SUPHİ VEHİD, ETHEM ERGİNÖZ, Eray YURTSEVEN, Ender ÇETİN, SERDAR SELÇUK KÖKSAL, Ayşe KAYPMAZ

Noise Level of Hospital Environment

AMAÇ: Gürültü kirliliği çevre kirlilikleri arasında önemli bir sorundur. Çalışmada hastane gürültüsü probleminin halen var olduğunu göstermek ve hastaları rahatsız eden gürültü nedenlerini saptamaya çalışılmıştır. Bu amaçla Cerrahpaşa Tıp Fakültesinin çeşitli birimlerinde gürültü düzeyleri ölçülmüş ve aynı birimde yatan hastalara en sık şikayet ettikleri gürültü nedenleri sorulmuştur. YÖNTEM: Gürültü düzeyi Ağustos 2009 ayı boyunca Testo 816 Gürültü Ölçerle Cerrahpaşa Tıp fakültesinde gerçekleştirilmiştir. Tüm ölçümler gün içinde 9.00 - 15.00 saatleri arasında yapılmıştır. BULGULAR: Günlük gürültü düzeyi 45 dBA ile 61dBA arasında değişmektedir. Nöroloji ve Kulak Burun Boğaz ünitelerinde sabah ilk saatte gürültü düzeyi diğer birimlere göre anlamlı düşüktür. Gün içinde maksimum gürültü düzeyi Fizik Tedavi ve Rehabilitasyon ünitesinde saptanmıştır (61 dBA) Telefon zil sesi ve konuşmaları, koridorda konuşanların gürültüsü ile tuvaletlerden sızan suyun sesi en sık şikayet edilen kaynaklar olarak belirtilmişlerdir. SONUÇ: Medikal ve medikal olmayan personelin çıkarttığı sesler hastanedeki gürültünün ana kaynağını oluşturmaktadır ki gürültü kirliliğinin yapay olduğunu düşündürmektedir. Bu problemin hastanelerde çözülmesi için personelin eğitimine, işletme kurallarına ve de öncelikle hastane gürültü yönetmeliğine gereksinim bulunmaktadır

Hastane Ortamı Gürültü Düzeyi

AIM: Noise pollution is one of the important problems among the environmental pollution. In this present study we tried to show that the noise at hospital problem is still exceeding and tried to investigate the sources of noise that annoyed the patients mostly. With this purposes sound levels were measured in wards of Cerrahpaşa Medical Faculty and asked to the patients from same wards the mostly annoyed the cause of noise. METHOD: Noise level were measured during August 2009 by Testo 816 Sound Lever Meter in Cerrahpasa Medical Faculty. Total of the readings were taken in the day time between 09.00 am and 15.00 pm with three minutes intervals RESULTS: Daily sound level is differing between 45 dBA and 61 dBA. Measured sound level at the beginning time was significantly lower in Neurology and Ear, Throat and Nose wards compare to others. During the day time maximum Leq was observed in Physical Therapy and Rehabilitation ward (61 dBA). Telephone bells and conversations, Talking in corridors and water running from faucet declared as a most frequent of noise source by the patients. CONCLUSION: Activities of medical and non-medical staff are the common source of noise which suggests the noise pollution is mostly “manmade”. In order to solve the noise problem at hospitals there is great need to staff education, administrative rules and may be first of all national guidelines for hospital noise

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1 Bharathan T, Glodan D, Ramesh A, et al. What do patterns of noise in teaching hospital and nursing home suggest? Noise Health. 2007; 9: 31-34.
2 Bluhm G, Nordling E, Bergland N. Road traffic noise and annoyance. An increasing environmental health problem. Noise Health. 2004; 6: 43-49.
3 Griefahn B. Sleep disturbances related to environmental noise. Noise Health. 2002; 4: 57- 60.
4 Hansell HN. The behavioural effects of noise on man: The patient with intensive care unit psychosis. Heart Lung. 1984; 13: 59-65.
5 Kristal-Boneh E, Melamed S, Harari G, Green MS. Acute and chronic effects of noise exposure on blood pressure and heart rate among industrial employees. The CORDIS study. Arc Environ Health. 1995; 50: 298-304.
6 Bodin T, Albin M, Ardo J,Ostergren PO, Bjork J. Road traffic noise hypertension: results from a cross-sectional public health survey in southern Sweden. Environ Health. 2009; 8: 38.
7 Babisch W, Ising H, Gallacher JE. Health status as a potential effect modifier of the relation between noise annoyance and incidence of ischemic heart disease. Occup Environ Med. 2003; 60: 739-745.
8 PerrsonWK, Bengston J, Kjellberg A, Benton S. Low frequency noise “pollution” interferes with performance. Noise Health. 2001; 4: 33-49.
9 Ising H, Braun C. Acute and chronic endocrine effects of noise: Review of the research conducted at the Institute for water, soil and air hygiene. Noise Health. 2000; 2: 7-24.
10 Babisch W. Stress hormones in the research on cardiovascular effects of the noise. Noise Health. 2003; 5: 1-11.
11 Altug H, Ozuner Z, Akcasu A. Gürültüde Serum Cortisol Seviyesinde Degisiklikler. Turk Otolaryngoloji Arsivi II. 1973; 2: 7-8.
12 Stansfeld SA. Noise, noise sensitity and psychiatric disorder: Epidemiological and psychophysiological studies. Psychol Med. 1992; 22: 1-4.
13 Belojevic G, Jakovijevic B. Factors influencing subjective noise sensitivity in an urban population. Noise Health. 2001; 3: 17-24.
14 Inouye SK. Predisposing and precipitating factors for delirium in hospitalized older patients. Dement Geriatr Cogn Disord. 1999; 10: 393- 400.
15 Rise in Hospital Noise Poses Problems for Patients and staff http:// www. jhu.edu / news_info/news/ [Access Date: 30.11.2010]
16 Busch-Vischniac, West JE, Barnhill C, Hunter TOrellana D, Chivukula R. Noise Level in Johns Hopkins Hospital. J. Acoust. Soc. Am. 2005; 118(6) :3629-3645.
17 Haldeman JC. Noise in Hospitals U.S. Department of Health, Education and Welfare. India. 1963.
18 Grumet GW. Pandemonium in the modern hospital. N Engl J Med. 1993; 328: 433-437.
19 Kahn DM, Cook TE, Carlisle CC, Nelson DL, Kramer NR, Miliman RP. Identification and modification of environmental noise in an ICU setting. Chest. 1998; 114: 535-540.
20 Turkey Ministry of Environment and Foresty, Turkish Noise Control Regulation, Official gazette No: 19308, Ankara, Turkey. 1986.
21 Night Noise Guidelines For Europe. World Health Organization, 2009.
22 Aitken RJ. Quantitative noise analysis in a modern hospital. Arch Environ Health. 1982; 37: 361-364.
23 Bovenzi M, Collareta A. Noise levels in a hospital. Ind Health. 1984; 22: 75-82.27.
24 Aaron JN, Carlisle CC, Carskadon MA, Meyer TJ, Hill NS, Millman RP. Environmental noise as a cause of sleep disruption in an intermediate respiratory care unit. Sleep. 1996; 19: 707-710.
25 Niemann H, Maschke C. Noise Effects and Morbidity. Berlin Center of Public Health, EUR/04/5047477, World Health Organization, 2004.
26 MacKenzie DJ, Galbrun L. Noise levels and noise sources in acute care hospital wards. Building Serv. Eng. Res. Technol. 2007; 28(2): 117-131.