Avaliação das condições de conforto ambiental em um hospital público regional de urgência e emergência.

Abstract

This assessment led to the deepening of knowledge about environmental comfort conditions in hospital environments, once the bibliography concerning this matter is limited. The survey was conducted between the months of march to December of 2013 at the hospital were used standards recommendations of NBR 5413/1992 and NBR 10152/1987, the executive project prepared by SUPLAN for conditions of thermal comfort. The selection of sampling points comprised all 49 sectors from the emergency room to the laundry. The analyses were carried out with the aid of equipment: decibel meter and dosimeter for acoustic comfort noise, globe thermometer to the thermal comfort and digital luxímetro for lighting comfort. The thirty measurements performed were divided into two bouts: during the daytime and the other at night. The results were organized and divided in three indicators studied. For the comfort of light were recorded compliance and nonconformities with the NBR 10152/1987, especially the laundry (P6) that obtained grater compliance during the day, at night there was 91,83% of noncompliance throughout the hospital. Acoustic comfort presented compliance, during the daytime period, just at the point P3 (entrance to the Pediatric UTI) of 5%, 20% on storage and 5% at the end of the corridor of the general surgical nursing. At night it was hoped that the reductions in noise levels from the reduction in the flow of people and equipment connected to power grid, there would be compliance of the indicator. The thermal comfort, during the day, was detected in only three points: emergency care, ward burned and medical ward. Already at night the frequency of compliance increased reaching values up to 90% in point P1, 60% in P2 and P3 points of 90% to 100% in wards P7, P8, P9, P11, P14 and P16. Considering the environmental comfort we can conclude that there’s no comfort in the premises of the hospital because of the numerous non-conformities in their sectors. It is recommended that the adequacy of the sectors of the hospital with the installation of luminaires, lamps and window films removal to improve levels of illuminance of environments. Creation and implementation of preventive and educational program geared toward health and reduction of noise in all environments. And the final is creation of a ventilation system for the existing windows environments and unlock. The union of the three indicators results in uncomfortable environments for patients, caregivers and staff, study are needed aiming at the reduction of environmental discomfort and improve the quality of life of all people involved.