Unyime Ituk, Erik Anderson, Michelle N Bremer Gama, Carl Skoog
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Eligible participants had sound levels recorded in the two ORs and completed three questionnaires 24 h postsurgery: the Weinstein Noise Sensitivity Questionnaire Short Form (WNSSF), a noise perception questionnaire, and a noise-related stress questionnaire. Noise levels were measured using a Spartan model 730 noise dosimeter, and the study analyzed the correlation between noise sensitivity, perception, and stress, as well as the effect of surgery urgency on noise levels. <b>Results:</b> Out of 70 participants, 67 were included in the final analysis. The ambient noise levels in the ORs were 53.4 and 58.5 dB, respectively. The mean noise sensitivity score was 17.6 (±3.9). Noise was perceived as very soft or soft by 23% of patients, comfortable by 67.8%, and loud or unpleasant by 9.2%. A significant association was found between noise sensitivity and stress (OR 1.15 [95 CI 1.03-1.31], <i>p</i>=0.038). <b>Conclusions:</b> The study found that a subset of patients experienced noise-related stress during CD, particularly those with higher noise sensitivity. These findings suggest the need for interventions to reduce OR noise or manage patient perceptions of noise.</p>","PeriodicalId":7834,"journal":{"name":"Anesthesiology Research and Practice","volume":"2025 ","pages":"5707084"},"PeriodicalIF":1.6000,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11996264/pdf/","citationCount":"0","resultStr":"{\"title\":\"Noise Perception, Sensitivity, and Patient Outcomes During Cesarean Delivery.\",\"authors\":\"Unyime Ituk, Erik Anderson, Michelle N Bremer Gama, Carl Skoog\",\"doi\":\"10.1155/anrp/5707084\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p><b>Introduction:</b> Noise in the operating room (OR) is a recognized hazard, known to impair communication among staff and increase stress levels. While its effects on healthcare personnel have been studied, little is known about patient perception of noise, particularly during cesarean delivery (CD) under neuraxial anesthesia, where patients are fully conscious. This study aimed to investigate if patients undergoing CD perceive OR noise as stressful and to examine the correlation between actual noise levels and patient-reported stress. <b>Methods:</b> This prospective observational study was conducted on women undergoing CD at the University of Iowa Hospitals and Clinics. Eligible participants had sound levels recorded in the two ORs and completed three questionnaires 24 h postsurgery: the Weinstein Noise Sensitivity Questionnaire Short Form (WNSSF), a noise perception questionnaire, and a noise-related stress questionnaire. Noise levels were measured using a Spartan model 730 noise dosimeter, and the study analyzed the correlation between noise sensitivity, perception, and stress, as well as the effect of surgery urgency on noise levels. <b>Results:</b> Out of 70 participants, 67 were included in the final analysis. The ambient noise levels in the ORs were 53.4 and 58.5 dB, respectively. The mean noise sensitivity score was 17.6 (±3.9). Noise was perceived as very soft or soft by 23% of patients, comfortable by 67.8%, and loud or unpleasant by 9.2%. A significant association was found between noise sensitivity and stress (OR 1.15 [95 CI 1.03-1.31], <i>p</i>=0.038). <b>Conclusions:</b> The study found that a subset of patients experienced noise-related stress during CD, particularly those with higher noise sensitivity. 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引用次数: 0
摘要
导言:手术室(OR)的噪音是公认的危害,它会损害员工之间的沟通,增加压力水平。虽然已经研究了噪音对医护人员的影响,但对患者对噪音的感知知之甚少,特别是在剖宫产(CD)中,患者在神经轴麻醉下是完全清醒的。本研究旨在调查乳糜泻患者是否将手术室噪音视为压力,并检查实际噪音水平与患者报告的压力之间的相关性。方法:这项前瞻性观察研究是在爱荷华大学医院和诊所接受乳糜泻的妇女进行的。符合条件的参与者在两个手术室中记录声级,并在术后24小时完成三份问卷:温斯坦噪声敏感性问卷简表(WNSSF)、噪声感知问卷和噪声相关压力问卷。使用斯巴达730型噪声剂量计测量噪声水平,研究分析了噪声敏感性、感知和压力之间的相关性,以及手术紧迫性对噪声水平的影响。结果:70名参与者中,67名被纳入最终分析。工作地点的环境噪音水平分别为53.4和58.5 dB。平均噪声敏感评分为17.6(±3.9)分。23%的患者认为噪音很软或很软,67.8%的患者认为噪音很舒服,9.2%的患者认为噪音很大或不舒服。噪声敏感性和压力之间存在显著相关性(OR 1.15 [95 CI 1.03-1.31], p=0.038)。结论:研究发现,一部分患者在CD期间经历了与噪音相关的压力,特别是那些对噪音敏感的患者。这些发现表明需要采取干预措施来减少手术室噪音或管理患者对噪音的感知。
Noise Perception, Sensitivity, and Patient Outcomes During Cesarean Delivery.
Introduction: Noise in the operating room (OR) is a recognized hazard, known to impair communication among staff and increase stress levels. While its effects on healthcare personnel have been studied, little is known about patient perception of noise, particularly during cesarean delivery (CD) under neuraxial anesthesia, where patients are fully conscious. This study aimed to investigate if patients undergoing CD perceive OR noise as stressful and to examine the correlation between actual noise levels and patient-reported stress. Methods: This prospective observational study was conducted on women undergoing CD at the University of Iowa Hospitals and Clinics. Eligible participants had sound levels recorded in the two ORs and completed three questionnaires 24 h postsurgery: the Weinstein Noise Sensitivity Questionnaire Short Form (WNSSF), a noise perception questionnaire, and a noise-related stress questionnaire. Noise levels were measured using a Spartan model 730 noise dosimeter, and the study analyzed the correlation between noise sensitivity, perception, and stress, as well as the effect of surgery urgency on noise levels. Results: Out of 70 participants, 67 were included in the final analysis. The ambient noise levels in the ORs were 53.4 and 58.5 dB, respectively. The mean noise sensitivity score was 17.6 (±3.9). Noise was perceived as very soft or soft by 23% of patients, comfortable by 67.8%, and loud or unpleasant by 9.2%. A significant association was found between noise sensitivity and stress (OR 1.15 [95 CI 1.03-1.31], p=0.038). Conclusions: The study found that a subset of patients experienced noise-related stress during CD, particularly those with higher noise sensitivity. These findings suggest the need for interventions to reduce OR noise or manage patient perceptions of noise.