噪音和警报对重症监护病房的影响及干预研究进展
Research Progress on the Impact and Intervention of Noise and Alarms on Intensive Care Units
DOI: 10.12677/ACM.2023.1351171, PDF,   
作者: 王 晗, 谭利平*:重庆医科大学附属儿童医院急诊科,国家儿童健康与疾病临床医学研究中心,儿童发育疾病研究教育部重点实验室,儿科学重庆市重点实验室,重庆
关键词: 噪音警报重症监护病房Noise Alarm Intensive Care Units
摘要: 噪音问题一直是伴随重症监护病房发展的一大问题,而其中相当一部分是机器发出的警报,目前ICU的噪音水平普遍高于WHO建议的水平,并对患者和医护人员产生了不良影响,众多研究致力于探索新方法以减少ICU的噪音水平和对患者以及医护人员的影响,本文就目前对ICU噪音的现状、对患者和医护人员的影响以及对其的干预措施的研究进展进行综述。
Abstract: The issue of noise has always been a major issue accompanying the development of intensive care units, and a considerable part of it is caused by machine alarms. Currently, the noise level in ICUs is generally higher than the recommended level by WHO, and has had adverse effects on patients and medical staff. Numerous studies are dedicated to exploring new methods to reduce the noise level in ICUs and its impact on patients and medical staff. This article reviews the current status of ICU noise, its impact on patients and medical staff, and the research progress of intervention measures.
文章引用:王晗, 谭利平. 噪音和警报对重症监护病房的影响及干预研究进展[J]. 临床医学进展, 2023, 13(5): 8373-8378. https://doi.org/10.12677/ACM.2023.1351171

参考文献

[1] Kelly, F.E., Fong, K., Hirsch, N. and Nolan, J.P. (2014) Intensive Care Medicine is 60 Years Old: The History and Fu-ture of the Intensive Care Unit. Clinical Medicine Journal, 14, 376-379. [Google Scholar] [CrossRef] [PubMed]
[2] Konkani, A. and Oakley, B. (2012) Noise in Hospital Intensive Care Units—A Critical Review of a Critical Topic. Journal of Critical Care, 27, 522.e1-522.e9. [Google Scholar] [CrossRef] [PubMed]
[3] Drew, B.J., Harris, P., Zègre-Hemsey, J.K., et al. (2014) Insights into the Problem of Alarm Fatigue with Physiologic Monitor Devices: A Comprehensive Observational Study of Con-secutive Intensive Care Unit Patients. PLOS ONE, 9, e110274. [Google Scholar] [CrossRef] [PubMed]
[4] Mayhew, K.J., Lawrence, S.L., Squires, J.E. and Denise, H. (2022) Elevated Sound Levels in the Neonatal Intensive Care Unit: What Is Causing the Problem? Advances in Neonatal Care, 22, E207-E216. [Google Scholar] [CrossRef
[5] Darbyshire, J.L. and Young, J.D. (2013) An Investigation of Sound Levels on Intensive Care Units with Reference to the WHO Guidelines. Critical Care, 17, Article No. R18. [Google Scholar] [CrossRef] [PubMed]
[6] Darbyshire, J.L., Müller-Trapet, M., Cheer, J., Fazi, F.M. and Young, J.D. (2019) Mapping Sources of Noise in an Intensive Care Unit. Anaesthesia, 74, 1018-1025. [Google Scholar] [CrossRef] [PubMed]
[7] Sheng, Y.Y., Dong, D., He, G. and Zhang, J.Y. (2022) How Noise Can Influence Experience-Based Decision-Making under Different Types of the Provided Information. International Journal of Environmental Research and Public Health, 19, Article 10445. [Google Scholar] [CrossRef] [PubMed]
[8] Leijssen, J.B., Snijder, M.B., Timmermans, E.J., et al. (2019) The Association between Road Traffic Noise and Depressed Mood among Different Ethnic and Socioeconomic Groups. The HELIUS Study. International Journal of Hygiene and Environmental Health, 222, 221-229. [Google Scholar] [CrossRef] [PubMed]
[9] Van Kempen, E., Casas, M., Pershagen, G. and Foraster, M. (2018) WHO Environmental Noise Guidelines for the European Region: A Systematic Review on Environmental Noise and Cardiovascular and Metabolic Effects: A Summary. International Journal of Environmental Research & Public Health, 15, Article 379. [Google Scholar] [CrossRef] [PubMed]
[10] Boyacioglu, N. and Ozkan, S. (2020) The Effect of Noise in the Inten-sive Care Unit on the Oxidative Stress Response in Rats. Biological Research for Nursing, 22, 397-402. [Google Scholar] [CrossRef] [PubMed]
[11] Telias, I. and Wilcox, M.E. (2019) Sleep and Circadian Rhythm in Critical Illness. Critical Care, 23, Article No. 82. [Google Scholar] [CrossRef] [PubMed]
[12] Saylan, A.A., Kulaka, N. and Saylan, S. (220) The Effects of Noise Levels on Pain, Anxiety, and Sleep in Patients. Nursing in Critical Care, 26, 79-85.
[13] Elbaz, M., Léger, D., Sauvet, F., et al. (2017) Sound Level Intensity Severely Disrupts Sleep in Ventilated ICU Patients throughout a 24-h Pe-riod: A Preliminary 24-h Study of Sleep Stages and Associated Sound Levels. Annals of Intensive Care, 7, Article No. 25. [Google Scholar] [CrossRef] [PubMed]
[14] Weatherhead, J., Niedner, M., Dahmer, M., et al. (2022) Pat-terns of Delirium in a Pediatric Intensive Care Unit and Associations with Noise Pollution. Journal of Intensive Care Medicine, 37, 946-953. [Google Scholar] [CrossRef] [PubMed]
[15] Min, C.O., Hwasoon, K., Whee, L.Y., et al. (2016) Clinical Alarms in Intensive Care Units: Perceived Obstacles of Alarm Management and Alarm Fatigue in Nurses. Healthcare Informatics Research, 22, 46-53. [Google Scholar] [CrossRef] [PubMed]
[16] Simpson, R. (2019) False Alarms and Overmonitoring Major Factors in Alarm Fatigue among Labor Nurses. Journal of Nursing Care Quality, 34, 66-72. [Google Scholar] [CrossRef
[17] Lewis, C.L. and Oster, C.A. (2019) Research Outcomes of Implementing CEASE: An Innovative, Nurse-Driven, Evidence-Based, Patient-Customized Monitoring Bundle to De-crease Alarm Fatigue in the Intensive Care Unit/Step-down Unit. Dimensions of Critical Care Nursing, 38, 160-173.
[18] Ruppel, H., Funk, M., Clark, J.T., et al. (2018) Attitudes and Practices Related to Clinical Alarms: A Follow-up Survey. American Journal of Critical Care, 27, 114-123. [Google Scholar] [CrossRef] [PubMed]
[19] Wung, S.F., Malone, D.C. and Szalacha, L. (2018) Sensory Overload and Technology in Critical Care. Critical Care Nursing Clinics of North America, 30, 179-190. [Google Scholar] [CrossRef] [PubMed]
[20] Mccullagh, M.C., Xu, J., Dickson, V.V., et al. (2022) Noise Expo-sure and Quality of Life among Nurses. Workplace Health & Safety, 70, 207-219. [Google Scholar] [CrossRef] [PubMed]
[21] Bi, J., Yin, X., Li, H., et al. (2020) Effects of Monitor Alarm Management Training on Nurses’ Alarm Fatigue: A Randomised Controlled Trial. Journal of Clinical Nursing, 29, 4203-4216. [Google Scholar] [CrossRef] [PubMed]
[22] Asadi, N., Salmani, F., Asgari, N. and Salmani, M. (2022) Alarm Fatigue and Moral Distress in ICU Nurses in COVID-19 Pandemic. BMC Nursing, 21, Article No. 125. [Google Scholar] [CrossRef] [PubMed]
[23] Guisasola-Rabes, M., Solà-Enriquez, B., Vélez-Pereira, A.M. and de Nadal, M. (2019) Effectiveness of a Visual Noise Warning System on Noise Levels in a Surgical ICU: A Quality Improvement Programme. European Journal of Anaesthesiology, 36, 857-862. [Google Scholar] [CrossRef
[24] Danielle, G., Sherley, J., Katie, M., et al. (2018) Quiet Time: A Noise Reduction Initiative in a Neurosurgical Intensive Care Unit. Critical Care Nurse, 38, 38-44. [Google Scholar] [CrossRef] [PubMed]
[25] Zhang, S.W., Hua, W., Li, L.L., Cao, Y. and Hu, X.J. (2022) Medical staff’s Sentiments on the Establishment of Quiet Time in the NICU. Journal of Nursing Management, 30, 599-3607. [Google Scholar] [CrossRef] [PubMed]
[26] Crawford, K.J., Barnes, L.A., Peters, T.M., Falk, J. and Gehlbach, B.K. (2018) Identifying Determinants of Noise in a Medical Intensive Care Unit. Journal of Occupational and Environmental Hygiene, 15, 810-817. [Google Scholar] [CrossRef] [PubMed]
[27] Jung, S., Kim, J., Lee, J., et al. (2020) Assessment of Noise Exposure and Its Characteristics in the Intensive Care Unit of a Tertiary Hospital. International Journal of Environmental Research and Public Health, 17, Article 4670. [Google Scholar] [CrossRef] [PubMed]
[28] Obanor, O.O., Mcbroom, M.M., Elia, J.M., et al. (2021) The Impact of Earplugs and Eye Masks on Sleep Quality in Surgical ICU Patients at Risk for Frequent Awakenings. Critical Care Medicine, 49, e822-e832. [Google Scholar] [CrossRef
[29] Akpinar, R.B., Aksoy, M. and Kant, E. (2022) Effect of Earplug/Eye Mask on Sleep and Delirium in Intensive Care Patients. Nursing in Critical Care, 27, 537-545. [Google Scholar] [CrossRef] [PubMed]
[30] Demoul, A., Carreira, S., et al. (2017) Impact of Earplugs and Eye Mask on Sleep in Critically Ill Patients: A Prospective Randomized Study. Critical Care, 21, Article No. 284. [Google Scholar] [CrossRef] [PubMed]
[31] Warjri, E., Dsilva, F., Sanal, T.S. and Kumar, A. (2021) Impact of a White Noise App on Sleep Quality among Critically Ill Patients. Nursing in Critical Care, 27, 815-823. [Google Scholar] [CrossRef] [PubMed]
[32] Le Guen, M., Nicolas-Robin, A., Lebard, C., Arnulf, I. and Langeron, O. (2014) Earplugs and Eye Masks vs Routine care Prevent Sleep Impairment in Post-Anaesthesia Care Unit: A Random-ized Study. British Journal of Anaesthesia, 112, 89-95. [Google Scholar] [CrossRef] [PubMed]
[33] Gallacher, S., Enki, D., Stevens, S. and Bennett, M.J. (2017) An Experimental Model to Measure the Ability of Headphones with Active Noise Control to Reduce Patient’s Exposure to Noise in an Intensive Care Unit. Intensive Care Medicine Experimental, 5, Article No. 47. [Google Scholar] [CrossRef] [PubMed]
[34] Johansson, L., Knutsson, S., Bergbom, I. and Lindahl, B. (2016) Noise in the ICU Patient Room—Staff Knowledge and Clinical Improvements. Intensive & Critical Care Nursing, 35, 1-9. [Google Scholar] [CrossRef] [PubMed]
[35] Casey, L., Fucile, S., Flavin, M. and Dow, K. (2020) A Two-Pronged Approach to Reduce Noise Levels in the Neonatal Intensive Care Unit. Early Human Devel-opment, 146, Article ID: 105073. [Google Scholar] [CrossRef] [PubMed]
[36] Koomen, E., Webster, C.S., Konrad, D., et al. (2021) Re-ducing Medical Device Alarms by an Order of Magnitude: A Human Factors Approach. Anaesthesia and Intensive Care, 49, 52-61. [Google Scholar] [CrossRef