Araştırma Makalesi
Yıl 2021,
Cilt: 4 Sayı: 1, 1 - 6, 01.04.2021
Öz
Amaç: Bu sistematik derlemenin amacı literatürde bulunan gürültüyü azaltmaya yönelik kanıta dayalı uygulamaları belirlemek
ve bebek üzerindeki olumlu etkilerini sunmaktır.
Yöntem: Araştırma PRISMA standartları doğrultusunda yapılmış ve toplam 1995-2014 yılları arasında 14 nicel makale
çalışma kapsamına alınmıştır.
Bulgular: Ses emici panellerin ve sese duyarlı alarm sistemlerinin YYBÜ’nde kullanımı önerilmektedir. Kulak tıkacı ve kulak
koruyucuların kullanılmasının etkili bir girişim olduğu bildirilmektedir. Gürültünün azaltılmasında açık ünitelerin yerine tek
aile odalarının yapımının yaygınlaştırılması, plastik malzemelerin tercih edilmesi gibi yapısal değişikliklerin yapılması ve
sağlık personelinin düzenli aralıklarla eğitilerek, sessiz zamanların oluşturulması gibi değişikliklerin yapılmasının etkili
olacağı bildirilmiştir.
Sonuçlar: Yeni doğan hemşireleri preterm bebeği gürültüden korumak için gürültünün azaltılmasına yönelik kanıta dayalı
uygulamaları bilmeli ve çalışma alanına yansıtabilmelidir. Bu sayede literatürde yer alan kanıtlar klinik ortama uyarlanarak
amacına hizmet etmiş olacaktır.
Anahtar Kelimeler
gürültü kontrolü preterm yenidoğan hemşiresi yenidoğan yoğun bakım ünitesi
Kaynakça
- Abou Turk, C., Williams, A. L., Lasky, R. E. (2009). A randomized clinical trial evaluating silicone earplugs for very low birth weight newborns in intensive care. Journal of Perinatology, 29,358–363. doi: 10.1038/jp.2008.236
- Als, H., Butler, S., Kosta, S., McAnulty, G. (2005). The assessment of preterm ınfants’ behavior (APIB): Furthering the understanding and measurement of neurodevelopmentalcompetence in preterm and full-term infants. Mental Retardation and Developmental Disabilities Research Reviews, 11, 94–102. doi: 10.1002/mrdd.20053
- Als, H. (1982). Toward a synactive theory of development: promise for the assessment and support of infant individuality. Infant Mental Health Journal, 3, 229-243. doi: 10.1002/1097-0355(198224)3:4<229::AIDIMHJ2280030405>3.0.CO;2-H
- Als, H., Brazelton, T. B. (1981). A new model of assessing the behavioral organization in preterm and fullterm infants: two case studies. Journal of the American Academy of Child Psychiatry, 20(2), 239-263. https://doi.org/10.1016/S0002-7138(09)60987-0
- Altuncu, E., Akman, I., Külekci, S., Akdas, F., Bilgen, H., Özek, E. (2009). Noise levels in neonatal intensive care unit and use of sound absorbing panel in the isolette. International Journal of Pediatric Otorhinolaryngology, 73, 951–953. doi: 10.1016/j.ijporl.2009.03.013
- Amerikan Pediatri Akademisi. (1997). Noise: A hazard for the fetus and newborn. Pediatrics, 100(4), 724-727. doi: 10.1542/peds.100.4.724Calikusu Incekar, M., Balci, S. (2017). The effect of training on noise reduction in neonatal intensive care units. Journal for Specialists in Pediatric Nursing, 22(3), 1-8. doi: 10.1111/jspn.12181
- Chang, Y. J., Pan, Y. J., Lin, Y. J., Chang, Y. Z., Lin, C. H. (2006). A noise-sensor light alarm reduces noise in the newborn intensive care unit. American Journal of Perinatology, 23, 265–271. doi: 10.1055/s-2006-941455
- Duran, R., Aladağ Çiftdemir, N., Vatansever Özbek, Ü., Berberoğlu, U., Durankuş, F., Süt, N. ve ark. (2012). The effects of noise reduction by earmuffs on the physiologic and behavioral responses in very low birth weight preterm infants. International Journal of Pediatric Otorhinolaryngology, 76, 1490-1493. doi: 10.1016/j.ijporl.2012.07.001
- Elander, G., Hellström, G. (1995). Reduction of noise levels in intensive care units for infants: evaluation of an intervention program. Heart Lung, 24, 376–379. https://www.ncbi.nlm.nih.gov/pubmed/8567302
- Hepper, P., Scott, D., Shahidullah, S. (1993). Newborn andfetal response to maternal voice Journal of Reproductive and Infant Psychology, 11, 147–153.Johnson, A.N. (2001). Neonatal response to control of noise inside the incubator. Journal of Pediatric Nursing, 27, 600–605. https://www.ncbi.nlm.nih.gov/pubmed/12024534
- Jousselme, C., Vialet, R., Jouve, E., Lagier, P., Martin, C., Michel, F. (2011). Efficacy and mode of action of a noise-sensor light alarm to decrease noise in the pediatric intensive care unit: a prospective, randomized study. Pediatric Critical Care Medicine, 12(2), e69-e72. doi: 10.1097/PCC.0b013e3181e89d91
- Kellam, B., Bhatia, J. (2009). Effectiveness of an acoustical product in reducing high-frequency sound within unoccupied incubators. Journal of Pediatric Nursing, 24(4), 338-343. doi: 10.1016/j.pedn.2008.05.002
- Krueger, C., Schue, S., Parker, L. (2007). Neonatal Intens ive Care Unit Sound Levels Before and After Structural Reconstruction. The American Journal of Maternal/Child Nursing, 358-62. doi:10.1097/01.NMC.0000298131.55032.76
- Liu, W. F. (2010). The impact of a noise reduction quality improvement project upon sound levels in the openunit-design neonatal intensive care unit. Journal of Perinatology, 30, 489–496. doi: 10.1038/jp.2009.188
- Liu, W. F. (2012). Comparing sound measurements in the single-family room with open-unit design neonatal intensive care unit: the impact of equipment noise. Journal of Perinatology, 32(5), 368. doi: 10.1038/jp.2011.103
- Müjde Çalıkuşu İncekar, Duygu Gözen / Journal of Health and Sport Sciences (JHSS), Vol.4, No.1, 2021e-ISSN 2791-6847 6
- Long, J. G., Lucey, J. F., Philip, A. G. (1980). Noise and hypoxemia in the intensive care nursery. Pediatrics, 65, 143–145. http://pediatrics.aappublications.org/content/65/1/143
- McMahon, E., Wintermark, P., Lahav, A. (2012). Auditory brain development in premature infants: The importance of early experience. Annals of the New York Academy of Sciences, 1252, 17–24. doi: 10.1111/j.1749-6632.2012.06445.x
- Moon, C. M., Fifer, W. P. (2000). Evidence of transnatal au-ditory learning. Journal of Perinatology, 20, S37–S44.
- Olivera, J. M., Rocha, L. A., Ruiz, E., Rotger, V. I., Herrera, M. C. (2013). New approach to evaluate acoustic pollution in hospital environments. Journal of Physics: Conference Series, 477, 1-10. doi:10.1088/1742-6596/477/1/012019.
- Pickler, R. (2004). A model of feeding readiness for preterm infants. Neonatal Intensive Care, 17(4), 31-36. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1317102/pdf/nihms3617.pdf
- Querleu, D., Renard, X., Boutteville, C., Crepin, G. (1989). Hearing by the human fetus? Seminars in Perinatology, 13, 409–420.
- Ramesh, A., Suman Rao, P. N., Sandeep, G., Nagapoornima, M., Srilakshmi, V., Swarnarekha, M. (2009). Efficacy of a low cost protocol in reducing noise levels in the neonatal intensive care unit. Indian Journal of Pediatrics, 76, 475-478. doi: 10.1007/s12098-009-0066-5
- Strauch, C., Brandt, S., Edwards-Beckett, J. (1993). Implementation of a quiet hour: effect on noise levels and infant sleep states. Neonatal Network, 12, 31–35.https://www.ncbi.nlm.nih.gov/pubmed/8446079
- Topf, M. (2000). Hospital noise pollution: an environmental stress model to guide research and clinical interventions. Journal of Advanced Nursing, 31(3), 520-8. doi: 10.1046/j.1365-2648.2000.01307.x
- Valizadeh, S., Hosseini, M. B., Alavi, N., Asadollahi, M., Kashefimehr, S. (2013). Assessment of sound levels in a neonatal intensive care unit in Tabriz. Journal of Caring Sciences, 2(1), 19-26. doi: 10.5681/jcs.2013.003
- VandenBerg, K. A. (2007). Individualized developmental care for high risk newborns in the NICU: A practice guideline. Early Human Development, 2, 83, 433– 442. doi: 10.1016/j.earlhumdev.2007.03.008
- Wang, D., Aubertin, C., Barrowman, N., Moreau, K., Dunn, S., Harrold, J. (2014a). Reduction of noise in the neonatal intensive care unit using soundactivated noise meters. Archives of Disease in Childhood-Fetal and Neonatal Edition, 99(6), F515-F516. doi: 10.1136/archdischild-2014-306490
- Wang, D., Aubertin, C., Barrowman, N., Moreau, K., Dunn, S., Harrold, J. (2014b). Examining the effects of a targeted noise reduction program in a neonatal intensive care unit. Archives of Disease in Childhood-Fetal and Neonatal Edition, 99(3), F203-F208. doi: 10.1136/archdischild-2013-304928
- Westrup, B. (2007). Newborn Individualized Developmental Care and Assessment Program (NIDCAP)-Family-centered developmentally supportive care. Early Human Development, 83, 443–449. doi: 10.1016/j.earlhumdev.2007.03.006
- Zahr, L. K., Balian, S. (1995). Responses of premature infants to routine nursing interventions and noise in the NICU. Nursing Research, 44(3), 179-185.
- Zahr, L. K., Traversay, J. (1995). Premature infant responses to noise reduction by earmuffs: effects on behavioral and physiologic measures. Journal of Perinatology, 15, 448–455. https://www.ncbi.nlm.nih.gov/pubmed/8648453
- Zimmerman, E., Lahav, A. (2013). Ototoxicity in preterm infants: effects of genetics, aminoglycosides, and loud environmental noise. Journal of Perinatology, 33, 3-8. doi: 10.1038/jp.2012.105
Toplam 33 adet kaynakça vardır.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Spor Hekimliği, Sağlık Kurumları Yönetimi |
| Bölüm | Araştırma Makaleleri |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Nisan 2021 |
| Yayımlandığı Sayı | Yıl 2021 Cilt: 4 Sayı: 1 |
