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门诊手术室中的噪音。

Noise in the outpatient operating room.

作者信息

Liu Min, Yi Chen, Yin Fei, Dai Yu

机构信息

Department of Operation, The Central Hospital of Wuhan & Affiliated Hospital of Tongji Medical College of Huazhong University of Science and Technology, Wuhan 430000, China.

出版信息

Gland Surg. 2020 Apr;9(2):380-384. doi: 10.21037/gs.2020.04.09.

Abstract

BACKGROUND

Noise exposure in hospitals can negatively impact both patients and doctors. It can make patients feel more anxious or depressive and can impair doctors' concentration or judgment, potentially leading to poor decision-making or performance. In China, an increasing number of outpatient operating rooms have emerged in recent years for the convenience of patients planning to undergo minor surgery. In this study, we aimed to investigate the impact of noise exposure in the outpatient operating room and ways to deal with it.

METHODS

By monitoring noise at different locations in three hospitals, we analyzed the average noise exposure intensity affecting outpatient operative procedures. After noise monitoring, we made some constructive suggestions and other adjustments to reduce and lower the noise exposure in one outpatient operating room [the experimental operating room (EOR)] to observe the feasibility and effectiveness of noise control in and out of the outpatient operating room.

RESULTS

Noise intensity in the outpatient operating room was significantly higher than that in the inpatient operating room (68.3±14.7 45.7±9.6, P<0.05). After noise control, the noise intensity in the EOR decreased significantly (74.5±16.6 59.2±13.4, P<0.05) but was still higher than that in the inpatient operating room (59.2±13.4 46.0±9.3, P<0.05) of the same hospital. Further analysis revealed that noise affecting outpatient operating room mainly originates from vehicles outside, medical machines, ambulances, crowds in the outpatient main hall, and communication devices.

CONCLUSIONS

Noise exposure is a common and serious problem, but measures can be taken to deal with it effectively.

摘要

背景

医院中的噪音暴露会对患者和医生产生负面影响。它会使患者感到更加焦虑或抑郁,还会削弱医生的注意力或判断力,可能导致决策失误或表现不佳。近年来,为方便计划接受小手术的患者,中国出现了越来越多的门诊手术室。在本研究中,我们旨在调查门诊手术室噪音暴露的影响以及应对方法。

方法

通过监测三家医院不同位置的噪音,我们分析了影响门诊手术操作的平均噪音暴露强度。在噪音监测之后,我们提出了一些建设性建议并进行了其他调整,以降低一家门诊手术室[实验手术室(EOR)]的噪音暴露,观察门诊手术室内外噪音控制的可行性和有效性。

结果

门诊手术室的噪音强度显著高于住院手术室(68.3±14.7对45.7±9.6,P<0.05)。噪音控制后,EOR的噪音强度显著降低(74.5±16.6对59.2±13.4,P<0.05),但仍高于同一家医院住院手术室的噪音强度(59.2±13.4对46.0±9.3,P<0.05)。进一步分析表明,影响门诊手术室的噪音主要来自外部车辆、医疗设备、救护车、门诊大厅的人群以及通讯设备。

结论

噪音暴露是一个常见且严重的问题,但可以采取措施有效应对。

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