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新生儿重症监护病房护士的噪声预防策略:一项定性研究。

Noise prevention strategies among neonatal intensive care unit nurses: a qualitative study.

作者信息

Arslan Günay, Eren Özge, Özçelik Çağrı Çövener

机构信息

Uskudar University Department of Midwifery, Uskudar University Faculty of Health Sciences, Saray, Ahmet Tevfik İleri Cd No:5, 34768, Ümraniye/İstanbul, Turkey.

Giresun Gynecology and Pediatrics Training and Research Hospital, Giresun, Turkey.

出版信息

BMC Nurs. 2025 Jul 29;24(1):993. doi: 10.1186/s12912-025-03633-5.

DOI:10.1186/s12912-025-03633-5
PMID:40730977
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12309046/
Abstract

BACKGROUND

Noise is a condition that harms newborns. There are studies on the effect of noise on the newborn, but not enought there are studies on how the noise is prevented by the nurses.

PURPOSE

This study was conducted to examine the knowledge, attitudes and methods used by nurses to prevent noise in the Neonatal Intensive Care Unit (NICU).

METHODS

The study carried out as qualitative phenomenological design research, the study took place between September-November 2021 with 12 NICU nurses working in a training and research hospital. A Descriptive Data Form, a voice recorder and a Semi-structured Interview Form were used in the data collection. Content analysis was performed to assess the qualitative data. COREQ (COnsolidated criteria for REporting Qualitative research) checklist was used in reporting the research. The participants’ statements were analyzed and sorted out under 4 themes.

RESULTS

The themes were noise awareness, noise prevention methods, unavoidable noise sources, and quiet. It was found that nurses in the NICU were aware of the sources of noise in the unit, protected the neonates from the effects of the various sounds by using sound reduction methods, and consequently observed the positive effects of these techniques on neonatal health and wellbeing. Implications for Practice: This study revealed that nurses were knowledgeable and practise in different noise prevent about methods to prevent noise in the NICU. Implications for Research: May enable the creation of standardized checklists for the NICU’s noise suppression program.

CLINICAL TRIAL NUMBER

Not applicable. This research is a qualitative study.

摘要

背景

噪音是一种对新生儿有害的状况。有关于噪音对新生儿影响的研究,但关于护士如何预防噪音的研究却不够多。

目的

本研究旨在调查新生儿重症监护病房(NICU)护士预防噪音所具备的知识、态度和采用的方法。

方法

本研究采用质性现象学设计研究方法,于2021年9月至11月期间,对一家培训和研究医院的12名NICU护士进行了研究。数据收集过程中使用了描述性数据表格、录音机和半结构化访谈表格。采用内容分析法对定性数据进行评估。报告研究时使用了COREQ(定性研究报告统一标准)清单。参与者的陈述被分析并归纳为4个主题。

结果

这些主题为噪音意识、噪音预防方法、不可避免的噪音源和安静。研究发现,NICU的护士了解病房内的噪音源,通过采用降噪方法保护新生儿免受各种声音的影响,从而观察到这些技术对新生儿健康和幸福的积极影响。对实践的启示:本研究表明,护士了解并实践了不同的预防噪音方法,以防止NICU内的噪音。对研究的启示:可能有助于为NICU的噪音抑制计划创建标准化清单。

临床试验编号

不适用。本研究为定性研究。

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本文引用的文献

1
Staff Perceptions of Family-Centered Care in Italian Neonatal Intensive Care Units: A Multicenter Cross-Sectional Study.意大利新生儿重症监护病房医护人员对以家庭为中心护理的认知:一项多中心横断面研究。
Children (Basel). 2022 Sep 15;9(9):1401. doi: 10.3390/children9091401.
2
Newborn Incubators Do Not Protect from High Noise Levels in the Neonatal Intensive Care Unit and Are Relevant Noise Sources by Themselves.新生儿重症监护病房中的新生儿暖箱无法防止高噪音水平,且其本身就是相关噪音源。
Children (Basel). 2021 Aug 16;8(8):704. doi: 10.3390/children8080704.
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A pilot study to assess the safety, efficacy and ease of use of a novel hearing protection device for hospitalized neonates.一项评估新型住院新生儿听力保护装置的安全性、有效性和易用性的初步研究。
Early Hum Dev. 2021 May;156:105365. doi: 10.1016/j.earlhumdev.2021.105365. Epub 2021 Mar 26.
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Assessment of Neonatal Intensive Care Unit Sound Exposure Using a Smartphone Application.使用智能手机应用评估新生儿重症监护病房的声音暴露情况。
Am J Perinatol. 2022 Jan;39(2):189-194. doi: 10.1055/s-0040-1714679. Epub 2020 Jul 23.
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Does noise exposure during pregnancy affect neonatal hearing screening results?孕期噪声暴露会影响新生儿听力筛查结果吗?
Noise Health. 2019 Mar-Apr;21(99):69-76. doi: 10.4103/nah.NAH_18_19.
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Sound reduction management in the neonatal intensive care unit for preterm or very low birth weight infants.早产或极低出生体重儿新生儿重症监护病房的降噪管理
Cochrane Database Syst Rev. 2020 Jan 27;1(1):CD010333. doi: 10.1002/14651858.CD010333.pub3.
7
Noise as a risk factor in the delivery room: A clinical study.噪声作为分娩室的危险因素:一项临床研究。
PLoS One. 2019 Aug 30;14(8):e0221860. doi: 10.1371/journal.pone.0221860. eCollection 2019.
8
Influence of Ear Protectors on the Sleep of Preterm Newborns: A Randomized Controlled Clinical Study.耳塞对早产儿睡眠的影响:一项随机对照临床研究。
Clin Nurs Res. 2020 May;29(4):260-267. doi: 10.1177/1054773818806171. Epub 2018 Oct 19.
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The effectiveness of earmuffs on the physiologic and behavioral stability in preterm infants.耳罩对早产儿生理和行为稳定性的有效性。
Int J Pediatr Otorhinolaryngol. 2017 Jul;98:43-47. doi: 10.1016/j.ijporl.2017.04.028. Epub 2017 Apr 20.
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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.