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手术室环境噪声对医护人员的生理和心理影响。

Physiological and psychological effects of ambient noise in operating room on medical staff.

机构信息

Faculty of Health Sciences, Department of Surgical Nursing, Çukurova University, Adana, Turkey.

出版信息

ANZ J Surg. 2021 May;91(5):847-853. doi: 10.1111/ans.16582. Epub 2021 Jan 18.

DOI:10.1111/ans.16582
PMID:33459517
Abstract

BACKGROUND

The study was conducted to assess operating room noise levels and to investigate its effects on medical staff.

METHODS

Single-blind study. This study was conducted with 92 medical staff working in 11 operating rooms of a university hospital. Data was collected using a personal information form and sound level measuring devices. Sound measurements were made 3 days a week in the morning and in the afternoon, twice a day and lasted 15 min each. Mean values of the measurements in each room were collected and recommended maximum values for operating rooms (35 dB during daytime) by the World Health Organization were set as a reference point.

RESULTS

The highest noise level was measured in orthopaedic (67.5 dB), and the lowest in gynaecology room (55.5 dB). Daily mean noise level of all operating rooms was 60.90 dB. Noise disturbance score measured with Visual Analogue Scale was 6.66 ± 1.84. Of the medical staff, 84.8% were physiologically, 93.5% psychologically, and 82.6% both physiologically and psychologically affected. Of those affected physiologically, 51.1% experienced fatigue, and 33.7% headache, and of those affected psychologically, 43.5% experienced inattentiveness, 34.8% agitation and 15.2% restlessness. Only 4.34% reported not being affected by the noise.

CONCLUSION

Operating room noise levels were higher than normal limits set by the World Health Organization, which affected the medical staff both physiologically and psychologically. Since experienced negativities may reduce medical staff's motivation and increase error making, making arrangements to control noise levels is recommended.

摘要

背景

本研究旨在评估手术室噪声水平,并调查其对医务人员的影响。

方法

单盲研究。该研究在一所大学医院的 11 间手术室中对 92 名医务人员进行了研究。使用个人信息表和声级测量设备收集数据。每周 3 天在上午和下午进行两次测量,每次测量持续 15 分钟。收集每个房间测量的平均值,并将世界卫生组织建议的手术室最高限值(白天 35 分贝)作为参考点。

结果

最高噪声水平测量于骨科(67.5dB),最低噪声水平于妇科(55.5dB)。所有手术室的日平均噪声水平为 60.90dB。使用视觉模拟量表测量的噪声干扰评分 6.66±1.84。84.8%的医务人员在生理上受到影响,93.5%在心理上受到影响,82.6%在生理和心理上都受到影响。在生理上受影响的人中,51.1%感到疲劳,33.7%头痛,在心理上受影响的人中,43.5%注意力不集中,34.8%烦躁不安,15.2%坐立不安。只有 4.34%的人报告说没有受到噪音的影响。

结论

手术室噪声水平高于世界卫生组织设定的正常限值,对医务人员的身心都有影响。由于经验性的负面影响可能会降低医务人员的积极性并增加错误发生的概率,因此建议采取措施控制噪声水平。

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