@article{oai:mie-u.repo.nii.ac.jp:00013503,
 author = {小西, 澄代 and KONISHI, Sumiyo and 新小田, 春美 and SHINKODA, Harumi and 内山, 貴文 and UCHIYAMA,  Takafumi and 松本, あさみ and MATSUMOTO,  Asami and 中谷, 三佳 and NAKATANI, Mika and 大林, 陽子 and OBAYASHI, Yoko and 國分, 真佐代 and KOKUBU, Masayo},
 journal = {三重看護学誌, Ｍie Nursing Journal},
 month = {Mar},
 note = {application/pdf, Aim
The purpose of this study was to clarify the satisfaction of the American Academy of Pediatrics (AAP) neonatal intensive care unit (NICU) installation recommendation standards at the NICU facilities in a prefecture, which provided a way to study measures to improve sound and light environment of the NICU.
Methods
We conducted a survey to observe the sound pressure and illuminance of NICUs at five facilities. The measures were recorded for 1 minute around the baby and for 7 days around the NICU center. The study was approved by Mie University Medical Research Ethics Review Board (approval number 3113)
Results
1. The sound pressure level of all NICUs in the prefecture was over the AAP's recommended standards: 1 hour Leq was 45 dB , 1 hour L10 was 50 dB  or less, and Lmax was 65 dB or less. The mean sound pressure was significantly higher than 20:00 (Welch's t test p <0.01).
2．Illuminance changed between day and night in all NICUs but it did not meet the AAP's recommended standards: Daytime illuminance at 100-200 lux, and nighttime illuminance at 5 lux. Of the facilities that were visited, one had very high illuminance in the daytime.
3. Day and night observations, were 79.9% of 159 out of 199 cases which were exposed to ceiling lighting set within 1 m overhead.
Conclusion
The results of the present study showed that all NICUs that were investigated indicated the necessity of day and night illuminance control, use of incubator and cot covers, and ingenuity not to look directly at the lighting.
[目的]A県のNICUのアメリカ小児科学会（AAP: American Academy of Pediatrics）のNICU設置推奨基準の充足状況を把握し，音・光環境改善への手がかりとする．
[方法]5施設のNICUの音圧と照度を，児の周囲で1分間，NICU中央付近で7日間観測した．三重大学医学系研究倫理審査委員会（承認番号3113)の承認を得て行った．
[結果]
1.  音圧は全NICUでAAPの推奨基準（1時間Leqで45dB，1時間L10で50dB以下，Lmaxが65dB以下）を上回っており，10時の音圧の平均値は20時より有意に高かった（ウェルチのt検定p<0.01）．
2.  照度は全NICUで昼夜の明暗変化を認めたが，AAPの推奨基準（日中 100～200lux，夜間5lux）を満たしていなかった．
3.  昼夜の観測合わせて，199例中159例の79.9%の児が頭上1m以内の距離で天井照明の暴露を受けていた．
[結論]全NICUで，昼夜の照度の制御，保育器やコットのカバーの使用，照明を直視しない工夫の必要性が示唆された．},
 pages = {41--50},
 title = {新生児集中治療室の環境推奨基準からみた音・光環境の検討},
 volume = {22},
 year = {2020},
 yomi = {コニシ, スミヨ and シンコダ, ハルミ and ウチヤマ, タカフミ and マツモト, アサミ and ナカタニ, ミカ and オオバヤシ, ヨウコ and コクブ, マサヨ}
}