Annoyance among Staff and Noise Level in a Tertiary Care Hospital in New Delhi, India: A Pilot Study
Introduction: In India, an area of not less than 100 metres around a hospital is considered a silence zone, with guidelines restricting noise levels at 50dBA during daytime and 40dBA during the night. Annoyance is a known effect of noise exposure. Objectives: To determine the feasibility of an extensive study on noise in the hospital, annoyance in staff due to hospital noise and its associated factors. Methods: Noise data was collected from 3 sites, using a Digital Integrating Sound Level Meter, LutronSL-4035SD(ISO-9001,CE,IEC1010) meeting IEC61672 standards. Stratified random sampling of staff was done on basis of noise exposure. A pre-designed, semi-structured questionnaire collected information on sociodemographic and work profile. Annoyance was measured using standardized general purpose noise reaction questionnaire (ISO-TS/ 15666). Data was analysed in SPSS. Result: Laeq ranged from 56dB in nephrology ward to 89.2dB at OPD atrium. Maximum noise level was 98.6dB in OPD atrium and 86.1dB in nephrology ward. Levels at night in ward were higher than during day time. 24 (53.3%) of the staff said their workplace is noisy, while 26(57.8%) were annoyed by workplace noise. Annoyance due to hospital noise was associated with age (p=0.003), duration of work in hospital per week (p=0.04), duration of work in current department (p=0.007), noise level (p=0.04) and workplace distance from arterial road (p=0.02). Conclusion: Hospital noise levels are higher than recommended levels for sensitive zones as per national guidelines and exceed levels inside wards as stipulated by WHO. More than half the study population were annoyed by workplace noise indicating need for interventions. A study throughout the hospital to study noise levels and annoyance among staff following similar methodology is feasible and necessary.