Abstract
Amaç: Amaç XXX Üniversitesi Tıp Fakültesi Hastanesi’nde poliklinik bekleme alanlarının
gürültü düzeylerini değerlendirmek, gerekli ise gürültü önleyici tedbirlerin
alınmasını sağlamaktır.
Gereç ve Yöntem: Polikliniklerin
bekleme alanlarında, 11 ölçüm noktasında, gürültü düzeyi sürekli beş gün ve
günde sekiz saat ölçülmüştür. Kalibrasyon ve ölçüm için Svantek
SV 30 kalibratör ve SVAN 957
Ses ve Titreşim Analiz Cihazı kullanılmıştır. Cihaz saatlik ortalama
verecek şekilde ayarlanmıştır. Araştırma tanımlayıcı tiptedir. Örneklem
alınmamıştır. Veri Analizleri için SPSS paket programı kullanılmış ve Kruskal
Wallis, Mann-Whitney U, Friedman ve Wilcoxon testleri yapılmıştır. p<0,05
değeri anlamlı olarak kabul edilmiştir.
Bulgular:
Polikliniklerin bekleme alanlarında ortalama gürültü seviyesi 62.1 dBA (min
48.5 ve max 70.8) dir. Bu değer ve hatta minimum ölçülen değer bile EPA, DSÖ ve
Çevresel Gürültünün Değerlendirilmesi ve Yönetimi Yönetmeliği’nde belirtilen
eşik değerlerin üzerindedir. Gürültü düzeyleri eşik değerlerin üzerinde
olmasına rağmen, sadece radyoloji poliklinikleri diğerlerinden anlamlı derecede
daha düşük değerlere sahiptir (p<0.05). Gürültü düzeylerinde günler, saatler
arasındaki fark anlamlı bulunmamıştır.
Sonuç:
Polikliniklerin bekleme alanlarında gürültü seviyesi eşik değerlerin üzerinde
ölçülmüştür. Gürültü önleyici tedbirler düşünülmelidir.
Keywords
References
- Environmental Noise Action Plan 2009-2020. Republic of Turkey Ministry of Environment and Forestry.
- Passchier-Vermeer W, Passchier WF. Noise Exposure and Public Health. Environ Health Perspect 2000, 108(1): 23-131.
- Berglund B, Lindvall T. Community Noise. Archives of the Center for Sensory Research. Stockholm, Sweden 1995, 2(1): 1-195.
- Yelken K, Senay N, Topak M, Kulekci M. Comparison of Noise Levels in Six Hospitals in Istanbul. Turkish Archives of Otorhinolaryngology, 2007, 45(4): 206-212.
- The U.S Environmental Protection Agency Office Of Noise Abatement and Control. Information on Levels of Environmental Noise Requisite to Protect Public Health and Welfare With an Adequate Margin of Safety, 550/9-74-004, 1974.
- Berglund B, Lindvall T, Schwela DH. Guidelines for Community Noise. World Health Organization, Geneva, 1999.
- Ministry of Environment and Urban Planning of the Republic of Turkey. Regulation on the Evaluation and Management of the Environmental Noise, Official Gazette dated 04 June 2010 and numbered 27601.
- Vesilind PA, Morgan SM, Heıne LG, Introduction to Environmental Engineering, Third Edition, Chapter 16: Noise Pollution, Cengage Learning, USA, 2010: 559-578.
- Hayran M, Hayran M. Basic Statistics for Health Investigations. Omega Research Organization Education Consulting Limited Company, Ankara, 2011: 155-192, 255-287.
- Vinodhkumaradithyaa A, Srinivasan M, Ananthalakshmi I, Pradeep Kumar D, Jeba Rajasekhar RV, Daniel T, Thirumalaikolundusubramanian P. Noise Levels in a Tertiary Care Hospital. Noise & Health, January-March 2008; 10.
- Kol E, Aydın P, Dursun O. The Effectiveness of Environmental Strategies on Noise Reduction in a Pediatric Intensive Care Unit: Creation of Single-Patient Bedrooms and Reducing Noise Sources. Journal for Specialists in Pediatric Nursing 2015; 20: 210–217.
- Kocyigit FB. Noise Factors in Healthcare Facilities: A Survey of Hospitals in Turkey. METU JFA 2012/2, (29:2): 351-368.
- Kol E, Ilaslan E, Ince S. Noise Sources and Levels in Intensive Care Units. J Turk Soc Intens Care 2015,13:122-8.
- Tsara V, Nena E, Serasli E, Vasileiadis V, Matamis D, Christaki P. Noise Levels in Greek Hospitals. Noise & Health, October-December 2008, 10(41): 110-112.
- Al-Zubeera HG, Al-Jawadia AA, Al-Joomardb RA. Noise Pollution in Mosul Medical City Center Teaching Hospitals. Ann Coll Med Mosul 2013, 39 (1): 32-37.
- Cordova AC, Logishetty K, Fauerbach J, Price LA, Gibson BR, Milner SM. Noise Levels in a Burn İntensive Care Unit, BURNS 2013, 39: 44–48.
- Konkani A, Oakley B. Noise in Hospital Intensive Care Units—A Critical Review of a Critical Topic. Journal of Critical Care 2012, 27: 522.
- Busch-Vishniac IJ,West JE, Barnhill C, Hunter T, Orellana D, Chivukula R. Noise Levels in Johns Hopkins Hospital. Journal Acoustical Society of America 2005, 6: 118.
- James R. Dialysis and The Environment: Comparing Home and Unit-Based Haemodialysis. Journal Of Renal Care 2008, 34(1): 33-37.
- Orellana D, Busch-Vishniac IJ, West JE. Noise in the Adult Emergency Department of Johns Hopkins Hospital. J. Acoustical Society of America 2007, 121(4):1996-1999.
- Otenio MH, Cremer E, Claro EMT. Noise Level İn A 222 Bed Hospital in The 18th Health Region – PR. Brazilian Journal Of Otorhinolaryngology 2007, 73(2): 245-50.
- Philimoni KM, Mkoma SL, Moshi AA. Noise Pollution on Wards in Bunda District Hospital in Lake Victoria Zone. Tanzania, International Journal of Environmental Sciences, 2011, 1(5): 1000-1008.
Determination of Noise Levels in the Outpatient Clinics of Medical Faculty Hospital at Duzce University
Abstract
Objectives: Aim is to assess noise levels in the waiting areas of
the outpatient clinics at XXX University Medical Faculty Hospital and to ensure that noise prevention measures were taken, if necessary.
Methods: The noise level was measured continuously for five days
and eight hours a day at 11 measurement points in the waiting areas of the
outpatient clinics. Svantek SV 30 calibrator and Svantek SVAN 957 Sound and
Vibration Analyzer were used for calibration and measurement. The device was set to give an hourly average.
This was a descriptive
study and there was no sample selection. SPSS statistical package was used and Kruskal Wallis, Mann-Whitney U, Friedman and Wilcoxon
tests were performed
for data analysis. A value of p
<0.05 was considered significant.
Results:
The average noise level was
62.1 dBA (min 48.5dBA and max 70.8dBA). This value and even the minimum
measured value were above the threshold values specified in the EPA, WHO and
Environmental Noise Assessment and Management Regulations. Although their noise
levels were also above the thresholds, only the radiology outpatient clinics
have significantly lower values than the others (p <0.05). The noise levels
had no significant differences among days or hours.
Conclusion:
The measured noise levels were
above the threshold values in the waiting areas of the outpatient clinics. Noise prevention measures should be considered.
References
- Environmental Noise Action Plan 2009-2020. Republic of Turkey Ministry of Environment and Forestry.
- Passchier-Vermeer W, Passchier WF. Noise Exposure and Public Health. Environ Health Perspect 2000, 108(1): 23-131.
- Berglund B, Lindvall T. Community Noise. Archives of the Center for Sensory Research. Stockholm, Sweden 1995, 2(1): 1-195.
- Yelken K, Senay N, Topak M, Kulekci M. Comparison of Noise Levels in Six Hospitals in Istanbul. Turkish Archives of Otorhinolaryngology, 2007, 45(4): 206-212.
- The U.S Environmental Protection Agency Office Of Noise Abatement and Control. Information on Levels of Environmental Noise Requisite to Protect Public Health and Welfare With an Adequate Margin of Safety, 550/9-74-004, 1974.
- Berglund B, Lindvall T, Schwela DH. Guidelines for Community Noise. World Health Organization, Geneva, 1999.
- Ministry of Environment and Urban Planning of the Republic of Turkey. Regulation on the Evaluation and Management of the Environmental Noise, Official Gazette dated 04 June 2010 and numbered 27601.
- Vesilind PA, Morgan SM, Heıne LG, Introduction to Environmental Engineering, Third Edition, Chapter 16: Noise Pollution, Cengage Learning, USA, 2010: 559-578.
- Hayran M, Hayran M. Basic Statistics for Health Investigations. Omega Research Organization Education Consulting Limited Company, Ankara, 2011: 155-192, 255-287.
- Vinodhkumaradithyaa A, Srinivasan M, Ananthalakshmi I, Pradeep Kumar D, Jeba Rajasekhar RV, Daniel T, Thirumalaikolundusubramanian P. Noise Levels in a Tertiary Care Hospital. Noise & Health, January-March 2008; 10.
- Kol E, Aydın P, Dursun O. The Effectiveness of Environmental Strategies on Noise Reduction in a Pediatric Intensive Care Unit: Creation of Single-Patient Bedrooms and Reducing Noise Sources. Journal for Specialists in Pediatric Nursing 2015; 20: 210–217.
- Kocyigit FB. Noise Factors in Healthcare Facilities: A Survey of Hospitals in Turkey. METU JFA 2012/2, (29:2): 351-368.
- Kol E, Ilaslan E, Ince S. Noise Sources and Levels in Intensive Care Units. J Turk Soc Intens Care 2015,13:122-8.
- Tsara V, Nena E, Serasli E, Vasileiadis V, Matamis D, Christaki P. Noise Levels in Greek Hospitals. Noise & Health, October-December 2008, 10(41): 110-112.
- Al-Zubeera HG, Al-Jawadia AA, Al-Joomardb RA. Noise Pollution in Mosul Medical City Center Teaching Hospitals. Ann Coll Med Mosul 2013, 39 (1): 32-37.
- Cordova AC, Logishetty K, Fauerbach J, Price LA, Gibson BR, Milner SM. Noise Levels in a Burn İntensive Care Unit, BURNS 2013, 39: 44–48.
- Konkani A, Oakley B. Noise in Hospital Intensive Care Units—A Critical Review of a Critical Topic. Journal of Critical Care 2012, 27: 522.
- Busch-Vishniac IJ,West JE, Barnhill C, Hunter T, Orellana D, Chivukula R. Noise Levels in Johns Hopkins Hospital. Journal Acoustical Society of America 2005, 6: 118.
- James R. Dialysis and The Environment: Comparing Home and Unit-Based Haemodialysis. Journal Of Renal Care 2008, 34(1): 33-37.
- Orellana D, Busch-Vishniac IJ, West JE. Noise in the Adult Emergency Department of Johns Hopkins Hospital. J. Acoustical Society of America 2007, 121(4):1996-1999.
- Otenio MH, Cremer E, Claro EMT. Noise Level İn A 222 Bed Hospital in The 18th Health Region – PR. Brazilian Journal Of Otorhinolaryngology 2007, 73(2): 245-50.
- Philimoni KM, Mkoma SL, Moshi AA. Noise Pollution on Wards in Bunda District Hospital in Lake Victoria Zone. Tanzania, International Journal of Environmental Sciences, 2011, 1(5): 1000-1008.
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Articles |
| Authors | |
| Publication Date | June 28, 2019 |
| Acceptance Date | June 16, 2019 |
| Published in Issue | Year 2019 Volume: 11 Issue: 2 |
