PICU高噪声暴露产生原因的质性研究

Qualitative study on the causes of high noise exposure in PICU

目的探讨PICU高噪声暴露产生的原因,为制订有效干预措施改善噪声暴露现状提供参考。方法采用现象学研究方法,通过目的抽样法于2020年8—9月选取上海交通大学医学院附属新华医院11名PICU护士进行面对面半结构式访谈,运用Colaizzi 7步分析法对资料进行整理分析。结果PICU高噪声暴露产生原因可归纳为4个主题,分别是PICU收治与运行特点突出、设备报警管理受阻、患儿哭吵普遍而难以安抚、医护人员噪声知信行水平低。结论多种原因造成PICU高噪声暴露。研究者与管理者可从优化设备报警管理、实施理想镇痛镇静及人文关怀、开展噪声管理培训等多角度开展研究与应用,以降低PICU噪声暴露、提升临床护理质量。

Objective To explore the causes of high noise exposure in PICU,and to provide reference for formulating effective intervention measures to improve the status of noise exposure.Methods With phenomenological method,eleven nurses of Xinhua Hospital,Shanghai Jiaotong University School of Medicine from August to September 2020 were enrolled by purposive sampling method,and joined face-to-face and semi-structured interviews with researchers.Interview data were analyzed by Colaizzi 7-step analysis method.Results Four themes were extracted,including the characteristics of PICU,difficulty in equipment alarm management,the crying of children which was difficult to appease,and the low level of knowledge,attitude and practice of noise management of medical staff.Conclusions High noise exposure of PICU is caused by many reasons.Researchers and managers can optimize the equipment alarm management,implement ideal analgesia and sedation and humanistic care,and carry out noise management training to improve the noise exposure in PICU and the quality of clinical nursing.