析结果表明,该临床区域内的平均噪音水平为42.28分贝,急性峰值达到70分贝(A)。在午夜至上午7点期间达到的最低噪音水平为36分贝(A)。使用Spearman's Rho(双尾)进行的非参数检验发现,在场工作人员数量与记录的噪音水平之间存在正相关关系,表明医院工作人员的存在对该区域内的噪音水平有强烈影响。

与临床实践的相关性

虽然本研究结果在许多方面可能看似不言而喻,但过度噪音产生以及患者、医院工作人员和亲属接触噪音的问题仍未减弱。必须关注的是,过度噪音暴露对个体的心理生理影响,例如伤口愈合减慢、睡眠剥夺和心血管刺激。

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