중환자실 소음도와 소음에 대한 환자의 인지

Noise Levels in Intensive Care Units and Patient's Perception

  • 김민영 (울산대학교 간호학과) ;
  • 박의준 (계명대학교 의과대학.동산의료원)
  • Kim, Min Young (Department of Nursing, Ulsan University) ;
  • Park, Ui-Jun (College of Medicine, Keimyung University, Dongsan Medical Center)
  • 투고 : 2015.03.30
  • 심사 : 2015.04.28
  • 발행 : 2015.06.30

초록

Purpose: The purpose of this study was to measure the noise levels in intensive care units (ICUs) and to analyze the causes of the noise and patient perceptions of the noise. Methods: Noise levels were recorded in adult ICUs for 24 h over a week from the patients' bedside with a sound level meter. Noise sources were categorized into three groups: medical equipment, health care providers, and the environment. Noises from the environment were recorded in an empty ICUs side room. Perceptions of the noise of 125 patients admitted to the ICUs were recorded using a questionnaire. Results: The mean level of noise in the ICUs was 58.5 dBA (range: 34.2-80.2 dBA). The causes of noise higher than 70 dBA were nebulizers and infusion/syringe pumps among medical equipment, and drawer slamming, phone ringing, and stripping packages of medical fluids among environmental noises. According to the questionnaire, 64.0% of the patients responded that the ICUs were noisy and that they suffered from sleep disturbance because of the noise. Conclusion: Noise is considerably high in ICUs and is an annoying factor for the patients. Most noise sources are adjustable, and we should try to reduce noise whenever possible to make the ICUs environment more pleasant.

키워드

참고문헌

  1. Akansel, N., & Kaymakci, S. (2008). Effects of intensive care unit noise on patients: a study on coronary artery bypass graft surgery patients. Journal of Clinical Nursing, 17 (12), 1581-1590. https://doi.org/10.1111/j.1365-2702.2007.02144.x
  2. Berglund, B., Lindvall, T., & Schwela, D. H. (1999). Guidelines for community noise. World Health Organization, 4 , 55-65.
  3. Busch-Vishniac, I. J., West, J. E., Barnhill, C., Hunter, T., Orellana, D., & Chivukula, R. (2005). Noise levels in Johns Hopkins hospital. Journal of the Acoustical Society America, 118 (6), 3629-3645. https://doi.org/10.1121/1.2118327
  4. Christensen, M. (2007). Noise levels in a general intensive care unit: a descriptive study. Nursing in Critical Care, 12 (4), 188-197. https://doi.org/10.1111/j.1478-5153.2007.00229.x
  5. Connor, A., & Ortiz, E. (2009). Staff solutions for noise reduction in the workplace. The Permanente Journal, 13 (4), 23-27.
  6. Darbyshire, J. L., & Young, J. D. (2013). An investigation of sound levels on intensive care units with reference to the WHO guidelines. Critical Care, 17 (5), R187. https://doi.org/10.1186/cc12870
  7. Freedman, N. S., Gazendam, J., Levan, L., Pack, A. I., & Schwab, R. J. (2001). Abnormal sleep/wake cycles and the effect of environmental noise on sleep disruption in the intensive care unit. American Journal of Respiratory and Critical Care Medicine, 163 (2), 451-457. https://doi.org/10.1164/ajrccm.163.2.9912128
  8. Gladd, D. K., & Saunders, G. H. (2011). Ambient noise levels in the chemotherapy clinic. Noise and Health, 13 (55), 444-451. https://doi.org/10.4103/1463-1741.90322
  9. Graham, K. C., & Cvach, M. (2010). Monitor alarm fatigue:standardizing use of physiological monitors and decreasing nuisance alarms. American Journal of Critical Care, 19 (1), 28-34. https://doi.org/10.4037/ajcc2010651
  10. Hweidi, I. M. (2007). Jordanian patients' perception of stressors in critical care units: a questionnaire survey. International Journal of Nursing Studies, 44 (2), 227-235. https://doi.org/10.1016/j.ijnurstu.2005.11.025
  11. Jeong, H. U. (2001). Comparison between noise levels of hospital wards and the nurses efforts for noise management in selected general hospital. Korean Journal of Occupational Health Nursing, 10 (2), 174-182.
  12. Kamdar, B. B., Needham, D. M., & Collop, N. A. (2012). Sleep deprivation in critical illness: its role in physical and psychological recovery. Journal of Intensive Care Medicine, 27 (2), 97-111. https://doi.org/10.1177/0885066610394322
  13. Lee, M. H., Sakong, J., & Kang, P. S. (2007). Effects of noise in hospital on patients and employees. Yeungnam University Journal of Medicine, 24 (2), 352-364.
  14. Li, S. Y., Wang, T. J., Wu, S. F., Liang, S. Y., & Tung, H. H. (2011). Efficacy of controlling night-time noise and activities to improve patients' sleep quality in a surgical intensive care unit. Journal of Clinical Nursing, 20 (3-4), 396-407. https://doi.org/10.1111/j.1365-2702.2010.03507.x
  15. Liu, W. F. (2010). The impact of a noise reduction quality improvement project upon sound levels in the open-unitdesign neonatal intensive care unit. Journal of Perinatology, 30 (7), 489-496. https://doi.org/10.1038/jp.2009.188
  16. Schmid, F., Goepfert, M. S., & Reuter, D. A. (2013). Patient monitoring alarms in the ICU and in the operating room. Critical Care, 17 (2), 216. https://doi.org/10.1186/cc13033
  17. Son, Y. J. (2001). The relationship between noise and sleep patterns in intensive care units. Korean Journal of Adult Nursing, 13 (2), 209-222.
  18. Tegnestedt, C., Gunther, A., Reichard, A., Bjurstrom, R., Alvarsson, J., Martling, C. R., et al. (2013). Levels and sources of sound in the intensive care unit: an observational study of three room types. Acta Anaesthesiologica Scandinavica, 57 (8), 1041-1050. https://doi.org/10.1111/aas.12138
  19. Xie, H., Kang, J., & Mills, G. H. (2009). Clinical review: the impact of noise on patients' sleep and the effectiveness of noise reduction strategies in intensive care units. Critical Care, 13 (2), 208. https://doi.org/10.1186/cc7154
  20. Yu, J. S., Kwon, M. S., Ko, K. S., Yun, H. N., Park, Y. S,, Suh, K. S., et al. (2003). The effects of music therapy and noise blocking intervention on the vital sings of patient in intensive care unit. Journal of Korean Clinical Nursing Research, 8 (2), 49-60.