在嘈杂声中操作：整形外科环境中噪音的准实验探索

Q2 Nursing

Perioperative Care and Operating Room Management Pub Date : 2025-01-22 DOI:10.1016/j.pcorm.2025.100471

Amy Reed , Alaina Tellson

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引用次数: 0

摘要

目的本研究的目的是确定一个关于降噪的互动教育项目是否能降低骨科手术室环境中的噪声水平。方法采用准实验设计。干预前的结果低于干预后的结果。干预前平均值为73.4 dB，干预后平均值为74.1 dB。干预前后结果差异无统计学意义（t = -1.292, p = 0.099）。研究结果与之前对手术室噪音水平的研究结果一致。结论手术室的工作人员应尽量减少他们可以控制的噪音和干扰，如音乐水平和非病人护理谈话。在手术过程的关键阶段，如暂停时间、手术计数、关键解剖、给药/移植物准备、植入物确认/打开、麻醉诱导和苏醒、标本的护理和处理等，噪音应保持在绝对最低限度。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Operating in the Cacophony: A quasi-experimental exploration of noises in the orthopedic surgery setting

Purpose

The purpose of this study was to determine if an interactive educational program regarding noise reduction would reduce noise levels in an orthopedic OR setting.

Methods

A quasi-experimental design was used for this study.

Findings

Results from pre-intervention were lower than post intervention. The pre-intervention mean was 73.4 dB where the post-intervention was 74.1 dB. There was no statistically significance between pre- and post- intervention results (t = -1.292, p = 0.099). The results were in alignment with previous studies conducted on noise levels in the OR.

Conclusions

Staff in the OR should work to minimize noise and distraction which they can control, such as music levels and non-patient care conversations. Noise should be kept to an absolute minimum during critical phases of the intraoperative procedure such as time out periods, surgical counts, critical dissections, medication administration/graft preparations, confirming/opening of implant, induction and emergence from anesthesia, and care and handling of specimens.

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来源期刊

Perioperative Care and Operating Room Management Nursing-Medical and Surgical Nursing

CiteScore

1.30

自引率

0.00%

发文量

审稿时长

56 days

期刊介绍： The objective of this new online journal is to serve as a multidisciplinary, peer-reviewed source of information related to the administrative, economic, operational, safety, and quality aspects of the ambulatory and in-patient operating room and interventional procedural processes. The journal will provide high-quality information and research findings on operational and system-based approaches to ensure safe, coordinated, and high-value periprocedural care. With the current focus on value in health care it is essential that there is a venue for researchers to publish articles on quality improvement process initiatives, process flow modeling, information management, efficient design, cost improvement, use of novel technologies, and management.