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噪声暴露对中国消毒供应中心工作人员的心理影响

Psychological Effects of Noise Exposure on Personnel in Central Sterile Supply Department in China.

作者信息

Wang Wen-Jun, Zhou Shu-Ping, Liang Yun, Ma Chan-Juan, Wan Xin-Cui

机构信息

Yunnan Key Laboratory of Statistical Modeling and Data Analysis, Yunnan University, Kunming, 650091, People's Republic of China.

Department of Nursing, Hainan General Hospital, Hainan Affiliated Hospital of Hainan Medical University, Haikou, 570311, People's Republic of China.

出版信息

Psychol Res Behav Manag. 2024 Dec 11;17:4221-4235. doi: 10.2147/PRBM.S473194. eCollection 2024.

Abstract

OBJECTIVE

This study aimed to investigate whether noise exposure in hospital sterile supply centers exacerbated the psychological burden on staff, potentially mediated by concerns about physiological health.

METHODS

Between July 5 and August 4, 2023, 308 staffs from central sterile supply departments in 30 hospitals in Hainan were chosen by convenient sampling method. They completed self-administered questionnaires to assess noise exposure status and used the Self-Reporting Inventory-90 to quantify the psychological state of staff across three dimensions: somatization, anxiety, and sleep and diet. Binary logistic regression analysis was used to assess the influencing factors of their psychological symptoms, while a mediation model was used to analyze the pathway of noise affecting psychology.

RESULTS

(1) Predominantly, respondents reported air gun sounds (76.3%) and pressure steam sterilizer noises (78.2%) within central sterile supply departments to be the most troublesome. (2) Approximately 25.33% of participants expressed that their sleep was significantly impacted by noise, while 32.14% expressed concerns about the potential serious effects on their health. (3) Logistic regression analysis revealed that age (OR,1.06, 95% CI, [1.01, 1.11]), educational background (OR, 0.65, 95% CI, [0.49, 0.85]), perceived noise exposure (OR,1.57, 95% CI, [1.04, 2.48]), health concerns (OR, 1.91, 95% CI, [1.06, 3.52]), and hearing loss (OR, 1.46,95% CI [1.02, 2.10]) emerged as significant influencing factors of psychological symptoms. (4) Mediation effect model analysis demonstrated that health concerns (mediation effect value=0.11, 95% CI [0.08, 0.16], Effect ratio=53.83%) mediated the impact of noise affecting psychological state.

CONCLUSION

Noise exposure represents a concealed risk factor for service quality within hospital central sterile supply departments, with health concerns serving as a mediating factor in the relationship between noise exposure and psychological well-being.

摘要

目的

本研究旨在调查医院无菌供应中心的噪声暴露是否会加剧工作人员的心理负担,这种影响可能通过对生理健康的担忧来介导。

方法

2023年7月5日至8月4日,采用方便抽样法选取海南省30家医院中央无菌供应部门的308名工作人员。他们完成了自评问卷以评估噪声暴露状况,并使用症状自评量表90从躯体化、焦虑以及睡眠和饮食三个维度量化工作人员的心理状态。采用二元逻辑回归分析评估其心理症状的影响因素,同时使用中介模型分析噪声影响心理的途径。

结果

(1)主要地,受访者报告中央无菌供应部门内的气枪声音(76.3%)和压力蒸汽灭菌器噪声(78.2%)是最麻烦的。(2)约25.33%的参与者表示他们的睡眠受到噪声的显著影响,而32.14%的参与者表示担心噪声对其健康可能产生的严重影响。(3)逻辑回归分析显示,年龄(OR=1.06,95%CI[1.01,1.11])、教育背景(OR=0.65,95%CI[0.49,0.85])、感知噪声暴露(OR=1.57,95%CI[1.04,2.48])、健康担忧(OR=1.91,95%CI[1.06,3.52])以及听力损失(OR=1.46,95%CI[1.02,2.10])是心理症状的显著影响因素。(4)中介效应模型分析表明,健康担忧(中介效应值=0.11,95%CI[0.08,0.16],效应比=53.83%)介导了噪声对心理状态的影响。

结论

噪声暴露是医院中央无菌供应部门服务质量的一个潜在危险因素,健康担忧在噪声暴露与心理健康之间的关系中起中介作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c41/11646464/c4cf9d2bfa60/PRBM-17-4221-g0001.jpg

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