Medical and health benefits of noise reduction at Intensive Care Units
DOI:
https://doi.org/10.12775/QS.2024.27.55450Keywords
intensive care units, sleep disordersAbstract
Introduction: The presence of excessive noise poses a significant risk to the overall well-being and health of individuals. The presence of elevated noise levels within Intensive Care Units (ICUs) has the potential to exert detrimental effects on both the well-being of patients and the healthcare personnel.
The aim of this study: This study aims to gather knowledge about the effects of noise pollution on patient’s wellbeing within Intensive Care Units, analyze various investigations around the world and discuss the possible preventive methods of reducing noise and thus sleep disturbances.
Materials and methods: This review was based on available data collected in the PubMed database and Google Scholar web search engine using the key words Intensive Care Unit, sleep deprivation, noise pollution
Conclusions: Intensive Care Unit noise disrupts patient’s sleep, communication, and increases stress, potentially leading to medical errors and longer recovery times. Addressing this issue is vital, aligning with patient-centered care and holistic therapy trends. Solutions include architectural changes, quieter equipment, staff education, clinical guidelines, and providing earplugs and eye masks for patient comfort. Noise negatively impacts sleep, causing circadian disruptions, cognitive impairments, and health issues. Identifying and mitigating noise sources can significantly enhance patient well-being and treatment outcomes.
References
Darbyshire, J.L., Müller-Trapet, M., Cheer, J., Fazi, F.M. and Young, J.D. (2019), Mapping sources of noise in an intensive care unit. Anaesthesia, 74: 1018-1025. https://doi.org/10.1111/anae.14690
White, D. P., Douglas, N. J., Pickett, C. K., Zwillich, C. W., & Weil, J. V. (1983). Sleep deprivation and the control of ventilation. The American review of respiratory disease, 128(6), 984–986. https://doi.org/10.1164/arrd.1983.128.6.984
Phillips, B. A., Cooper, K. R., & Burke, T. V. (1987). The effect of sleep loss on breathing in chronic obstructive pulmonary disease. Chest, 91(1), 29–32. https://doi.org/10.1378/chest.91.1.29
Mullington, J., Haack, M., Tóth, M., Serrador, J. M., & Meier-Ewert, H. K. (2009). Cardiovascular, inflammatory, and metabolic consequences of sleep deprivation. Progress in Cardiovascular Diseases, 51(4), 294–302. https://doi.org/10.1016/j.pcad.2008.10.003
Ogawa, Y., Kanbayashi, T., Saitō, Y., Takahashi, Y., Kitajima, T., Takahashi, K., Hishikawa, Y., & Shimizu, T. (2003). Total Sleep Deprivation Elevates Blood Pressure Through Arterial Baroreflex Resetting: a Study with Microneurographic Technique. Sleep, 26(8), 986–989. https://doi.org/10.1093/sleep/26.8.986
Walder, B., Haase, U., & Rundshagen, I. (2007). Schlafstörungen bei kritisch kranken Patienten [Sleep disturbances in critically ill patients]. Der Anaesthesist, 56(1), 7–17. https://doi.org/10.1007/s00101-006-1086-4
Friese, R. S., Diaz‐Arrastia, R., McBride, D., Frankel, H. L., & Gentilello, L. M. (2007). Quantity and quality of sleep in the surgical intensive care unit: Are our patients sleeping? Journal of Trauma-injury Infection and Critical Care, 63(6), 1210–1214. https://doi.org/10.1097/ta.0b013e31815b83d7
Freedman, N., Gazendam, J. a. C., Levan, L., Pack, A. I., & Schwab, R. J. (2001). Abnormal Sleep/Wake cycles and the effect of environmental noise on sleep disruption in the intensive care unit. American Journal of Respiratory and Critical Care Medicine, 163(2), 451–457. https://doi.org/10.1164/ajrccm.163.2.9912128
Aurell, J., & Elmqvist, D. (1985). Sleep in the surgical intensive care unit: continuous polygraphic recording of sleep in nine patients receiving postoperative care. BMJ, 290(6474), 1029–1032. https://doi.org/10.1136/bmj.290.6474.1029
Bihari, S., McEvoy, R. D., Matheson, E., Kim, S. W., Woodman, R., & Bersten, A. D. (2012). Factors affecting sleep quality of patients in intensive care unit. Journal of Clinical Sleep Medicine. https://doi.org/10.5664/jcsm.1920
Aaron, J. N., Carlisle, C. C., Carskadon, M. A., Meyer, T. J., Hill, N. S., & Millman, R. P. (1996). Environmental noise as a cause of sleep disruption in an intermediate respiratory care unit. Sleep, 19(9), 707–710. https://doi.org/10.1093/sleep/19.9.707
Van De Pol, I., Van Iterson, M., & Maaskant, J. (2017). Effect of nocturnal sound reduction on the incidence of delirium in intensive care unit patients: An interrupted time series analysis. Intensive and Critical Care Nursing, 41, 18–25. https://doi.org/10.1016/j.iccn.2017.01.008
Darbyshire, J., & Young, J. (2013). An investigation of sound levels on intensive care units with reference to the WHO guidelines. Critical Care, 17(5), R187. https://doi.org/10.1186/cc12870
Akansel, R. N., & Kaymakçi, R. Ş. (2008). Effects of intensive care unit noise on patients: a study on coronary artery bypass graft surgery patients. Journal of Clinical Nursing, 17(12), 1581–1590. https://doi.org/10.1111/j.1365-2702.2007.02144.x
Delaney, L., Currie, M. J., Hsu, C., Lopez, V., & Van Haren, F. (2018). “They can rest at home”: an observational study of patients’ quality of sleep in an Australian hospital. BMC Health Services Research, 18(1). https://doi.org/10.1186/s12913-018-3201-z
Wesselius, H. M., Van Den Ende, E. S., Alsma, J., Ter Maaten, J. C., Schuit, S. C. E., Stassen, P. M., De Vries, O. J., Kaasjager, K., Haak, H. R., Van Doormaal, F. F., Hoogerwerf, J. J., Terwee, C. B., Van De Ven, P. M., Bosch, F. H., Van Someren, E. J., & Nanayakkara, P. W. (2018). Quality and quantity of sleep and factors associated with sleep disturbance in hospitalized patients. JAMA Internal Medicine, 178(9), 1201. https://doi.org/10.1001/jamainternmed.2018.2669
Christensen, M. (2007). Noise levels in a general intensive care unit: a descriptive study. Nursing in Critical Care, 12(4), 188–197. https://doi.org/10.1111/j.1478-5153.2007.00229.x
Gupta, P., Thomas, M., Amer, A., Joseph, S., Louis, I., George, J., Zubi, M. A., McDonald, I. G., & Hassan, M. E. (2023). Implementation of noise-reduction strategies and designated quiet time in an intensive care unit. British Journal of Healthcare Management, 29(2), 1–9. https://doi.org/10.12968/bjhc.2022.0036
Konkani, A., Oakley, B., & Penprase, B. (2014). Reducing hospital ICU noise: A Behavior-Based approach. Journal of Healthcare Engineering, 5(2), 229–246. https://doi.org/10.1260/2040-2295.5.2.229
Goeren, D., John, S., Meskill, K., Iacono, L., Wahl, S. E., & Scanlon, K. (2018). Quiet Time: a noise reduction initiative in a neurosurgical intensive care unit. Critical Care Nurse, 38(4), 38–44. https://doi.org/10.4037/ccn2018219
Kiliç, G., & Kav, S. (2023). Effect of using eye masks and earplugs in preventing delirium in intensive care patients: A single‐blinded, randomized, controlled trial. Nursing in Critical Care, 28(5), 698–708. https://doi.org/10.1111/nicc.12901
Obanor, O. O., McBroom, M., Elia, J., Ahmed, F., Sasaki, J., Murphy, K. M., Chalk, S., Menard, G. A., Pratt, N. V., Venkatachalam, A. M., & Romito, B. T. (2021). The impact of earplugs and eye masks on sleep quality in surgical ICU patients at risk for frequent awakenings. Critical Care Medicine, 49(9), e822–e832. https://doi.org/10.1097/ccm.0000000000005031
Marshall, J. C., Bosco, L., Adhikari, N. K. J., Connolly, B., Dı́Az, J., Dorman, T., Fowler, R., Meyfroidt, G., Nakagawa, S., Pelosi, P., Vincent, J., Vollman, K. M., & Zimmerman, J. L. (2017). What is an intensive care unit? A report of the task force of the World Federation of Societies of Intensive and Critical Care Medicine. Journal of Critical Care, 37, 270–276. https://doi.org/10.1016/j.jcrc.2016.07.015
Althahab, A. Q. J., Vuksanović, B., Al-Mosawi, M., Machimbarrena, M., & Arias, R. (2022). Noise in ICUs: Review and detailed analysis of Long-Term SPL monitoring in ICUs in Northern Spain. Sensors, 22(23), 9038. https://doi.org/10.3390/s22239038
Koffel, E., Khawaja, I. S., & Germain, A. (2016). Sleep Disturbances in Posttraumatic Stress Disorder: Updated review and Implications for treatment. Psychiatric Annals, 46(3), 173–176. https://doi.org/10.3928/00485713-20160125-01
Simons, K. S., Verweij, E., Lemmens, P., Jelfs, S., Park, M., Spronk, P. E., Sonneveld, H., Feijen, H. M., Steen, M., Kohlrausch, A. A., Van Den Boogaard, M., & De Jager, C. P. (2018). Noise in the intensive care unit and its influence on sleep quality: a multicenter observational study in Dutch intensive care units. Critical Care, 22(1). https://doi.org/10.1186/s13054-018-2182-y
HealthManagement.org. (n.d.-b). Noise in the intensive care unit: where does it come from and what can you do about it? HealthManagement. https://healthmanagement.org/c/icu/issuearticle/noise-in-the-intensive-care-unit-where-does-it-come-from-and-what-can-you-do-about-it
Kol, E., Demircan, A., Erdoğan, A., Gencer, Z., & Erengin, H. (2015). The effectiveness of measures aimed at noise reduction in an intensive care unit. AAOHN Journal, 63(12), 539–545. https://doi.org/10.1177/2165079915607494
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Krzysztof Szerej, Zuzanna Bialkowska, Mateusz Górka, Weronika Stec, Anna Wojtkiewicz, Zuzanna Kudas, Magda Piekarska

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Stats
Number of views and downloads: 158
Number of citations: 0