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Mitigating Intensive Care Unit Noise: Design-Led Modeling Solutions, Calculated Acoustic Outcomes, and Cost Implications
HERD: Health Environments Research & Design Journal ( IF 2.408 ) Pub Date : 2024-03-21 , DOI: 10.1177/19375867241237501
Emil E. Jonescu 1, 2 , Benjamin Farrel 3 , Chamil Erik Ramanayaka 4 , Christopher White 1 , Giuseppe Costanzo 5 , Lori Delaney 6, 7 , Rebecca Hahn 8, 9, 10 , Janet Ferrier 11, 12 , Edward Litton 11, 13, 14
Affiliation  

Objectives, Purpose, or Aim:The study aimed to decrease noise levels in the ICU, anticipated to have adverse effects on both patients and staff, by implementing enhancements in acoustic design.Background:Recognizing ICU noise as a significant disruptor of sleep and a potential hindrance to patient recovery, this study was conducted at a 40-bed ICU in Fiona Stanley Hospital in Perth, Australia.Methods:A comprehensive mixed-methods approach was employed, encompassing surveys, site analysis, and acoustic measurements. Survey data highlighted the importance of patient sleep quality, emphasizing the negative impact of noise on work performance, patient connection, and job satisfaction. Room acoustics analysis revealed noise levels ranging from 60 to 90 dB(A) in the presence of patients, surpassing sleep disruption criteria.Results:Utilizing an iterative 3D design modeling process, the study simulated significant acoustic treatment upgrades. The design integrated effective acoustic treatments within patient rooms, aiming to reduce noise levels and minimize transmission to adjacent areas. Rigorous evaluation using industry-standard acoustic software highlights the design’s efficacy in reducing noise transmission in particular. Additionally, cost implications were examined, comparing standard ICU construction with acoustically treated options for new construction and refurbishment projects.Conclusions:This study provides valuable insights into design-based solutions for addressing noise-related challenges in the ICU. While the focus is on improving the acoustic environment by reducing noise levels and minimizing transmission to adjacent areas. It is important to clarify that direct measurements of patient outcomes were not conducted. The potential impact of these solutions on health outcomes, particularly sleep quality, remains a crucial aspect for consideration.

中文翻译:

减轻重症监护室噪音:设计主导的建模解决方案、计算的声学结果和成本影响

目的、目的或目的:该研究旨在通过声学设计的改进来降低 ICU 中的噪音水平,预计这会对患者和工作人员产生不利影响。背景:认识到 ICU 噪音是睡眠的一个重要干扰因素,并且是潜在的潜在威胁由于影响患者康复,这项研究在澳大利亚珀斯 Fiona Stanley 医院的 40 个床位的 ICU 中进行。方法:采用综合混合方法,包括调查、现场分析和声学测量。调查数据强调了患者睡眠质量的重要性,强调噪音对工作绩效、患者联系和工作满意度的负面影响。室内声学分析显示,患者在场时的噪音水平为 60 至 90 dB(A),超出了睡眠干扰标准。 结果:利用迭代 3D 设计建模过程,该研究模拟了显着的声学治疗升级。该设计在病房内集成了有效的声学处理,旨在降低噪音水平并最大限度地减少到邻近区域的传播。使用行业标准声学软件进行的严格评估突显了该设计在减少噪音传播方面的功效。此外,还检查了成本影响,将标准 ICU 建设与新建和翻新项目的声学处理方案进行比较。结论:这项研究为基于设计的解决方案提供了宝贵的见解,以解决 ICU 中与噪声相关的挑战。重点是通过降低噪音水平并最大限度地减少到邻近区域的传播来改善声学环境。需要澄清的是,并未对患者结果进行直接测量。这些解决方案对健康结果(尤其是睡眠质量)的潜在影响仍然是需要考虑的一个重要方面。
更新日期:2024-03-21
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