Hospital Sirio Libanes.
Nursing School, Universidade de São Paulo (EEUSP).
JBI Evid Implement. 2022 Dec 1;20(4):385-393. doi: 10.1097/XEB.0000000000000311.
Sleep deprivation is a relevant problem among patients hospitalized in ICUs. Further, noise is the most critical disruptive factor according to patients.
To implement scientific evidence-based best practices for noise control in an adult ICU.
This was an evidence-based implementation project of best practices in noise control, conducted in a high-complexity hospital's adult ICU. The intervention consisted of three steps: baseline audit and identification of barriers, implementation of best practices, and a follow-up audit.
No compliance with best practices was detected in the baseline audit. After the implementation phase, the unit reached compliance levels of 78-88% for most of these criteria only one criterion related to noise level did not match the expected compliance.
Adherence to best practices regarding noise control was satisfactory, achieving more than 70% compliance in the six audit criteria. Only the noise level did not reach the threshold recommended by the WHO - a difficulty reported in other studies.
Best practices related to noise control are essential for managing sleep deprivation in ICUs and include changes in the behaviour of involved professionals.
睡眠剥夺是 ICU 住院患者的一个相关问题。此外，根据患者的反馈，噪音是最具破坏性的因素。
在成人 ICU 实施基于科学证据的最佳噪音控制实践。
这是在一家高复杂度医院的成人 ICU 中进行的基于证据的最佳噪音控制实践实施项目。干预措施包括三个步骤：基线审核和障碍识别、最佳实践的实施以及后续审核。
在基线审核中，没有发现符合最佳实践的情况。在实施阶段之后，该单位在大多数标准上达到了 78-88%的合规水平，只有一个与噪音水平相关的标准不符合预期的合规水平。
在噪音控制方面，最佳实践的遵守情况令人满意，在六个审核标准中有超过 70%的标准达到了合规。只有噪音水平没有达到世卫组织推荐的阈值——这是其他研究中报道的一个困难。
与噪音控制相关的最佳实践对于管理 ICU 中的睡眠剥夺至关重要，包括涉及专业人员行为的改变。
