Aydin Adnan Menderes University Research and Practice Hospital, Aydin, Turkey.
Department of Surgical Nursing, Faculty of Nursing, Aydin Adnan Menderes University, Aydin, Turkey.
Biol Res Nurs. 2020 Jul;22(3):397-402. doi: 10.1177/1099800420923397. Epub 2020 May 11.
The objective of this study was to determine the effect of noise in the intensive care unit (ICU) on oxidative stress in a rat model.
This study had both a descriptive and a randomized controlled experimental stage. In the descriptive stage, to create a laboratory model of noise in the ICU, the noise level was measured for 24 hr on a randomly selected day in a surgical ICU, and voice recording was performed using a sound recording device. In the experimental stage, 30 male Wistar albino rats were randomly divided into 5 groups: a control group and groups exposed to the recording of the noise from the ICU for 24, 48, 72, and 168 hr.
The noise level in the ICU was higher than the levels recommended for hospitals. Plasma corticosterone levels of the rats in the group exposed to the ICU noise for 168 hr were significantly higher than those of the control group. Plasma total protein values were significantly reduced in the rats exposed to 48, 72, and 168 hr of ICU noise compared to those of the control group. Superoxide dismutase activity was significantly decreased and malondialdehyde levels significantly increased in serum, spleen, and brain tissues as the duration of noise exposure increased.
Findings reveal that rats experienced increasing levels of stress and oxidative stress as time exposed to the ICU noise increased. These results suggest that interventions to reduce noise in the ICU may be warranted.
本研究旨在确定重症监护病房(ICU)噪声对大鼠模型氧化应激的影响。
本研究具有描述性和随机对照实验两个阶段。在描述性阶段,为了在 ICU 中创建噪声的实验室模型,在外科 ICU 中随机选择一天测量 24 小时的噪声水平,并使用录音设备进行录音。在实验阶段,将 30 只雄性 Wistar 白化大鼠随机分为 5 组:对照组和暴露于 ICU 噪声 24、48、72 和 168 小时的组。
ICU 的噪声水平高于医院推荐的水平。暴露于 ICU 噪声 168 小时的大鼠血浆皮质酮水平明显高于对照组。与对照组相比,暴露于 48、72 和 168 小时 ICU 噪声的大鼠的血浆总蛋白值明显降低。随着噪声暴露时间的延长,血清、脾脏和脑组织中超氧化物歧化酶活性显著降低,丙二醛水平显著升高。
研究结果表明,大鼠在暴露于 ICU 噪声的时间增加时,经历了越来越大的应激和氧化应激水平。这些结果表明,可能需要采取干预措施来降低 ICU 中的噪声。