Nursing Department, Tekirdağ Namik Kemal University, Tekirdağ, Turkey.
Nursing Department, Tekirdağ Namik Kemal University, Tekirdağ, Turkey.
J Perianesth Nurs. 2021 Feb;36(1):54-58. doi: 10.1016/j.jopan.2020.06.024. Epub 2020 Oct 16.
The research was conducted to evaluate the noise levels and the effect of noise on the workload and stress levels of the operating room (OR) staff of a public hospital.
Descriptive and cross-sectional study.
The data were obtained by measuring ambient noise during 403 orthopaedic, urological, and general surgeries on weekdays between July and October 2019. We measured the noise by dividing the surgery into three phases. These phases are as follows: from the entry of the patient, induction of anesthesia, and preparation of the surgical area until the start of the procedure (Phase I), from the incision until the completion of closure and dressing application (Phase II), from the completion of closure and dressing application until the exit of the patient (Phase III). Furthermore, the workload and stress levels of 45 OR staff who work in the general surgery, orthopaedics, and urology ORs were measured. Data were collected using a CA 834 noise measurement device, State-Trait Anxiety Inventory (STAI Form TX-I), the National Aeronautics and Space Administration (NASA) Task Load Index Workload Scale, and Information form related to surgery and ORs.
The noise in the OR was higher than 35 dB, A-weighted [dB(A)], the limit proposed by the World Health Organization for hospitals. Phase I average noise level was 63.00 ± 3.50, Phase II average noise level was 62.94 ± 3.75, and Phase III average noise level was 63.67 ± 2.81. The mean anxiety score was 34.50 ± 6.09. The total workload level was found to be 56.91 ± 15.67. Anxiety scores and workload scores had positive weak and moderate correlations with noise levels (P < .01).
The noise in the OR was high, and anxiety scores and workload scores correlated positively with noise levels.
本研究旨在评估公立医院手术室（OR）工作人员的噪声水平及其对工作负荷和压力水平的影响。
描述性和横断面研究。
我们于 2019 年 7 月至 10 月的工作日期间，通过测量 403 例骨科、泌尿科和普外科手术期间的环境噪声，获取了研究数据。我们将手术分为三个阶段进行噪声测量。这些阶段如下：从患者进入、麻醉诱导和手术区域准备到手术开始（阶段 I），从切口到完成缝合和敷料应用（阶段 II），以及从完成缝合和敷料应用到患者离开（阶段 III）。此外，我们还测量了在普外科、骨科和泌尿科手术室工作的 45 名手术室工作人员的工作负荷和压力水平。使用 CA 834 噪声测量设备、状态-特质焦虑量表（STAI Form TX-I）、美国国家航空航天局（NASA）任务负荷指数工作负荷量表以及与手术和手术室相关的信息表收集数据。
OR 内的噪声高于 35dB（A）加权[dB（A）]，这是世界卫生组织为医院提出的噪声限制。阶段 I 的平均噪声水平为 63.00±3.50dB（A），阶段 II 的平均噪声水平为 62.94±3.75dB（A），阶段 III 的平均噪声水平为 63.67±2.81dB（A）。平均焦虑得分 34.50±6.09。总工作量水平为 56.91±15.67。焦虑评分和工作量评分与噪声水平呈正相关（P<0.01）。
OR 内噪声较高，焦虑评分和工作量评分与噪声水平呈正相关。
