tailieunhanh - Báo cáo y học: "Clinical review: The impact of noise on patients’ sleep and the effectiveness of noise reduction strategies in intensive care units"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Clinical review: The impact of noise on patients’ sleep and the effectiveness of noise reduction strategies in intensive care units. | Available online http content 13 2 208 Review Clinical review The impact of noise on patients sleep and the effectiveness of noise reduction strategies in intensive care units Hui Xie1 2 Jian Kang1 and Gary H Mills2 School of Architecture University of Sheffield Western Bank Sheffield S10 2TN United Kingdom 2Sheffield Teaching Hospitals NHS Foundations Trust Royal Hallamshire Hospital Glossop Road Sheffield S10 2JF United Kingdom Corresponding author Hui Xie yanshencun@ Published 9 March 2009 This article is online at http content 13 2 208 2009 BioMed Central Ltd Critical Care 2009 13 208 doi cc7154 Abstract Excessive noise is becoming a significant problem for intensive care units ICUs . This paper first reviews the impact of noise on patients sleep in ICUs. Five previous studies have demonstrated such impacts whereas six other studies have shown other factors to be more important. Staff conversation and alarms are generally regarded as the most disturbing noises for patients sleep in ICUs. Most research in this area has focused purely on noise level but work has been very limited on the relationships between sleep quality and other acoustic parameters including spectrum and reverberation time. Sound-absorbing treatment is a relatively effective noise reduction strategy whereas sound masking appears to be the most effective technique for improving sleep. For future research there should be close collaboration between medical researchers and acousticians. Introduction Noise defined as unwanted sounds could affect people both psychologically and physiologically 1 with reported negative effects including cardiovascular stimulation hearing loss increased gastric secretion pituitary and adrenal gland stimulation suppression of the immune response to infection as well as female reproduction and fertility 2-7 . The World Health Organization WHO recommended that noise levels inside hospital wards should not .