Vahideh Abolhasannejad, Bi Bi Narjess Moasheri, Mansour Soltani, Faezeh Shirazi,
Volume 21, Issue 3 (12-2014)
Abstract
Background and Aim: Noise is the most common source of environmental stress that influences negatively the psychological and physiological aspects of human. The purpose of this study was determining the noise sources and assessing in General Intensive Care Unit. Materials and Methods: In this cross-sectional study, equivalent noise level "Leq 15 min", Maximum and Minimum sound pressure level were measured on 5 stations, during the all of day and night shifts period in different place including corridor, nursing station, rest room and hospitalization parts. The data were processed by means of SPSS and Excel software. Results: Mean sound pressure level for GICU was 60.9±1/6 dBA that is more than the standard level. The mean of maximum noise level was obtained 82.5±2 dBA and the highest noise level was measured at nursing station. There was significant difference in Noise Pollution level based on different months, level of patient's conciseness and number of ventilator using (P < 0.05). Conclusion: Being more noise pollution in the ICU and stations on all shifts may cause to diminish health and well-being of the staff in long-term and produce some problems for the patient. According to the highest level of noise produced in nursing stations and the different activities doing by the staff as a main noise pollution factor, it's necessary to perform required training in relationship with doing the works in right manner so that we can produce quiet and silence environment for patience.
Mahdieh Rajnbar, Bibi Fatemeh Shakhs Emampour, Gholamreza Sharifzadeh, Melika Ramezani, Razieh Avan,
Volume 32, Issue 1 (4-2025)
Abstract
Background and Aims: Albumin is a biological and expensive medicine obtained from blood in a limited way and through a difficult production process. With reference to some studies conducted in Iran regarding the incorrect use of this drug, the present study aimed to assess the albumin consumption and evaluate compliance with FDA approval guidelines in patients admitted to intensive care units (ICUs) of Vali Asr and Razi Birjand hospitals in 2022.
Materials and Methods: In this descriptive-analytical study, 140 hospitalized patients receiving albumin in the ICU ward of Birjand hospitals were included. The demographic information of the patients, conformity of administration and dosage with instructions, and the side effects of albumin were recorded from the patients' files in the relevant checklist.
Results: The mean age of the patients was 67.3±16.9 years. In terms of gender, 54.3% of the studied patients were male. The most common cause of albumin administration was hypovolemia. Moreover, 95.7% of the cases of albumin administration in patients and the prescribed dose in 69.3% of them were in accordance with FDA guidelines. There was a significant difference in the indication of albumin administration according to the specialty of the attending physician (P=0.01). |
Conclusion: As evidenced by the results of the present study, 95.7% of the prescription indications and 69.3% of the dosage of albumin were in accordance with the FDA guidelines. Therefore, preparing a protocol for rational albumin use and holding training workshops for relevant specialists can be useful for improving the correct prescription of this essential and expensive medication.
Attribution-NoneCommercial CC BY-NC