RT Journal Article
T1 Impact of sound levels on physiological and consciousness state of cardiovascular patients.
A1 Morales-Cane, Ignacio
A1 Moral-Arroyo, Juan Antonio
A1 Debbia, Fabio
A1 Guler, Ipek
A1 Llamas-Recio, Francisca
A1 Jimenez-Pastor, Jose Manuel
A1 de la Cruz Lopez-Carrasco, Juan
A1 Acuña-Castroviejo, Dario
A1 Rodriguez-Borrego, Maria Aurora
A1 Lopez-Soto, Pablo Jesus
K1 Critically ill patients
K1 Environment
K1 Intensive care unit
K1 Noise
K1 Safety culture
AB Patients treated in intensive care units (ICUs) experience life-threatening medical conditions but some external factors in ICUs do not help or even adversely affect and complicate their evolution. Among others, such factors include noise pollution due to alarms and medical clinical equipment, as well as the activities of the health care personnel themselves. This study aimed to evaluate the influence of elevated sound levels on physiological variables and the consciousness state of patients treated in a cardiovascular area in an ICU. A longitudinal study with several observations was carried out during 1 month in the cardiovascular area of an ICU of a third-level hospital in southern Spain. Sound levels were monitored in different work shifts and patients' physiological data and consciousness status were recorded. Generalized additive mixed models (GAMMs) were developed to detect the variability of the sound levels together with the vital parameters of the patients in the ICU. Thirty-eight patients were included. The mean sound level was 54.09 dBA. The GAMM sound levels analysis showed a significant increase in sound levels from 4:30 p.m. to 8:00 p.m. (1.83 dBA; P  Elevated sound levels in cardiovascular ICUs seem to influence positively the physiological and consciousness status of patients. Given the importance of the findings for patient safety, future intervention studies are recommended. The finding of this study could translate into structural changes in ICU facilities, as well as the development of clinical practice guidelines that influence the behaviour of health care professionals.
PB Wiley-Blackwell Publishing
YR 2021
FD 2021-12-11
LK http://hdl.handle.net/10668/20010
UL http://hdl.handle.net/10668/20010
LA en
NO Morales-Cané I, Moral-Arroyo JA, Debbia F, Guler I, Llamas-Recio F, Jiménez-Pastor JM, et al. Impact of sound levels on physiological and consciousness state of cardiovascular patients. Nurs Crit Care. 2022 Mar;27(2):240-250
DS RISalud
RD Apr 6, 2025