Research Article
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Effects of Face-to-Face Education on Reduction Noise in Hemodialysis Units: A Quasi-Experimental Study

Year 2024, Volume: 31 Issue: 2, 167 - 177, 29.06.2024
https://doi.org/10.17343/sdutfd.1441803

Abstract

Objective: This study aims to evaluate the effect of the education given to the hemodialysis personnel on noise and noise management in the hemodialysis unit on the level of noise exposure of hemodialysis patients. Another aim of the study is to determine whether hemodialysis patients are affected by noise in the hemodialysis unit.
Material and Method: This quasi-experimental study was conducted at two dialysis centers in Turkey between January and May 2022, with 101 hemodialysis patients (80%) and 50 hemodialysis unit employees (90%). Noise level measurements were made before and two weeks after the noise control education was given to the staff.
Results: In the study, before the face-to-face education, 62% of employees stated that the noisy environment sometimes distracted them, 92% had not participated in an education on noise, and 82% wanted to receive education on this subject. After the education, it was observed that the noise level decreased on all days and hours. The average of the measurements made for a total of five days after the education decreased statistically significantly compared to the pre-education period (p<0.05).
Conclusion: Our study showed that the noise levels in hemodialysis units are disturbing for patients, the knowledge and awareness of the personnel on the subject is low, education programs including noise prevention and reduction strategies increase the knowledge and awareness of the personnel and rapidly turn into behaviors, and education is effective in noise control.

Ethical Statement

Ethics approval to conduct the study was obtained from Burdur Mehmet Akif Ersoy University Non-Interventional Clinical Research Ethics Committee (Decision no: 2020-3/43, Decision date: March 4, 2020). All study steps were performed in accordance with Declaration of Helsinki.

Supporting Institution

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for- profit sectors.

References

  • 1. Manisalidis I, Stavropoulou E, Stavropoulos A, Bezirtzoglou E. Environmental and Health Impacts of Air Pollution: A Review. Frontiers in Public Health 2020;8:505570. doi:10.3389/fpubh.2020.00014.
  • 2. Hammer MS, Swinburn TK, Neitzel RL. Environmental Noise Pollution in the United States: Developing an Effective Public Health Response. Environ Health Perspect 2014;122(2):115-9. doi: 10.1289/ehp.1307272.
  • 3. Hahad O, Prochaska HJ, Daiber A, Thomas Münzel T. "Environmental Noise-Induced Effects on Stress Hormones, Oxidative Stress, and Vascular Dysfunction: Key Factors in the Relationship between Cerebrocardiovascular and Psychological Disorders", Oxidative Medicine and Cellular Longevity 2019;(2019):1-13. doi:10.1155/2019/4623109.
  • 4. Lee Y, Lee S, Lee W. Occupational and Environmental Noise Exposure and Extra-Auditory Effects on Humans: A Systematic Literature Review. Geohealth 2023;7;7(6):e2023GH000805. doi: 10.1029/2023GH000805.
  • 5. Zaman M, Muslim M, Jehangir A. Environmental Noise-Induced Cardiovascular, Metabolic and Mental Health Disorders: a Brief Review. Environ Sci Pollut Res Int 2022;29(51):76485-76500. doi: 10.1007/s11356-022-22351-y.
  • 6. Konkani A, Oakley B. Noise in Hospital Intensive Care Units--A Critical Review of A Critical Topic. J Crit Care 2012;27(5):522.e1-9. doi: 10.1016/j.jcrc.2011.09.003.
  • 7. de Lima Andrade E, da Cunha e Silva, DC, de Lima, EA, de Oliveira RA, Zannin PHT, Martins, ACG. Environmental Noise in Hospitals: A Systematic Review. Environmental Science and Pollution Research 2021;28:19629-19642.
  • 8. Hsu T, Ryherd EE, Waye KP, Ackerman J. Noise Pollution in Hospitals: Impact on Patients. Journal of Clinical Outcomes Management 2012;19:301-309.
  • 9. Xie H, Kang J, Mills GH. Clinical review: The Impact of Noise on Patients' Sleep and the Effectiveness of Noise Reduction Strategies in Intensive Care Units. Crit Care 2009;13(2):208. doi: 10.1186/cc7154.
  • 10. Ok E, Aydin Sayilan A, Sayilan S, Sousa CN, Ozen N. Noise Levels in the Dialysis Unit and its Relationship with Sleep Quality and Anxiety in Patients Receiving HD: A pilot study. Ther Apher Dial 2022;26(2):425-433. doi: 10.1111/1744-9987.13794.
  • 11. Gungor S, Gursel O. Effects of Noise on Vital Signs and Anxiety Levels of Patients Hospitalized in the General Surgery Intensive Care Unit. International Journal of Caring Sciences 2021;14(1);79-87.
  • 12. World Health Organization. Environmental Noise. In: Compendium of WHO and Other UN Guidance on Health and Environment, 2022 Update. Geneva: World Health Organization; 2022 (WHO/HEP/ECH/EHD/22.01). License: CC BY-NC-SA 3.0 IGO.
  • 13. Hsu SM, Ko WJ, Liao WC, Huang SJ, Chen RJ, Li CY, Hwang SL. Associations of Exposure to Noise with Physiological and Psychological Outcomes among Post-Cardiac Surgery Patients in ICUs. Clinics (Sao Paulo) 2010;65(10):985-9. doi: 10.1590/s1807-59322010001000011.
  • 14. Seidman MD, Standring RT. Noise and Quality of Life. Int J Environ Res Public Health 2010;7(10):3730-8. doi: 10.3390/ijerph7103730. 15. Fortes J. "Assessing Nurses’ Knowledge of Noise in the Intensive Care Unit: An Educational Intervention Project" (2021). Master's Theses, Dissertations, Graduate Research, and Major Papers Overview. 379. https://digitalcommons.ric.edu/etd/379.
  • 16. World Health Organization. Environmental Noise Guidelines for the European Region. (World Health Organization, 2018). Access Link: https://apps.who.int/iris/bitstream/handle/10665/279952/9789289053563-eng.pdf. Access Date: 12.02.2024
  • 17. Environmental Protection Agency United States. EPA Guidance Documents. 2023; November; 28. Access Link: https://www.epa.gov/laws-regulations/epa-guidance-documents Access Date: 12.01.2024
  • 18. Armbruster C, Walzer S, Witek S, Ziegler S, Farin-Glattacker E. Noise Exposure Among Staff in Intensive Care Units and the Effects of Unit-Based Noise Management: A Monocentric Prospective Longitudinal Study. BMC Nurs 2023;22:460. doi:10.1186/s12912-023-01611-3.
  • 19. Ryherd E, Ackerman J, Zimring C, Okcu S, Waye, KP. Noise Pollution in Hospitals: Impacts on Staff. Journal of Clinical Outcomes Management 2012;19:1-10.
  • 20. Joseph BE, Mehazabeen HUM. Noise Pollution in Hospitals- A Study of Public Perception. Noise Health 2020;22(104):28-33. doi: 10.4103/nah.NAH_13_20.
  • 21. Andrade EL, Silva CE, de Lima EA, de Oliveira RA, Zannin PHT, Martins ACG. Environmental Noise in Hospitals: A Systematic Review. Environ Sci Pollut Res Int 2021;28(16):19629-19642. doi: 10.1007/s11356-021-13211-2.
  • 22. Ng MSN, Chan DNS, So WKW. Health Inequity Associated with Financial Hardship Among Patients with Kidney Failure. PLoS ONE 2023;18(6):e0287510. doi: 10.1371/journal.pone.0287510.
  • 23. Flythe JE. et al. Blood Pressure and Volume Management in Dialysis: Conclusions From a Kidney Disease: Improving Global Outcomes (KDIGO) Controversies Conference. Kidney Int 2020;97:861–876.
  • 24. Kim YJ, Choi WJ, Ham S, Kang SK, Lee W. Association Between Occupational or Environmental Noise Exposure and Renal Function Among Middle-Aged and Older Korean Adults: A Cross-Sectional Study. Sci Rep 2021;16:11(1):24127. doi: 10.1038/s41598-021-03647-4.
  • 25. Vreman J, Lemson J, Lanting C, van der Hoeven J, van den Boogaard M. The Effectiveness of the Interventions to Reduce Sound Levels in the ICU: A Systematic Review. Critical Care Explorations 2023;5(4).
  • 26. Kooshanfar Z, Ashrafi S, Paryad E, Salmanghasem Y, Mohammadi TK, Leili EK, Golhosseini SMJ. Sources of Noise and Their Effects on Nurses in Intensive Care Units: A Cross-Sectional Study. International Journal of Africa Nursing Sciences 2022;16: 100403.
  • 27. Darbyshire JL, Müller‐Trapet M, Cheer J, Fazi FM, Young JD. Mapping Sources of Noise in an Intensive Care Unit. Anaesthesia 2019;74(8):1018-1025.
  • 28. Ronco C. Noise Pollution in Hemodialysis Centers. Nat Clin Pract Nephrol 2008;4(6):289–9
  • 29. Abbasi H, Ziaei M, Salimi K, Zare S, Jokar M, Rashidi N. Noise Pollution, Annoyance, and Sensitivity; Its Impact on General Health and Aggression of Hospital Staffs. Current Psychology 2023;1-12.
  • 30. Lo Castro F, Iarossi S, Brambilla G, Mariconte R, Diano M, Bruzzaniti V, Sttigari L, Raffaele G, Giliberti, C. Surveys on Noise in Some Hospital Wards and Self-Reported Reactions from Staff: A Case Study. Buildings 2022;12(12);2077.
  • 31. Garside J, Stephenson J, Curtis H, Morrell M, Dearnley C, Astin F. Are Noise Reduction Interventions Effective in Adult Ward Settings? A Systematic Review and Meta-Analysis. Applied Nursing Research 2018;44:6-17.
  • 32. Richardson A, Thompson A, Coghill E, Chambers I, Turnock C. Development and Implementation of a Noise Reduction İntervention Program: A Pre‐And Post-Audit of Three Hospital Wards. Journal of Clinical Nursing 2009;18(23):3316-3324.
  • 33. Milette I. Decreasing Noise Level in our NICU: The Impact of a Noise Awareness Educational Program. Advances in Neonatal Care 2010;10(6):343-351.
  • 34. Taylor-Ford R, Catlin A, LaPlante M, Weinke C. Effect of a Noise Reduction Program on a Medical-Surgical Unit. Clinical Nursing Research 2008;17(2):74-88.
  • 35. Johansson L, Knutsson S, Bergbom I, Lindahl B. Noise in the ICU Patient Room–Staff Knowledge and Clinical Improvements. Intensive and Critical Care Nursing 2016;35:1-9.
  • 36. Peng L, Chen J, Jiang H. The İmpact of Operating Room Noise Levels on Stress and Work Efficiency of the Operating Room Team: A Protocol for Systematic Review and Meta-Analysis. Medicine (Baltimore) 2022; 21;101(3):e28572. doi: 10.1097/MD.0000000000028572.
  • 37. Vitale E, Della Pietà C, Gualano A, et al. Background Sounds and Noises in Hospital: A Proactive Analysis of Psychological Repercussions on Patients in the “Santissima Annunziata” Hospital, Taranto, Italy. Nur Primary Care. 2020;4(7):1-4.
Year 2024, Volume: 31 Issue: 2, 167 - 177, 29.06.2024
https://doi.org/10.17343/sdutfd.1441803

Abstract

References

  • 1. Manisalidis I, Stavropoulou E, Stavropoulos A, Bezirtzoglou E. Environmental and Health Impacts of Air Pollution: A Review. Frontiers in Public Health 2020;8:505570. doi:10.3389/fpubh.2020.00014.
  • 2. Hammer MS, Swinburn TK, Neitzel RL. Environmental Noise Pollution in the United States: Developing an Effective Public Health Response. Environ Health Perspect 2014;122(2):115-9. doi: 10.1289/ehp.1307272.
  • 3. Hahad O, Prochaska HJ, Daiber A, Thomas Münzel T. "Environmental Noise-Induced Effects on Stress Hormones, Oxidative Stress, and Vascular Dysfunction: Key Factors in the Relationship between Cerebrocardiovascular and Psychological Disorders", Oxidative Medicine and Cellular Longevity 2019;(2019):1-13. doi:10.1155/2019/4623109.
  • 4. Lee Y, Lee S, Lee W. Occupational and Environmental Noise Exposure and Extra-Auditory Effects on Humans: A Systematic Literature Review. Geohealth 2023;7;7(6):e2023GH000805. doi: 10.1029/2023GH000805.
  • 5. Zaman M, Muslim M, Jehangir A. Environmental Noise-Induced Cardiovascular, Metabolic and Mental Health Disorders: a Brief Review. Environ Sci Pollut Res Int 2022;29(51):76485-76500. doi: 10.1007/s11356-022-22351-y.
  • 6. Konkani A, Oakley B. Noise in Hospital Intensive Care Units--A Critical Review of A Critical Topic. J Crit Care 2012;27(5):522.e1-9. doi: 10.1016/j.jcrc.2011.09.003.
  • 7. de Lima Andrade E, da Cunha e Silva, DC, de Lima, EA, de Oliveira RA, Zannin PHT, Martins, ACG. Environmental Noise in Hospitals: A Systematic Review. Environmental Science and Pollution Research 2021;28:19629-19642.
  • 8. Hsu T, Ryherd EE, Waye KP, Ackerman J. Noise Pollution in Hospitals: Impact on Patients. Journal of Clinical Outcomes Management 2012;19:301-309.
  • 9. Xie H, Kang J, Mills GH. Clinical review: The Impact of Noise on Patients' Sleep and the Effectiveness of Noise Reduction Strategies in Intensive Care Units. Crit Care 2009;13(2):208. doi: 10.1186/cc7154.
  • 10. Ok E, Aydin Sayilan A, Sayilan S, Sousa CN, Ozen N. Noise Levels in the Dialysis Unit and its Relationship with Sleep Quality and Anxiety in Patients Receiving HD: A pilot study. Ther Apher Dial 2022;26(2):425-433. doi: 10.1111/1744-9987.13794.
  • 11. Gungor S, Gursel O. Effects of Noise on Vital Signs and Anxiety Levels of Patients Hospitalized in the General Surgery Intensive Care Unit. International Journal of Caring Sciences 2021;14(1);79-87.
  • 12. World Health Organization. Environmental Noise. In: Compendium of WHO and Other UN Guidance on Health and Environment, 2022 Update. Geneva: World Health Organization; 2022 (WHO/HEP/ECH/EHD/22.01). License: CC BY-NC-SA 3.0 IGO.
  • 13. Hsu SM, Ko WJ, Liao WC, Huang SJ, Chen RJ, Li CY, Hwang SL. Associations of Exposure to Noise with Physiological and Psychological Outcomes among Post-Cardiac Surgery Patients in ICUs. Clinics (Sao Paulo) 2010;65(10):985-9. doi: 10.1590/s1807-59322010001000011.
  • 14. Seidman MD, Standring RT. Noise and Quality of Life. Int J Environ Res Public Health 2010;7(10):3730-8. doi: 10.3390/ijerph7103730. 15. Fortes J. "Assessing Nurses’ Knowledge of Noise in the Intensive Care Unit: An Educational Intervention Project" (2021). Master's Theses, Dissertations, Graduate Research, and Major Papers Overview. 379. https://digitalcommons.ric.edu/etd/379.
  • 16. World Health Organization. Environmental Noise Guidelines for the European Region. (World Health Organization, 2018). Access Link: https://apps.who.int/iris/bitstream/handle/10665/279952/9789289053563-eng.pdf. Access Date: 12.02.2024
  • 17. Environmental Protection Agency United States. EPA Guidance Documents. 2023; November; 28. Access Link: https://www.epa.gov/laws-regulations/epa-guidance-documents Access Date: 12.01.2024
  • 18. Armbruster C, Walzer S, Witek S, Ziegler S, Farin-Glattacker E. Noise Exposure Among Staff in Intensive Care Units and the Effects of Unit-Based Noise Management: A Monocentric Prospective Longitudinal Study. BMC Nurs 2023;22:460. doi:10.1186/s12912-023-01611-3.
  • 19. Ryherd E, Ackerman J, Zimring C, Okcu S, Waye, KP. Noise Pollution in Hospitals: Impacts on Staff. Journal of Clinical Outcomes Management 2012;19:1-10.
  • 20. Joseph BE, Mehazabeen HUM. Noise Pollution in Hospitals- A Study of Public Perception. Noise Health 2020;22(104):28-33. doi: 10.4103/nah.NAH_13_20.
  • 21. Andrade EL, Silva CE, de Lima EA, de Oliveira RA, Zannin PHT, Martins ACG. Environmental Noise in Hospitals: A Systematic Review. Environ Sci Pollut Res Int 2021;28(16):19629-19642. doi: 10.1007/s11356-021-13211-2.
  • 22. Ng MSN, Chan DNS, So WKW. Health Inequity Associated with Financial Hardship Among Patients with Kidney Failure. PLoS ONE 2023;18(6):e0287510. doi: 10.1371/journal.pone.0287510.
  • 23. Flythe JE. et al. Blood Pressure and Volume Management in Dialysis: Conclusions From a Kidney Disease: Improving Global Outcomes (KDIGO) Controversies Conference. Kidney Int 2020;97:861–876.
  • 24. Kim YJ, Choi WJ, Ham S, Kang SK, Lee W. Association Between Occupational or Environmental Noise Exposure and Renal Function Among Middle-Aged and Older Korean Adults: A Cross-Sectional Study. Sci Rep 2021;16:11(1):24127. doi: 10.1038/s41598-021-03647-4.
  • 25. Vreman J, Lemson J, Lanting C, van der Hoeven J, van den Boogaard M. The Effectiveness of the Interventions to Reduce Sound Levels in the ICU: A Systematic Review. Critical Care Explorations 2023;5(4).
  • 26. Kooshanfar Z, Ashrafi S, Paryad E, Salmanghasem Y, Mohammadi TK, Leili EK, Golhosseini SMJ. Sources of Noise and Their Effects on Nurses in Intensive Care Units: A Cross-Sectional Study. International Journal of Africa Nursing Sciences 2022;16: 100403.
  • 27. Darbyshire JL, Müller‐Trapet M, Cheer J, Fazi FM, Young JD. Mapping Sources of Noise in an Intensive Care Unit. Anaesthesia 2019;74(8):1018-1025.
  • 28. Ronco C. Noise Pollution in Hemodialysis Centers. Nat Clin Pract Nephrol 2008;4(6):289–9
  • 29. Abbasi H, Ziaei M, Salimi K, Zare S, Jokar M, Rashidi N. Noise Pollution, Annoyance, and Sensitivity; Its Impact on General Health and Aggression of Hospital Staffs. Current Psychology 2023;1-12.
  • 30. Lo Castro F, Iarossi S, Brambilla G, Mariconte R, Diano M, Bruzzaniti V, Sttigari L, Raffaele G, Giliberti, C. Surveys on Noise in Some Hospital Wards and Self-Reported Reactions from Staff: A Case Study. Buildings 2022;12(12);2077.
  • 31. Garside J, Stephenson J, Curtis H, Morrell M, Dearnley C, Astin F. Are Noise Reduction Interventions Effective in Adult Ward Settings? A Systematic Review and Meta-Analysis. Applied Nursing Research 2018;44:6-17.
  • 32. Richardson A, Thompson A, Coghill E, Chambers I, Turnock C. Development and Implementation of a Noise Reduction İntervention Program: A Pre‐And Post-Audit of Three Hospital Wards. Journal of Clinical Nursing 2009;18(23):3316-3324.
  • 33. Milette I. Decreasing Noise Level in our NICU: The Impact of a Noise Awareness Educational Program. Advances in Neonatal Care 2010;10(6):343-351.
  • 34. Taylor-Ford R, Catlin A, LaPlante M, Weinke C. Effect of a Noise Reduction Program on a Medical-Surgical Unit. Clinical Nursing Research 2008;17(2):74-88.
  • 35. Johansson L, Knutsson S, Bergbom I, Lindahl B. Noise in the ICU Patient Room–Staff Knowledge and Clinical Improvements. Intensive and Critical Care Nursing 2016;35:1-9.
  • 36. Peng L, Chen J, Jiang H. The İmpact of Operating Room Noise Levels on Stress and Work Efficiency of the Operating Room Team: A Protocol for Systematic Review and Meta-Analysis. Medicine (Baltimore) 2022; 21;101(3):e28572. doi: 10.1097/MD.0000000000028572.
  • 37. Vitale E, Della Pietà C, Gualano A, et al. Background Sounds and Noises in Hospital: A Proactive Analysis of Psychological Repercussions on Patients in the “Santissima Annunziata” Hospital, Taranto, Italy. Nur Primary Care. 2020;4(7):1-4.
There are 36 citations in total.

Details

Primary Language English
Subjects Health Services and Systems (Other)
Journal Section Research Articles
Authors

Hatice Ceylan 0000-0001-6423-6010

Cansu Koşar Şahin 0000-0003-2366-3977

Publication Date June 29, 2024
Submission Date February 23, 2024
Acceptance Date May 15, 2024
Published in Issue Year 2024 Volume: 31 Issue: 2

Cite

Vancouver Ceylan H, Koşar Şahin C. Effects of Face-to-Face Education on Reduction Noise in Hemodialysis Units: A Quasi-Experimental Study. Med J SDU. 2024;31(2):167-7.

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