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Register a new userEffect of reducing noise level intensity on premature oxygen saturation at Nursery ward
تأثير خفض مستوى شدة الضجة على معدل الأكسجة لدى الأطفال الخدج في قسم الحواضن
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Added by
Tishreen University ورقة بحثية
Publication date
2015
fields
Nursing
and research's language is
العربية
Created by
Shamra Editor
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يشكل قسم الحواضن الملاذ الآمن للخدج بعد خروجهم المبكر من رحم الأم. فهي تحتوي متطلبات الحياة الأساسية للخديج, لكنها مليئة بالضجة الصادرة عن إنذارات الأجهزة و كلام الفريق الصحي و رنين الهواتف, و إغلاق الأبواب. تتجاوز مستوى هذه الضجة ما نصحت به الأكاديمية الأمريكية لطب الأطفال في قسم الحواضن 45 dBA (decibel A-weighting). كما تحفز الضجة الجملة العصبية الودية مؤدية لعدم استقرار فيزيولوجي كاضطراب مستوى الأكسجة. وجدنا في هذه الدراسة التي أجريت على 30 خديج باختبار قبلي و بعدي أن متوسط الضجة خلال ساعة من المراقبة و عدم التداخل لخفض الضجة قد بلغ 67.2 dBA, و تناسب مستوى الأكسجة عكسا مع مستوى الضجة, و أن خفض الضجة لمدة ساعة من الزمن دون 45 dBA قد رفع متوسط الأكسجة بشكل ملحوظ. لذلك تشير هذه الدراسة إلى ضرورة جعل إجراءات خفض الضجة ضمن الممارسات التمريضية اليومية, و إجراء أبحاث لاحقة لدراسة تأثير الضجة على باقي مؤشرات الخديج الحيوية.
Nursery ward is the safe place for premature after deliverey . It contains the basic requirements of life to him. but full of noise caused by alarms of devices, conversations of health team, ringing phones, and close the doors, exceeds what is recommended by the American Academy of Pediatrics in the Nursery wards 45 dBA (decibel A-weighting). Although it stimulates the autonomic system leading to physiologic instability like disorder in the level of oxygenation. We found in this study conducted on 30 premature with pre and post test, that the level of noise within first hour of non interventions reached 67.2 dBA, level of oxygenation inversely with noise level in it, and reduction of noise level under 45 dBA at second hour increases the oxygenation significantly. so we suggests to make reduce noise interventions within daily practices of nursing procedures, and subsequent research to study effect of noise on the rest of vital premature indicators.
Artificial intelligence review:
Research summary
تتناول هذه الدراسة تأثير خفض مستوى شدة الضجة على معدل الأكسجة لدى الأطفال الخدج في قسم الحواضن. تبرز أهمية الحواضن كبيئة آمنة للخدج بعد ولادتهم المبكرة، إلا أن الضجة الناتجة عن الأجهزة والأصوات المختلفة في القسم قد تؤثر سلبًا على استقرارهم الفيزيولوجي. أجريت الدراسة على 30 خديج باستخدام اختبار قبلي وبعدي، حيث تم قياس مستوى الضجة ومعدل الأكسجة خلال ساعة من المراقبة دون تدخل، ثم تم خفض الضجة إلى أقل من 45 ديسيبل لمدة ساعة أخرى. أظهرت النتائج أن خفض الضجة أدى إلى زيادة ملحوظة في معدل الأكسجة. توصي الدراسة بضرورة تضمين إجراءات خفض الضجة في الممارسات التمريضية اليومية وإجراء أبحاث لاحقة لدراسة تأثير الضجة على باقي المؤشرات الحيوية للخدج.
Critical review
دراسة نقدية: تقدم هذه الدراسة مساهمة قيمة في فهم تأثير الضجة على الأطفال الخدج في الحواضن. ومع ذلك، يمكن توجيه بعض الانتقادات البناءة لتحسين البحث. أولاً، حجم العينة صغير نسبياً (30 خديج) مما قد يؤثر على تعميم النتائج. ثانياً، لم يتم التطرق إلى تأثيرات طويلة الأمد لخفض الضجة على صحة الخدج. ثالثاً، كان من الممكن أن تكون الدراسة أكثر شمولية إذا تناولت تأثير الضجة على مؤشرات حيوية أخرى مثل معدل ضربات القلب وضغط الدم. وأخيراً، كان من الممكن تضمين المزيد من التفاصيل حول كيفية تنفيذ إجراءات خفض الضجة لضمان إمكانية تطبيقها في بيئات مختلفة.
Questions related to the research
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ما هو الهدف الرئيسي من هذه الدراسة؟
الهدف الرئيسي من الدراسة هو تحديد تأثير خفض مستوى شدة الضجة على معدل الأكسجة لدى الأطفال الخدج في قسم الحواضن.
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ما هي الإجراءات التي تم اتخاذها لخفض مستوى الضجة في قسم الحواضن؟
تم تقليل حركة الفريق الصحي في غرفة الحواضن، خفض أصواتهم إلى الهمس، إغلاق الأبواب بهدوء، خفض أصوات الهواتف المحمولة والثابتة، والطلب من المسؤول عن جهاز النداء عدم استخدامه إلا للضرورة.
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ما هي النتائج الرئيسية التي توصلت إليها الدراسة؟
أظهرت الدراسة أن خفض مستوى الضجة إلى أقل من 45 ديسيبل أدى إلى زيادة ملحوظة في معدل الأكسجة لدى الأطفال الخدج.
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ما هي التوصيات التي قدمتها الدراسة بناءً على النتائج؟
توصي الدراسة بتضمين إجراءات خفض الضجة في الممارسات التمريضية اليومية، إجراء محاضرات تثقيفية ودورات تدريبية للطاقم الصحي حول أهمية خفض الضجة، وإجراء دراسات لاحقة لدراسة تأثير الضجة على باقي المؤشرات الحيوية والسلوكية للخدج.
References used
PILLITTERI, A. Maternal and child health nursing: care of the childbearing and childbearing family.4th ed, Lippincott Williams and Wilkins, Philadelphia, 2002, 702
CHAUDHARI, S. Neonatal Intensive Care Practices Harmful to the Developing Brain. Indian Pediatrics.India,Vol.48, 2011, 437-440
MCMAHON, E; WINTRMARK, P; LAHAV, A. Auditory brain development in premature infants :the importance of early experience. N.Y. Acad. Sci. New York, Vol.1252, 2012, 17–24
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Preterm birth is the leading cause of death for children under one year of age, and the main reason for the child to enter the incubator. Despite medical advances and technical winning in the care of premature infants., but they are exposed in Nurser
y Ward for environment stimuli not compatible with their level of developmental and evolutionary such as high levels of light and the noise that exceed the recommended levels in Nursery Ward. This leads to stress reactions by premature immature systems. demonstrating in one of their faces instability in vital indicators especially heart rate and oxygenation which may submit him for a short or long-term injuries .
Aim of the study:
Determine the effect of reducing the level of light and noise intensity in environment of Nursery Ward on the heart rate and oxygenation for premature infants.
Materials & Methods:
This true experimental design study of before and after on a sample of 30 premature acceptable in the Nursery Ward in Albasel Hospital in Tartous. they were selected in simple random way. Data were collected using a list to record demographic and health information for the mother and premature. reads of light-meter and noise-meter sitting beside the premature incubator, and reads of Oxy-meter connected to the premature wrist. was taken to every 5 minutes in each phase of the four phases, 60 minutes for each one, and conducted in the same day.1) Non intervention phase. 2) reduce light Intensity without noise Intensity reduction phase.3) reduce noise Intensity without light Intensity reduction phase.4) reduce light and noise Intensity together phase. These data were collected and analyzed using appropriate statistical programs.
Results:
This study showed a significant decrease in the mean of heart rate and a significant increase in the mean of oxygenation in the last three phases, compared with means in the first phase. This reduction and increase in the means was larger significantly in the fourth stage compared with the second and third phases. That because reducing light and noise will reduce its physiological stress to premature thus lower the pulse rate and increasing oxygenation. We can thus reduce the use of light and noise measures to improve the care environment for premature.
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