某医院麻醉医师噪声烦恼度调查研究

Investigation of noise annoyance among the exposed anesthesiologists in a hospital

目的调查麻醉医师的噪声烦恼度,并分析噪声烦恼度的影响因素。方法于2017年1至5月,采取整群抽样选择北京大学第三医院62名麻醉医师作为调查对象,应用李克特量表(五级)和视觉模拟量表(0~10分)开展噪声烦恼度和噪声敏感度调查,采用线性回归分析噪声烦恼度的影响因素。结果研究对象年龄(32.3±6.1)岁,工龄4.9(2.0,8.9)年,每日工作时长(9.8±2.8)h,测量当天手术室的噪声水平为(64.4±1.7)dB(A)。在李克特量表和视觉模拟量表中,分别有88.7(55/62)和95.2%(59/62)的麻醉医师认为手术室噪声对其产生不良反应,6.5%(4/62)和14.5%(9/62)的麻醉医师测定结果为高烦恼度。线性回归分析结果显示,噪声敏感度是麻醉医师李克特量表和视觉模拟量表噪声烦恼度的独立影响因素(r=0.524、0.700,P<0.05)。结论手术室噪声可导致麻醉医生产生烦恼情绪,是医疗服务质量的隐患因素,应引起学术界和管理部门的重视。

Objective To investigation noise annoyance among the exposed anesthesiologists,and to analyze the influencing factors of noise annoyance.Methods From January to May 2017,cluster sampling was used to select 62 anesthesiologists from Peking University Third Hospital as the survey subjects.The Likert Scale(five-level)and the Visual Analog Scale(0-10 points)were used to conduct noise annoyance and noise sensitivity survey.Linear regression was used for multi-factor analysis to explore the influencing factors of noise annoyance.Results The age of the research subjects was(32.3±6.1)years old,the working experience was 4.9(2.0,8.9)years,and the daily working hours were(9.8±2.8)h.The noise level in the operating room on the measurement day was(64.4±1.7)dB(A).In the Likert Scale and the Visual Analog Scale,88.7%(55/62)and 95.2%(59/62)anesthesiologists believed that operating room noise had adverse reactions,6.5%(4/62)and 14.5%(9/62)anesthesiologists measured a high degree of annoyance.The results of linear regression analysis showed that noise sensitivity was an independent factor influencing the anesthesiologists'noise annoyance in the Likert Scale and the Visual Analog Scale(r=0.524,0.700,P<0.05).Conclusion Noise in the operating room can cause anesthesiologists to feel annoyed and is a hidden danger to the quality of medical services,which should be paid attention to by the academic and management departments.