IMPACT OF EDUCATIONAL ACTIONS ON NOISE REDUCTION IN A MILITARY HOSPITAL: randomized clinical trial
Noise; Hospital noise; Auditory health.
The hospital environment is frequently affected by high noise levels resulting from various sources, such as medical equipment, alarms, conversations among healthcare professionals, and the constant movement of teams. This noise pollution, often overlooked, can have a negative impact on the health of both professionals and patients, affecting not only sleep but also the recovery process and the performance of care-related activities. Continuous exposure to elevated noise levels may lead to stress, compromising both quality of life and the quality of healthcare delivery. Therefore, the implementation of noise control measures is essential to minimize these harmful effects and promote a healthier and more efficient hospital environment. This dissertation is structured into two manuscripts. The first is an observational cross-sectional study with a quantitative approach, aimed at analyzing the effects of hospital noise on the health and performance of professionals working in care units, based on their perceptions and self-reported symptoms. Data collection will be conducted through a structured interview and the application of the Noise Annoyance Questionnaire. The second manuscript consists of a randomized clinical trial, which aims to measure noise levels in the Intensive Care Unit (ICU), Medical Clinic, and Vascular Clinic of a hospital, and to compare the effects of different educational and visual interventions aimed at reducing noise. Initially, noise levels will be measured through individual dosimetry performed during the work shifts (day and night) of healthcare professionals. Subsequently, the sectors will be divided into three groups: one will receive educational actions about the effects of noise (G1); another will have a sensor/light display installed that indicates real-time sound intensity through color coding (G2); and a control group (CG), which will receive no intervention. After two months, a new noise measurement will be conducted in all three groups to compare the outcomes of the adopted strategies. The data collected will be subjected to descriptive and inferential statistical analysis, with a significance level of 5%.