Sleep

Impact of Noise Reduction Management on Occupational Protection and Auditory Fatigue in Hospital Central Sterile Supply Department Staff.

TL;DR

Implementation of systematic noise reduction management in hospital CSSD was associated with reduced environmental noise levels, improved occupational protection, alleviation of auditory fatigue, and improvement in sleep quality and overall quality of life among staff members.

Key Findings

Average and maximum noise exposure levels were significantly lower after noise reduction management implementation compared to before.

  • Study involved 40 CSSD staff members from Nanjing Chest Hospital, Affiliated Nanjing Brain Hospital, Nanjing Medical University
  • Conventional management was applied for 12 months (May 2023 to May 2024), followed by combined conventional and noise reduction management for 12 months (June 2024 to June 2025)
  • Reduction in both average and maximum noise exposure levels was statistically significant (P < 0.05)
  • Comparisons were made using paired t-tests within the same cohort of 40 staff

All five dimensions of occupational noise protection status showed significant improvements after noise reduction management.

  • The five dimensions evaluated were: noise protection awareness, implementation of noise protection measures, environmental noise optimisation, distribution and utilisation of noise protection equipment, and noise supervision
  • All five dimensions showed statistically significant improvements (all P < 0.05)
  • A retrospective within-subject design was used with the same cohort of 40 staff serving as their own controls
  • Improvements were assessed by comparing pre- and post-implementation data

Sleep quality as measured by the Pittsburgh Sleep Quality Index (PSQI) significantly improved after noise reduction management.

  • Post-implementation PSQI scores were significantly lower than pre-implementation levels (P < 0.05)
  • Lower PSQI scores indicate better sleep quality
  • The same cohort of 40 CSSD staff was assessed before and after the intervention
  • Statistical analysis was performed using paired t-tests with SPSS 23.0 software

Pure-tone hearing threshold recovery time was notably shorter after noise reduction management, indicating reduced auditory fatigue.

  • Post-implementation pure-tone hearing threshold recovery time was significantly shorter than pre-implementation levels (P < 0.05)
  • Shorter recovery time reflects reduced auditory fatigue among CSSD staff
  • This measure was used as an objective indicator of auditory fatigue
  • The finding applied to all 40 staff members assessed in the cohort

Quality of life as measured by the Generic Quality of Life Inventory-74 (GQOLI-74) significantly improved across all four domains after noise reduction management.

  • The four GQOLI-74 domains assessed were: physical function, social function, psychological function, and material life
  • Scores in all four domains significantly increased after noise reduction management (P < 0.05)
  • The GQOLI-74 was used as the instrument to measure overall quality of life
  • Improvements were observed in the same cohort of 40 CSSD staff using a paired pre-post design

What This Means

This research suggests that workers in hospital central sterile supply departments (CSSDs) — where equipment like washers, sterilizers, and ultrasonic cleaners create significant noise — can benefit meaningfully from structured noise reduction programs. The study followed the same group of 40 hospital staff over two consecutive 12-month periods, first under standard management practices and then under a combined program that added specific noise reduction strategies. After the noise reduction program was introduced, measurable noise levels in the work environment dropped, and workers showed improvements in their awareness and use of hearing protection equipment, as well as better oversight of noise hazards. Beyond just reducing noise levels, this research suggests the program had real effects on workers' health and well-being. Staff showed faster recovery of their hearing after shifts — an indicator that their ears were experiencing less strain and fatigue — and they reported better sleep quality. Their overall quality of life also improved across physical, psychological, social, and material dimensions as measured by standardized questionnaires. These findings held across all 40 participants who served as their own comparison group. This research matters because hospital support staff in environments like CSSDs are often overlooked when it comes to occupational health protections, despite being exposed to persistent loud noise throughout their shifts. The results suggest that a systematic, multi-component approach to noise management — rather than just providing earplugs — may have broader benefits for worker health, including better sleep and quality of life, not just hearing protection. The study's retrospective, single-site design with a small sample means results should be interpreted cautiously, but it highlights an area of workplace health that may warrant greater attention in hospital settings.

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Citation

Wei N, Yuan X, Sun L, Bei W. (2026). Impact of Noise Reduction Management on Occupational Protection and Auditory Fatigue in Hospital Central Sterile Supply Department Staff.. Noise &amp; health. https://doi.org/10.4103/nah.nah_176_25