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[新生儿重症监护病房中接受暖箱护理的早产儿所经历的噪音水平和频率]

[Noise Level and Frequency Experienced by Premature Infants Receiving Incubator Care in the Neonatal Intensive Care Unit].

作者信息

Joo So Hyun, Kim Tae Im

出版信息

Child Health Nurs Res. 2020 Apr;26(2):296-308. doi: 10.4094/chnr.2020.26.2.296. Epub 2020 Apr 30.

DOI:10.4094/chnr.2020.26.2.296
PMID:35004473
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8650934/
Abstract

PURPOSE

The purpose of this study was to identify the noise level and frequency experienced by premature infants receiving incubator care in the neonatal intensive care unit (NICU).

METHODS

The participants were 20 premature infants receiving incubator care in the NICU of a university hospital in Daejeon Metropolitan city. The noise level was measured using a professional sound-level meter (ET-958, FLUS, Shenzhen, China) based on a noise classification table developed by the author. The data were analyzed with descriptive statistics, the t-test, analysis of variance, and Pearson correlation coefficients using SPSS for Windows version 22.0.

RESULTS

The average noise level experienced by premature infants receiving incubator care in the NICU was 51.25 dB (range: 45.0~81.7 dB). The frequency of noises was highest for factors related to nursing activities (40.3%), followed by human factors (29.1%), machine alarm sounds (20.1%), incubator operation (6.6%), and internal environmental factors (3.9%).

CONCLUSION

According to the above results, the noise level experienced by premature infants receiving incubator care in the NICU exceeded the recommendations of the American Academy of Pediatrics. Therefore, it is necessary to develop an interventional program to reduce noise in the NICU, and to conduct follow-up studies to verify its effectiveness.

摘要

目的

本研究旨在确定新生儿重症监护病房(NICU)中接受暖箱护理的早产儿所经历的噪音水平和频率。

方法

研究对象为大田广域市一所大学医院NICU中20名接受暖箱护理的早产儿。根据作者制定的噪音分类表,使用专业声级计(ET - 958,深圳福禄克)测量噪音水平。使用SPSS for Windows 22.0版本对数据进行描述性统计、t检验、方差分析和Pearson相关系数分析。

结果

NICU中接受暖箱护理的早产儿所经历的平均噪音水平为51.25分贝(范围:45.0~81.7分贝)。与护理活动相关的因素产生的噪音频率最高(40.3%),其次是人为因素(29.1%)、机器警报声(20.1%)、暖箱操作(6.6%)和内部环境因素(3.9%)。

结论

根据上述结果,NICU中接受暖箱护理的早产儿所经历的噪音水平超过了美国儿科学会的建议。因此,有必要制定一项降低NICU噪音的干预计划,并进行后续研究以验证其有效性。

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本文引用的文献

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Negative Effects of Noise on NICU Graduates' Cochlear Functions.噪声对 NICU 毕业生耳蜗功能的负面影响。
Fetal Pediatr Pathol. 2021 Aug;40(4):295-304. doi: 10.1080/15513815.2019.1710788. Epub 2020 Jan 25.
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Early environment and long-term outcomes of preterm infants.早产儿的早期环境与长期结局。
J Neural Transm (Vienna). 2020 Jan;127(1):1-8. doi: 10.1007/s00702-019-02121-w. Epub 2019 Dec 20.
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Ambient Noise Production by High-Frequency Neonatal Ventilators.高频新生儿呼吸机产生的环境噪声。
J Pediatr. 2019 Jan;204:157-161. doi: 10.1016/j.jpeds.2018.08.029. Epub 2018 Sep 26.
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Noise in the neonatal intensive care unit: a new approach to examining acoustic events.新生儿重症监护病房中的噪音:一种检查声学事件的新方法。
Noise Health. 2018 Jul-Aug;20(95):121-130. doi: 10.4103/nah.NAH_53_17.
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Noise Reduction in the Neonatal Intensive Care Unit: A Quality Improvement Initiative.新生儿重症监护病房的噪音控制:一项质量改进举措。
Am J Med Qual. 2018 Mar/Apr;33(2):177-184. doi: 10.1177/1062860617711563. Epub 2017 Jun 6.
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Sound levels in a neonatal intensive care unit significantly exceeded recommendations, especially inside incubators.新生儿重症监护病房的噪音水平显著超过了建议标准,尤其是在暖箱内部。
Acta Paediatr. 2017 Dec;106(12):1909-1914. doi: 10.1111/apa.13906. Epub 2017 Jun 5.
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The effect of training on noise reduction in neonatal intensive care units.培训对新生儿重症监护病房降噪的影响。
J Spec Pediatr Nurs. 2017 Jul;22(3). doi: 10.1111/jspn.12181. Epub 2017 Apr 13.
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Noise in the Neonatal Intensive Care Unit: What Does the Evidence Tell Us?新生儿重症监护病房中的噪音:证据告诉了我们什么?
Adv Neonatal Care. 2017 Aug;17(4):265-273. doi: 10.1097/ANC.0000000000000402.
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Effect of Filters on the Noise Generated by Continuous Positive Airway Pressure Delivered via a Helmet.过滤器对通过头盔输送的持续气道正压通气产生的噪音的影响。
Noise Health. 2017 Jan-Feb;19(86):20-23. doi: 10.4103/1463-1741.199237.
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Effect of peer education on the noise management in Iranian neonatal intensive care unit.同伴教育对伊朗新生儿重症监护病房噪音管理的影响。
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