| Influence of intensive coronary care acoustics on the quality of care and physiological state of patients. | |
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MedLine Citation:
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PMID: 15686777 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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AIM OF THE STUDY: To evaluate the possible role of room acoustics on patients with coronary artery disease and to test the hypothesis that a poor acoustics environment is likely to produce a bad work environment resulting in unwanted sound that could adversely affect the patients. METHODS AND RESULTS: A total of 94 patients admitted to the intensive coronary heart unit at Huddinge University Hospital for evaluation of chest pain were included in the study. Patient groups were recruited during bad and good acoustics, respectively. Acoustics were altered during the study period by changing the ceiling tiles throughout the CCU from sound-reflecting tiles (bad acoustics) to sound-absorbing tiles (good acoustics) of similar appearance. Patients were monitored with regard to blood pressure including pulse amplitude, heart rate and heart rate variability. The patients were asked to fill in a questionnaire about the quality of the care, and a follow-up of rehospitalization and mortality was made at 1 and 3 months, respectively. There were significant differences between good and bad acoustics with regard to pulse amplitude in the acute myocardial infarction and unstable angina pectoris groups, with lower values during the good acoustics period during the night. The incidence of rehospitalization was higher for the bad acoustics group. Patients treated during the good acoustics period considered the staff attitude to be much better than during the bad acoustics period. CONCLUSION: A bad acoustics environment during acute illness may have important detrimental physiological effects on rehabilitation. |
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Authors:
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Inger Hagerman; Gundars Rasmanis; Vanja Blomkvist; Roger Ulrich; Claire Anne Eriksen; Töres Theorell |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: International journal of cardiology Volume: 98 ISSN: 0167-5273 ISO Abbreviation: Int. J. Cardiol. Publication Date: 2005 Feb |
Date Detail:
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Created Date: 2005-02-02 Completed Date: 2005-05-26 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8200291 Medline TA: Int J Cardiol Country: Ireland |
Other Details:
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Languages: eng Pagination: 267-70 Citation Subset: IM |
Affiliation:
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Department of Cardiology, Huddinge University Hospital, Karolinska Institutet, Huddinge, Sweden. inger.hagerman@hs.se |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Acoustics* Aged Blood Pressure / physiology Coronary Care Units / standards*, utilization Coronary Disease / physiopathology, psychology*, therapy* Female Heart Rate / physiology Hospital Design and Construction Hospitals, University Humans Intensive Care / psychology* Male Middle Aged Patient Readmission Quality of Health Care* Questionnaires Stress, Psychological / etiology, physiopathology Sweden |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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