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篇名 某醫學中心內科病房環境安寧改善專案
卷期 29:1=101
並列篇名 Project of Environmental Noiselessness Improvement for Medical Wards of a Medical Center
作者 王淑芬林佳穎王宥甯
頁次 048-059
關鍵字 環境安寧噪音environmental noiselessnessnoise
出刊日期 201803
DOI 10.6386/CGN.201803_29(1).0005

中文摘要

安寧是醫療環境中非常重要的一環,過高的音量會使病人無法得到安靜的休息環境及醫護人 員工作效率降低。本單位於2011 年至2013 年護理部病房環境安寧滿意度調查結果,和全院24 個 單位相較之下,本單位最差名次為倒數第二名。分析原因為:一、缺乏適宜傳遞訊息的方法;二、 缺乏噪音控管的宣導;三、儀器設備老舊及設定不當;四、缺少環境噪音管制措施,因此制訂改 善措施:電腦系統訊息傳達、櫃子、抽屜黏貼吸音泡棉、於換藥車上舖設防震軟墊等。經專案改 善後,噪音音量平均降低至67.1 分貝以下,且病人對環境安寧之滿意度由62.5% 提升至95.0%, 護理人員方面由34.2% 提升至63.1%,有效改善病房安寧程度及提升照護服務品質。

英文摘要

Sound control is very important in healthcare settings. High sound levels prevent patients from getting the rest and affect staff effectiveness. According to an in-house investigation of noise conducted from 2011 to 2013, comparing to 24 units in the same hospital, the worst record of the internal medicine unit ranked second to the last. The causes of noise were: (1) lack of adequate ways of delivering messages; (2) lack of noise control education; (3) old medical devices and improper alarm settings; (4) lack of noise control measures. We developed measures to improve environmental noise, including use of computerized hospital information systems and application of sound absorption materials on doors, drawers, and in the medicine carts. The strategies effectively reduce the level of noise to below 67.1 dB. Patients’ satisfaction of environmental noiselessness increased from 62.5% to 95.0%, while nurses’ satisfaction increased from 34.2% to 63.1% and the improved satisfaction with ward noise level reached more than 20%, significantly improving the quality of care.

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