• 임상간호연구
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• 제17권3호
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• pp.319-328
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• 2011

Purpose: This study was done to identify nursing interventions clinically applicable to relieve displeasure and anxiety of patients having an operation in which loud noise was unavoidable. Methods: Participants were 34 patients scheduled to have a total knee replacement. They were assigned to either the control (17 patients) or experimental (17 patients) group. Data were collected from September to November 2010. The instruments used for the survey included noise-control earplugs, a noise level meter (TES-1358) and a structured scale measuring degree of noise perception, displeasure and anxiety. Data were analyzed using frequency, percentage, standard deviation, $x^2$-test, and t-test with the SPSS WIN 18.0 program. Results: Hypothesis 1: 'The displeasure levels of the experimental group of patients wearing earplugs will be lower than the control group patients without earplugs' was accepted (t=-20.769, p<.001). Hypothesis 2: 'The anxiety levels of the experimental group of patients wearing earplugs will be lower than the control group patients without earplugs' was accepted (t=-6.298, p<.001). Conclusion: Based on these findings, the wearing of earplugs for patients having a surgical operation with loud noises is recommended as an effective nursing intervention to relieve patient displeasure and anxiety during their surgical operations.

• 대한소아치과학회지
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• 제50권3호
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• pp.239-251
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• 2023

이 연구는 소음이 유발되는 진료 시 노이즈 필터링 기능이 있는 이어플러그를 착용하고 업무를 시행하여 노이즈 필터링 이어플러그가 치과의사의 청력에 미칠 수 있는 영향에 대해 조사하였다. 연구 대상자의 청력을 평가하기 위해 순음 청력 검사와 변조이음향방사 검사를 첫 내원 시와 1년 후 측정하였다. 연구 결과, 이어플러그를 착용하지 않은 군에 비해 이어플러그를 착용한 군의 순음 청력 역치 평균값이 유의미하게 감소하여 청력이 호전되는 모습을 보였다. 그러나 변조이음향검사의 신호대잡음비는 유의미한 차이를 보이지 않았다. 이러한 결과는 노이즈 필터링 이어플러그가 청력 손실을 예방하는 데 일부 효과적일 수 있다는 것을 보여준다. 그러나 1년간의 관찰 기간은 청력 변화를 충분히 확인하기에 어려울 수 있으므로, 추적 기간을 늘린 후속 연구가 필요할 것으로 보인다.

• 한국소음진동공학회논문집
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• 제20권10호
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• pp.891-899
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• 2010

Since the working machine generates an excessive loud noise as much as its use-purpose and dimension, those damages are occurring to the exposed workers such as unpleasant sense, stress and occupational hearing-impaired. Accordingly, as one of the measures for prevention such loud noise, various soundproof protection tools were developed. However, such soundproof protection tools were presented the physical measured value only, it is real state that the psychological study result with regard to the soundproof effect which the workers are actually feeling, is not existing. On such point of view, with the object on the typical earplugs and earcaps among the soundproof protection tools, this study has ever tried a subjective evaluation about the degree of soundproof effect through Psycho-acoustics experiment. It is considering that such study result could be utilized as the useful material when establishing the soundproof measure for the workers in the future.

• 임상간호연구
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• 제14권2호
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• pp.127-138
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• 2008

Purpose: To examine the effects of the environmental nursing intervention using eye-shields and earplugs on the incidence of delirium, environmental stress and sleep among the patients with open-heart surgery in the post-cardiac ICU(intensive care units). Method: This study was a non-equivalent control group non-synchronized design. The subjects consisted of 93 patients who received ICU care after the cardiac surgery. Among those, 32 subjects was assigned in one experimental group with eye-shields, 31 in the other experimental group with earplugs, and 30 in the control group. ICU delirium was measured by CAM-ICU, environmental stress by ICUESS, and sleep by two sleep scales developed by Oh, et al. and Kim. The data were analyzed by the SPSS 13.0 program including frequency, percentage, t-test, $x^2$ test, ANOVA and ANCOVA. Results: There are no statistically significant differences in the incidence of delirium among three groups (p=.139). The ICU environmental stress scores from the subjects of two experimental groups demonstrated lower (F=6.731, p=.002) than the control group. Also, the degrees of sleep pattern (p=.000, p=.000) and sleep satisfaction (p=.000, p=.000) were greater than those of the control group. Conclusion: Although the environmental nursing intervention using eye-shields and earplugs did not demonstrate the effects in decreasing the incidence of ICU delirium, it has affirmative effects in decreasing environmental stress and improving the quality sleep among the patients with open-heart surgery while they stay in ICU. Further nursing implications are discussed.

• Journal of Preventive Medicine and Public Health
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• 제29권2호
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• pp.239-254
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• 1996

Health services on industrial noisy environment have been provided only for noise-induced hearing loss management until now. But gradually, modem diseases and death have come to be related to stress and mental health deeply, therefore noise-induced mental disorder, like a stress became very important. In this point, the purpose of this study was to analyze the relationship between noise exposure level in worksite and workers' stress symptoms. This study included a survey of 786 manual workers selected from 89 worksites in 21 factories in Puchon. The results were as follows: 1. For demographic characteristics, most of the workers were males(80.8%), the $20\sim29years$ old were 34.5% and those who graduated from high school were 65.3%. The workers whose monthly income ranged from 100,000 to 800,000 won were 37.5% and who have a religion were 47.9%. 2. For occupational characteristics, workers who had worked $1\sim5$ years in the factories were 33.0%. Those who were much for them workload were 43.9% and who worked more than 8 hours a day were 73.9%. Those who were disatisfied with their job and pay were 31.9% and 50.6%. The workers who responsed ventilation condition of their worksites were bad were 51.9% and the dissatisfed with working environment of their worksites were 45.9%. 3. Workers who were suffering from tinnitus were 53.3% and those who perceived hearing loss were 50.1%. Persons who reported they always wore earplugs at work were 35.4%. Those who felt earplugs bigger than their ears were 30.6% and those who experienced eardiseases caused by earplugs were 25.6%. 4. For the noise exposure level in worksite, workers who were exposed to $80\sim90dB$ were 30.3%, $90\sim100dB$ were 26.4% and $50\sim70dB$ were 19.2%. 5. Workers' stress symptoms were significantly related to marital status and their monthly income(p<0.05). Workers who were single and had lower monthly income showed higher PSI (Psychiatric Symptom Index) scores than those who were married and had higher monthly income. Higher PSI scores were also significantly related to $1\sim2$ days hight-work per week, much for them workload, dissatisfaction with their job, and bad relationship with their bosses and coworkers. 6. Higher PSI scores were significantly related to severe tinnitus and perceived hearing losso(p<0.001). Workers who felt the earplugs they use did not fit their ears showed significantly higher PSI scores(p<0.01). Workers who reported that they did not feel they need earplugs showed. significantly higher PSI scores (p<0.05). Increased experience of eardisease caused by earplugs that did not fit were also significantly related to higher PSI scores(p<0.01). 7. The higher noise exposure level in worksite from 80dB was, the more severe stress symptoms including PSI subparts were reported; Anxiety, Anger, Depression, and Cognitive disorder(p<0.001). 5. According to the results of stepwise multiple regression analysis, factors affecting workers' PSI scores were perceived hearing loss$(R^2=0.160)$, noise exposure level in worksite$(R^2=0.110)$, realtionship with coworkers, amount of workload, monthly income and relationship with bosses orderly and the total $R^2$ of this 6 factors was 0.371. 9. The most significant factors that have impact on manual workers' stress symptoms were perceived hearing loss and noise exposure level in worksite, especially noise exposure level in the worksite was the most affective factor on the depression symptom.

• 한국컴퓨터정보학회논문지
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• 제19권5호
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• pp.37-42
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• 2014

본 연구의 목적은 170 dB 수준의 충격 소음원에서 주파수별 귀마개의 차음성능을 확인하고, 주파수 특성과 패턴 형상을 분석하는데 있다. 충격 소음에서의 Combat Arm Earplug와 3M Form types 1100 Earplug의 주파수별 귀마개 차음성능을 산출하였다. 차음성능을 확인하기 위해서 B&K Head and Torso Simulator와 Ear Simulator를 제작하여 충격 소음원의 주파수별로 차음성능을 비교하였다. 기존의 연구들은 충격 소음원이라 할지라도 대부분 140 dB 수준의 고충격 소음원이였으나, 본 연구는 그보다 더 높은 수준의 충격 소음원이라는 특징을 가지고 있다. 연구결과, 주파수별 충격소음의 차음효과는 평균 28.58 dB 인 것으로 나타났다.

• The Journal of Korean Physical Therapy
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• 제19권6호
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• pp.5-10
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• 2007

Purpose: This study examined whether or not the balance performing ability of the disabled (blindness and deafness) is lower than normal people. Chronometry was used to compare the balance maintaining ability of blind and deaf subjects with that of normal subjects under the same conditions. Methods: In this study, balance foam, eye bandage, earplugs and headphones were used. The balance foam used in this study is smooth with slight elasticity and a convex upper side, 60cm wide, 15cm long and 9cm high. The eye bandage was used to artificially block the sight of the normal subjects, and the earplugs and headphones to block their hearing. Results: The mean time of the normal subjects standing with their eyes open, blindfolded and wearing ear plugs was 26.7, 19.8 and 28.7sec, respectively. The mean standing maintaining time for the blind and deaf subjects was 12.5 sec and 24.1 sec, respectively. The t-test result of the calculated mean time showed no significant difference (p>0.05) between the normal subjects and the normal subjects with their hearing blocked but there was a significant difference between the normal subjects with their hearing blocked and the deaf subjects (p>0.05). Conclusion: There was significance between the normal subjects and the normal subjects with their eyes blocked but there was no significant difference between the normal subjects with their eyes blocked and the blind subjects. Furthermore, there was a significant difference between the deaf and the normal subjects, which corresponds to the report showing that sight has a significant influence on balance.

• 대한인간공학회지
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• 제29권1호
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• pp.121-128
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• 2010

The purpose of this study is to confirm the impact of noise on subject accomplishment as well as physical/mental load, and evaluates the effects of noise-masking and earplug. 15 college students participate in the test, and the comparison is performed by executing four projects according to conditional categories of noise environments; control condition, noise condition, earplug condition, and noise-masking condition. Noise in the field site of the H manufacturer was used as the noise source, the general job aptitude test which consist of linguistic ability, math ability, perception ability, reasoning ability was used as the task of this project. To estimate physical/mental load evaluation, we used the heart rate R-R interval, Criteria flicker fusion frequency(CFF) and measured NASA-TLX workload for subjective evaluation. As the research outcome, it is shown that there is a meaningful difference for the project task score, dropping rate of CFF, the heart rate, and NASA-TLX subjective evaluation score according to conditions of noise environment. Therefore, the impact of noise on capability of subject accomplishment as well as physical/mental load was confirmed along with the effects of using earplug and noise-masking.

• 기본간호학회지
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• 제26권2호
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• pp.75-85
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• 2019

Purpose: The purpose of this study was to examine effects of music intervention on environmental stress and sleep quality in liver transplant patients who are receiving care in one-person isolation rooms of an ICU. Methods: The study was a quasi-experimental design pre-and-post nonequivalent control group. Participants were 37 patients (18 in the experimental group and 19 in the control group) who, after receiving liver transplant, were hospitalized in one-person isolation rooms of the ICU. The study covered patients admitted between August 2016 and December 2017. Earplugs and sleep shades were provided as ordinary care to both experimental and control groups, and music intervention was provided to the experimental group three times a day for 30 minutes each from the first day of hospitalization. Results: The first hypothesis, "The experimental group who received music intervention will experience a lower environmental stress level than the control group" was supported (Z=-3.212, p<.001). The second hypothesis, "The experimental group who received music intervention will experience a higher sleep quality than the control group" was also supported (t=3.715, p=.001). Conclusion: Findings show that music intervention is an effective nursing intervention to reduce environmental stress and improve sleep quality in liver transplant patients in the ICU.

• Safety and Health at Work
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• 제12권2호
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• pp.184-191
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• 2021

Background: Hearing protection devices (HPDs) are often used in the workplace to prevent hearing damage caused by noise. However, a factor that can lead to hearing loss in the workplace is improper HPD fitting, and the previous literature has shown that instructing workers on how to properly insert their HPDs can make a significant difference in the degree of attenuation. Methods: Two studies were completed on a total of 33 Hydro One workers. A FitCheck Solo field attenuation estimation system was used to measure the personal attenuation rating (PAR) before and after providing one-on-one fitting instructions. In addition, external ear canal diameters were measured, and a questionnaire with items related to frequency of use, confidence, and discomfort was administered. Results: Training led to an improvement in HPD attenuation, particularly for participants with poorer PARs before training. The questionnaire results indicated that much HPD discomfort is caused by heat, humidity, and communication difficulties. External ear canal asymmetry did not appear to significantly influence the measured PAR. Conclusion: In accordance with the previous literature, our studies suggest that one-on-one instruction is an effective training method for HPD use. Addressing discomfort issues from heat, humidity, and communication issues could help to improve the use of HPDs in the workplace. Further research into the effects of canal asymmetry on the PAR is needed.