fa بررسی ارتباط آزار صدا با سلامت عمومی کارکنان بیمارستان‌های شهر شیراز در سال 1393 پژوهشي Research <!--stripped--> <o:OfficeDocumentSettings> <o:RelyOnVML/> <o:AllowPNG/> </o:OfficeDocumentSettings> <!--stripped--> <p style="margin-bottom: 0.0001pt text-align: justify line-height: normal background: rgb(217, 217, 217) none repeat scroll 0% 0% direction: rtl unicode-bidi: embed" dir="rtl" class="MsoNormal"><b><span lang="FA" style="font-family: "B Nazanin"">مقدمه: </span></b><span lang="AR-SA" style="font-family: "B Nazanin"">بیمارستان به‌عنوان محیط ارائه خدمات درمانی، تحت تأثیر منابع آلودگی صدا قرار دارد که می‌تواند از جنبه بهداشتی و آسایشی بر بیماران و کارکنان تأثیر منفی داشته باشد. این مطالعه با هدف تعیین میزان ارتباط آزار صدا با سلامت عمومی کارکنان بیمارستان‌های دانشگاهی و غیر دانشگاهی شیراز<span> </span>انجام شد</span><span lang="FA" style="font-family: "B Nazanin"">. </span></p> <p style="margin-bottom: 0.0001pt text-align: justify line-height: normal background: rgb(217, 217, 217) none repeat scroll 0% 0% direction: rtl unicode-bidi: embed" dir="rtl" class="MsoNormal"><b><span lang="FA" style="font-family: "B Nazanin"">مواد و روش­ ها:</span></b><span lang="FA" style="font-family: "B Nazanin""> </span><span lang="AR-SA" style="font-family: "B Nazanin"">مطالعه حاضر به‌صورت توصیفی- تحلیلی و در چهار بیمارستان دانشگاهی و غیر دانشگاهی شیراز<span> </span>با حجم نمونه 300 نفر از کارکنان بیمارستان‌ها با استفاده از فرمول و با توجه به مطالعات پیشین انجام شد. ابزار پژوهش در این مطالعه پرسشنامه‌های سلامت عمومی (</span><span style="font-size: 10pt font-family: "Times New Roman",serif" dir="ltr">GHQ</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="font-family: "B Nazanin""><span dir="rtl"></span><span dir="rtl"></span>)، آزار صدا (</span><span style="font-size: 10pt font-family: "Times New Roman",serif" dir="ltr">NAS</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="font-family: "B Nazanin""><span dir="rtl"></span><span dir="rtl"></span>) و<span> </span>دستگاه صداسنج مدل </span><span style="font-size: 10pt font-family: "Times New Roman",serif" dir="ltr">CEL- 440</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="font-family: "B Nazanin""><span dir="rtl"></span><span dir="rtl"></span><span> </span>بود</span><span lang="FA" style="font-family: "B Nazanin"">.</span><span lang="FA" style="font-family: "B Nazanin""> </span><span style="font-size: 10pt" dir="ltr"></span></p> <p style="margin-bottom: 0.0001pt text-align: justify line-height: normal background: rgb(217, 217, 217) none repeat scroll 0% 0% direction: rtl unicode-bidi: embed" dir="rtl" class="MsoNormal"><b><span lang="FA" style="font-family: "B Nazanin"">یافته‌ها:</span></b><span lang="FA" style="font-family: "B Nazanin""> </span><span lang="AR-SA" style="font-family: "B Nazanin"">در این مطالعه ارتباط نمره کلی سلامت عمومی کارکنان و تراز فشار صوت در بیمارستان</span><span style="font-size: 10pt font-family: "Times New Roman",serif" dir="ltr">­</span><span lang="AR-SA" style="font-family: "B Nazanin"">های دانشگاهی ارتباطی معکوس و ضعیف (103/0- </span><span style="font-size: 10pt font-family: "Times New Roman",serif" dir="ltr">r=</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="font-family: "B Nazanin""><span dir="rtl"></span><span dir="rtl"></span>) و در بیمارستان</span><span style="font-size: 10pt font-family: "Times New Roman",serif" dir="ltr">­</span><span lang="AR-SA" style="font-family: "B Nazanin"">های غیردانشگاهی یک ارتباط مستقیم و مثبت (274/0 </span><span style="font-size: 10pt font-family: "Times New Roman",serif" dir="ltr">r=</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="font-family: "B Nazanin""><span dir="rtl"></span><span dir="rtl"></span>) بود که از نظر آماری معنادار نبود (05/0</span><span lang="AR-SA" style="font-family: "Times New Roman",serif">≤</span><span style="font-size: 10pt font-family: "Times New Roman",serif" dir="ltr">P)</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="font-family: "B Nazanin""><span dir="rtl"></span><span dir="rtl"></span>. ارتباط بین نشانه</span><span style="font-size: 10pt font-family: "Times New Roman",serif" dir="ltr">­</span><span lang="AR-SA" style="font-family: "B Nazanin"">های جسمانی، اضطراب و بی</span><span style="font-size: 10pt font-family: "Times New Roman",serif" dir="ltr">­</span><span lang="AR-SA" style="font-family: "B Nazanin"">خوابی، اختلال در کارکرد اجتماعی و افسردگی با فشار صوت یک ارتباط معکوس و ضعیف (195/0- </span><span style="font-size: 10pt font-family: "Times New Roman",serif" dir="ltr">r=</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="font-family: "B Nazanin""><span dir="rtl"></span><span dir="rtl"></span>)(05/0</span><span lang="AR-SA" style="font-family: "Times New Roman",serif">≤</span><span style="font-size: 10pt font-family: "Times New Roman",serif" dir="ltr">p</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="font-family: "B Nazanin""><span dir="rtl"></span><span dir="rtl"></span>) بود. همچنین ارتباط بین سلامت عمومی با آزار صدا یک ارتباط مستقیم و مثبت (266/0</span><span dir="ltr"></span><span dir="ltr"></span><span style="font-size: 10pt font-family: "Times New Roman",serif" dir="ltr"><span dir="ltr"></span><span dir="ltr"></span> r=)</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="font-family: "B Nazanin""><span dir="rtl"></span><span dir="rtl"></span> و معنادار (05/0</span><span lang="AR-SA" style="font-family: "Times New Roman",serif">≥</span><span style="font-size: 10pt font-family: "Times New Roman",serif" dir="ltr">p</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="font-family: "B Nazanin""><span dir="rtl"></span><span dir="rtl"></span>)<span> </span>به دست آمد</span><span lang="FA" style="font-family: "B Nazanin" color: black">.</span><span lang="AR-SA" style="font-family: "B Nazanin""></span></p> <p style="margin-bottom: 0.0001pt text-align: justify line-height: normal background: rgb(217, 217, 217) none repeat scroll 0% 0% direction: rtl unicode-bidi: embed" dir="rtl" class="MsoNormal"><b><span lang="FA" style="font-family: "B Nazanin"">نتیجه‌گیری:</span></b><span lang="FA" style="font-family: "B Nazanin""> </span><span lang="AR-SA" style="font-family: "B Nazanin"">با توجه به نتایج به دست آمده از این مطالعه در بیمارستان</span><span style="font-size: 10pt font-family: "Times New Roman",serif" dir="ltr">­</span><span lang="AR-SA" style="font-family: "B Nazanin"">های دانشگاهی صدا بیشتر از حدود تماس مجاز می‌باشد و سلامت عمومی شاغلین و بیماران را تحت تأثیر می</span><span style="font-size: 10pt font-family: "Times New Roman",serif" dir="ltr">­</span><span lang="AR-SA" style="font-family: "B Nazanin"">گذارد و نیاز به انجام اقدامات کنترلی می</span><span style="font-size: 10pt font-family: "Times New Roman",serif" dir="ltr">­</span><span lang="AR-SA" style="font-family: "B Nazanin"">باشد</span><span lang="FA" style="font-family: "B Nazanin"">.</span></p> <!--stripped--> <o:OfficeDocumentSettings> <o:RelyOnVML/> <o:AllowPNG/> </o:OfficeDocumentSettings> <!--stripped--> <p style="margin-bottom: 0.0001pt text-align: justify line-height: normal background: rgb(217, 217, 217) none repeat scroll 0% 0%" class="MsoNormal"><b><span style="font-family: "Times New Roman",serif color: black">Introduction: </span></b><span style="font-family: "Times New Roman",serif color: black">A</span><span lang="EN" style="font-family: "Times New Roman",serif color: black">s a healthcare providing establishment, hospitals can be affected by sources of noise pollution which then impose negative effects on the health and comfort of patients and personnel. The present study was conducted to determine the relationship between sound annoyance and general health in the personnel of university affiliated and non-university affiliated hospitals in Shiraz</span><span dir="rtl"></span><span dir="rtl"></span><span lang="FA" style="font-family: "Times New Roman",serif color: black" dir="rtl"><span dir="rtl"></span><span dir="rtl"></span>.</span><span style="font-family: "Times New Roman",serif color: black"></span></p> <p style="margin-bottom: 0.0001pt text-align: justify line-height: normal background: rgb(217, 217, 217) none repeat scroll 0% 0%" class="MsoNormal"><b><span style="font-family: "Times New Roman",serif color: black">Materials and Methods:</span></b><span style="font-family: "Times New Roman",serif color: black"> The present</span><span lang="EN" style="font-family: "Times New Roman",serif color: black"> descriptive analytical study was conducted in four university affiliated and non-university affiliated hospitals in Shiraz with a sample size of 300 using a predetermined equation and according to the results of previous studies. The instruments used in the study included the General Health Questionnaire (GHQ), the Noise Annoyance Scale (NAS) and an audiometer (CEL-440 model)</span><span dir="rtl"></span><span dir="rtl"></span><span lang="FA" style="font-family: "Times New Roman",serif color: black" dir="rtl"><span dir="rtl"></span><span dir="rtl"></span>.</span><span style="font-family: "Times New Roman",serif color: black"></span></p> <p style="margin-bottom: 0.0001pt text-align: justify line-height: normal background: rgb(217, 217, 217) none repeat scroll 0% 0%" class="MsoNormal"><b><span style="font-family: "Times New Roman",serif color: black">Findings:</span></b><span style="font-family: "Times New Roman",serif color: black"> The present study found a small inverse relationship between the total general health score in the hospital personnel and the sound pressure level at university-affiliated hospitals (r=-0.103) and a direct positive relationship at non-university affiliated hospitals (r=0.274), which were not statistically significant (P≤0.05). The relationship of somatic symptoms, anxiety, insomnia, social dysfunction and depression to sound pressure was inverse and small (r=-0.195 and P≥0.05). However, there was a direct positive relationship between general health and sound annoyance (r=0.266 and </span><span lang="FA" style="font-family: "Times New Roman",serif color: black" dir="rtl">P≤0.05).</span><span style="font-family: "Times New Roman",serif color: black">Conclusion: According to the results obtained, noise levels are higher than the acceptable exposure limit in university-affiliated hospitals, which affect both the patients' and the personnel's general health, necessitating the adoption of control measures.</span></p> آزار صدا, سلامت عمومی, بیمارستان Sound annoyance, General health, Hospital 14 21 http://journal.iehfs.ir/browse.php?a_code=A-10-154-4&slc_lang=fa&sid=1 Zahra Zamanian زهرا زمانیان 10031947532846002787 10031947532846002787 No Bahram Kouhnavard بهرام کوهنورد 10031947532846002788 10031947532846002788 No Bahram Maleki بهرام ملکی 10031947532846002789 10031947532846002789 No Fatemeh Ashrafi فاطمه اشرفی 10031947532846002790 10031947532846002790 No Leyla Ahmadvand لیلا احمدوند 10031947532846002791 10031947532846002791 No Parisa Azad پریسا آزاد parisaazad2003@gmail.com 10031947532846002792 10031947532846002792 Yes M.Sc. in Occupational Health Engineering, Faculty of Health, Shiraz University of Medical Sciences, Shiraz, Iran. کارشناس ارشد مهندسی بهداشت حرفه‌ای، دانشکده بهداشت، دانشگاه علوم پزشکی شیراز