Czerwiec Alexandre, Vannier Margot, Courage Olivier
Orthopedic Department, Centre Hospitalier Universitaire de Rouen, 37 boulevard Gambetta, 76000 Rouen, France.
Biostatistics Department, Centre Hospitalier Universitaire de Rouen, 37 Boulevard Gambetta, 76000 Rouen, France.
Surg Open Sci. 2024 Jul 5;20:145-150. doi: 10.1016/j.sopen.2024.06.006. eCollection 2024 Aug.
Noise is omnipresent in the operating room. The average noise in the operating room generally ranges between 60 and 65 dB and can sometimes exceed 100 dB, despite the ARS (Agence Régionale de Santé) and WHO (World Health Organization) recommending levels of 35 dB(A). This study aimed to evaluate the effect of different kinds of background auditory stimuli on the performance of surgeons during an arthroscopic simulation task.
Forty-seven surgeons with varying experience in arthroscopic surgery undertook different exercises under four different conditions: quiet, classical music, hard rock, and sustained chatter. All background auditory stimuli were set at 65 dB(A). Each participant underwent double randomization for the four sound stimuli and the four exercises to be performed. A musical questionnaire was also completed by each participant. Data related to each exercise included operating time in seconds, distance from the camera or instruments in centimeters, and an overall score automatically calculated by the simulator based on safety, economy of movement, and speed (scale: 0-20 points).
Operative time in an environment with classical music was significantly lower than in an environment with hard rock (95.9 s vs. 128.7 s, = 0.0003). The overall rating in an environment with chatter was significantly lower than in a silent environment (11.7 vs. 15.7, < 0.0001). The overall rating in an environment with hard rock was significantly lower than in an environment with classical music (14.3 vs. 17.5, = 0.0008).Surgeons who preferred listening to music in the operating room performed differently than those who did not. The mean operative time for surgeons who preferred music was 99.52 s (SD = 47.20), compared to 117.16 s (SD = 61.06) for those who did not prefer music, though this difference was not statistically significant ( = 0.082). The mean overall score for surgeons who preferred music was significantly higher at 17.46 (SD = 2.29) compared to 15.57 (SD = 3.49) for those who did not prefer music ( = 0.001).
Our study suggests that exposure to classical music and silence may confer greater benefits to the surgeon compared to the impact of hard rock and chatter. These conclusions are grounded in significant differences observed in operative time and overall evaluations, highlighting the potential advantages of an environment characterized by acoustic tranquility for surgical professionals. Preferences for music in the operating room also play a role, with those who prefer music demonstrating better performance scores.
手术室中噪音无处不在。尽管地区卫生机构（ARS）和世界卫生组织（WHO）建议手术室噪音水平为35分贝（A），但手术室的平均噪音一般在60至65分贝之间，有时甚至超过100分贝。本研究旨在评估不同类型的背景听觉刺激对关节镜模拟任务中外科医生操作表现的影响。
47名在关节镜手术方面经验各异的外科医生在四种不同条件下进行不同的练习：安静、古典音乐、硬摇滚和持续交谈。所有背景听觉刺激均设置为65分贝（A）。每位参与者对四种声音刺激和要进行的四项练习进行双重随机化。每位参与者还完成了一份音乐问卷。与每项练习相关的数据包括以秒为单位的操作时间、与摄像头或器械的距离（以厘米为单位），以及模拟器根据安全性、动作经济性和速度自动计算的总分（范围：0 - 20分）。
在有古典音乐的环境中的操作时间显著低于有硬摇滚的环境（95.9秒对128.7秒，P = 0.0003）。在有交谈的环境中的总体评分显著低于安静环境（11.7对15.7，P < 0.0001）。在有硬摇滚的环境中的总体评分显著低于有古典音乐的环境（14.3对17.5，P = 0.0008）。在手术室中喜欢听音乐的外科医生与不喜欢听音乐的外科医生表现不同。喜欢音乐的外科医生的平均操作时间为99.52秒（标准差 = 47.20），而不喜欢音乐的外科医生为117.16秒（标准差 = 61.06），尽管这种差异无统计学意义（P = 0.082）。喜欢音乐的外科医生的平均总分显著高于不喜欢音乐的外科医生，分别为17.46（标准差 = 2.29）和15.57（标准差 = 3.49）（P = 0.001）。
我们的研究表明，与硬摇滚和交谈的影响相比，接触古典音乐和安静环境可能对外科医生更有益。这些结论基于操作时间和总体评估中观察到的显著差异，突出了声学宁静的环境对手术专业人员的潜在优势。在手术室中对音乐的偏好也起作用，喜欢音乐的人表现出更好的成绩。
