Noroozi Tabrizi Nejad, Fatemeh

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    داﻧﺸﮕﺎه ﻋﻠﻮم ﭘﺰﺷﮑﯽ  و ﺧﺪﻣﺎت ﺑﻬﺪاﺷﺘﯽ درﻣﺎﻧﯽ ﮐﺮﻣﺎن  داﻧﺸﮑﺪه ﻣﺪﯾﺮﯾﺖ و اﻃﻼع رﺳﺎﻧﯽ  ﭘﺎﯾﺎن ﻧﺎﻣﻪ ﻣﻘﻄﻊ ﮐﺎرﺷﻨﺎﺳﯽ ارﺷﺪ رﺷﺘﻪ اﻧﻔﻮرﻣﺎﺗﯿﮏ ﭘﺰﺷﮑﯽ    ﻋﻨﻮان  ی ﻧﻮﯾﺰ ﺗﺤﻤﯿﻠﯽ ﺑﻪ ﻧﻮزادان ﻧﺎرس ﻃﺮاﺣﯽ، ﺳﺎﺧﺖ و ارزﯾﺎﺑﯽ ﺳﯿﺴﺘﻢ ﭘﺎﯾﺸﮕﺮ ﭘﯿﻮﺳﺘﻪ    ﺗﻮﺳﻂ  ﻓﺎﻃﻤﻪ ﻧﻮروزی ﺗﺒﺮﯾﺰی ﻧﮋاد    اﺳﺘﺎد راهﻨﻤﺎ  ﮐﺎﻣﺒﯿﺰ ﺑﻬﺎاﻟﺪﯾﻦ ﺑﯿﮕﯽ  اﺳﺘﺎد ﻣﺸﺎور  ﺣﺪﯾﺚ ﻣﺤﺴﻨﯽ ﺗﮑﻠﻮ  ٨٩٣١ﺳﺎل ﺗﺤﺼﯿﻠﯽ:   ٠١/٩٢/١٩۶ﺷﻤﺎره ﭘﺎﯾﺎن ﻧﺎﻣﻪ:        ﭼﮑﯿﺪه ﻓﺎرﺳﯽهﺮ ﺳﺎﻟﻪ ﺗﻌﺪاد زﯾﺎدی ﮐﻮدک ﻧﺎرس در ﺟﻬﺎن ﻣﺘﻮﻟﺪ ﻣﯽ ﺷﻮﻧﺪ ﮐﻪ ﺑﺨﺎﻃﺮ ﻋﺪم آﻣﺎدﮔﯽ روﯾﺎروﯾﯽ ﺑﺎ ﺷﺮاﯾﻂ  ﻣﻘﺪﻣﻪ: ﻧﻮزادان ﻧﮕﻬﺪاری وﺟﻮد ﺑﺎ(،  ﻧﮕﻬﺪاری ﺷﻮﻧﺪ. ١UCINدﻧﯿﺎی واﻗﻌﯽ ﻻزم اﺳﺖ در ﺑﺨﺶ ﻣﺮاﻗﺒﺘﻬﺎی وﯾﮋه ی ﻧﻮزادان)ﯾﮑﯽ از ﻋﻮاﻣﻞ  .ﻧﯿﺴﺖ اﺳﺘﺎﻧﺪارد و ﻣﻨﺎﺳﺐ ﻧﻮزادان ﺑﺮای ﺑﺨﺶ اﯾﻦ ﺷﺮاﯾﻂ ﻣﻮارد اﻏﻠﺐ در ،UCIN در ﻧﺎرسﻣﺨﺪوش ﮐﻨﻨﺪه اﺳﺘﺎﻧﺪارد ﻣﺤﯿﻄﯽ ﮐﻪ ﺗﺎﺛﯿﺮ ﺑﺴﯿﺎر ﺑﺪی ﺑﺮ ﺛﺒﺎت ﻓﯿﺰﯾﻮﻟﻮژﯾﮏ ﻧﻮزادان ﻧﺎرس دارد، ﻧﻮﯾﺰ اﺳﺖ. ﻧﻮﯾﺰ ﮐﻨﻮن راهﮑﺎرهﺎی ﻣﺨﺘﻠﻔﯽ ی زﻧﺪﮔﯽ آﻧﻬﺎ دارد. ﺗﺎﺗﺎﺛﯿﺮات ﻣﺨﺮﺑﯽ ﺑﺮ ﻧﻮزادان ﻧﺎرس ﭼﻪ ﭘﯿﺶ از ﺗﻮﻟﺪ و ﭼﻪ در اداﻣﻪﺑﮑﺎر ﺑﺴﺘﻪ ﺷﺪه اﺳﺖ. اﻣﺎ هﻨﻮز ﺳﯿﺴﺘﻤﯽ ﺑﺮای ﭘﺎﯾﺶ داﺋﻤﯽ ﻧﻮﯾﺰهﺎی ﺗﺤﻤﯿﻠﯽ  UCINﺑﺮای ﮐﺎهﺶ ﻧﻮﯾﺰ ﻣﺤﯿﻄﯽ در . ﺑﺪون وﺟﻮد ﭼﻨﯿﻦ ﺳﯿﺴﺘﻤﯽ، اﻣﮑﺎن ﺳﻨﺠﺶ ﺑﻬﺘﺮﯾﻦ راهﮑﺎرهﺎ ﺑﺮای ﮐﺎهﺶ ﺑﻪ ﻧﻮزادان ﻧﺎرس ﺳﺎﺧﺘﻪ ﻧﺸﺪه اﺳﺖﮐﻪ در  و ﺑﺮﻧﺎﻣﻪ رﯾﺰی ﺑﺮای ﻣﺸﮑﻼت آﺗﯽ ﻧﻮزادان ﻧﺎرﺳﯽ ﺳﯿﺎﺳﺖ ﮔﺬاریﻧﻮﯾﺰ، ﺑﺮرﺳﯽ ﺛﺒﺎت راهﮑﺎرهﺎی اﺗﺨﺎذ ﺷﺪه، وﺟﻮد ﻧﺨﻮاهﺪ داﺷﺖ. ﻟﺬا هﺪف ﻣﺎ  هﺴﺘﻨﺪ و ﺑﺴﯿﺎری روﺷﻬﺎی ﺟﺒﺮاﻧﯽ و ﭘﯿﺸﮕﯿﺮی UCINﻣﻌﺮض ﻧﻮﯾﺰهﺎی ﻣﺤﯿﻄﯽ   ی ﻧﻮﯾﺰ ﺗﺤﻤﯿﻠﯽ ﺑﻪ ﻧﻮزادان ﻧﺎرس اﺳﺖ.ﺳﺎﺧﺖ ﺳﯿﺴﺘﻢ ﭘﺎﯾﺸﮕﺮ ﭘﯿﻮﺳﺘﻪاﻧﺠﺎم ﺷﺪ. ﺑﺮای ﯾﺎﻓﺘﻦ ﻣﻌﯿﺎرهﺎی ﻻزم ﺑﺮای  UCINﻣﻨﻈﻮر ﭘﺮ ﮐﺮدن ﺧﻼء درک ﺷﺪه در ﺑﻪ : اﯾﻦ ﻣﻄﺎﻟﻌﻪ روش ﮐﺎر،  esabmE،  deMbuPهﺎی ﯾﻦ ﻣﻨﻈﻮر ﭘﺎﯾﮕﺎهﺑﺪﺳﺎﺧﺖ دﺳﺘﮕﺎه ﭘﺎﯾﺸﮕﺮ ﻧﻮﯾﺰ ، اﺑﺘﺪا ﻣﻄﺎﻟﻌﺎت ﮔﺬﺷﺘﻪ ﻣﺮور ﺷﺪﻧﺪ. -ی ﻧﻮﯾﺰ در ﺣﯿﻄﻪاﻧﺘﺨﺎب ﺷﺪﻧﺪ و ﺟﺴﺘﺠﻮ ﺑﻪ دﻧﺒﺎل ﯾﺎﻓﺘﻦ ﭘﺎﺳﺦ ﺑﻪ ﺳﻮال "ﭘﺎﯾﺶ ﭘﯿﻮﺳﺘﻪ  EEEIو   ecneiS fo beWهﺎی ﺗﺠﻬﯿﺰات اﺳﺘﻔﺎده ﺷﺪه و ای اﻧﺠﺎم ﺷﺪه اﺳﺖ؟"، ﺻﻮرت ﮔﺮﻓﺖ. ﺿﻌﻒﮐﻤﮏ ﭼﻪ وﺳﯿﻠﻪ ی ﻣﺮاﻗﺒﺖ ﺑﻬﺪاﺷﺘﯽ ﺑﺎ 6628PSEو  ﻣﺎژول  226UCMJC،  60-HHاﺳﺘﻨﺒﺎط ﺷﺪ. ﺑﺮای ﺳﺎﺧﺖ دﺳﺘﮕﺎه از ﺣﺴﮕﺮهﺎی  UCINﻧﯿﺎز و ﺑﺎﻧﮏ اﻃﻼﻋﺎﺗﯽ در  ٩١٠٢ﻧﺮم اﻓﺰار ﻣﺮﮐﺰی ﺑﺼﻮرت ﺗﺤﺖ وب در ﻣﺤﯿﻂ وﯾﮋوال اﺳﺘﻮدﯾﻮ هﻤﭽﻨﯿﻦ اﺳﺘﻔﺎده ﺷﺪ.   ﮔﯿﺮی ﺷﺪ.اﻧﺪازه ٢ATPﻧﻮﺷﺘﻪ ﺷﺪﻧﺪ. ﺻﺤﺖ و دﻗﺖ دﺳﺘﮕﺎه ﺑﺎ ﮐﻤﮏ ﺗﺴﺖ ﺷﻨﻮاﯾﯽ ﺳﻨﺠﯽ  2r 8002 revres LQS                                                             tinU eraC evisnetnI latanoeN 1 yrtemoiduA enoT eruP 2ﻣﻘﺎﻟﻪ  ٧٣ﻣﺮور،  ﻣﺮﺣﻠﻪ ﻣﻘﺎﻟﻪ ﺑﺪﺳﺖ آﻣﺪ. ﭘﺲ از ﺳﻪ  ٢٨٧در ﻣﺠﻤﻮع ﭘﺲ از ﺣﺬف ﻣﻘﺎﻻت ﺗﮑﺮاری ﺗﻌﺪاد ﯾﺎﻓﺘﻪ هﺎ: و  retemisoDاز ﺟﻤﻠﻪ ﻣﯿﮑﺮوﻓﻮن،  هﺎی ﻣﺨﺘﻠﻔﯽاﻧﺘﺨﺎب ﺷﺪه و وارد ﻣﻄﺎﻟﻌﻪ ﺷﺪﻧﺪ. ﺑﺮای ﺳﻨﺠﺶ ﻧﻮﯾﺰ از دﺳﺘﮕﺎهای ﻣﻨﺎﺳﺐ ﺗﺮ از ﺳﻨﺴﻮرهﺎی آﻧﺎﻟﻮگ ﺑﻮدﻧﺪ. اﺳﺘﻔﺎده ﺷﺪه ﺑﻮد. ﺳﻨﺴﻮرهﺎی ﺳﺮﯾﺎل ﺑﻪ دﻟﯿﻞ ﺧﺮوﺟﯽ داده MLSو ﺿﺮﯾﺐ هﻤﺒﺴﺘﮕﯽ  ۶۴٩٫٠ﺣﺎﮐﯽ از ﺗﻮاﻓﻖ ﺑﯿﻦ اﯾﻦ ﺗﺴﺖ و ﻋﻤﻠﮑﺮد ﭘﺎﯾﺸﮕﺮ ﺑﺎ ﺿﺮﯾﺐ هﻤﺒﺴﺘﮕﯽ  ATPﻧﺘﺎﯾﺞ ﺗﺴﺖ   .ﺑﻮد ٧۴٨٫٠درون ﮐﻼﺳﯽ در ﺳﻄﺢ ﺟﻬﺎن اﺳﺖ  UCINﻧﻮﯾﺰ ﻣﻮاﺟﻬﻪ ﻧﻮزادان ﺑﺎ ی ﺳﺎﺧﺘﻪ ﺷﺪه ﺑﻪ ﻣﻨﻈﻮر ﭘﺎﯾﺶ اﯾﻦ ﺳﯿﺴﺘﻢ اوﻟﯿﻦ ﻧﻤﻮﻧﻪ ﻧﺘﺎﯾﺞ:ﻣﯽ ﺑﺎﺷﺪ. اﯾﻦ ﺳﯿﺴﺘﻢ اﻣﮑﺎن ﻣﺪﯾﺮﯾﺖ، ﺑﺮﻧﺎﻣﻪ  MLSهﺎﯾﯽ از ﺟﻤﻠﻪ ی ﺳﺎﺧﺖ آن ﺑﺴﯿﺎر ﮐﻤﺘﺮ از دﺳﺘﮕﺎهو هﺰﯾﻨﻪاﯾﻦ اﺧﺘﺮاع  ن آن را ﻓﺮاهﻢ ﻣﯽ ﮐﻨﺪ. و ﻣﺮاﺟﻌﺎ UCINو روﯾﮑﺮد ﺑﻬﺘﺮ درﻣﺎﻧﯽ و اﻗﺘﺼﺎدی ﺑﺮای  ﺳﯿﺎﺳﺖ ﮔﺬاریرﯾﺰی،   در ﺳﺎزﻣﺎن ﺛﺒﺖ اﺳﻨﺎد و اﻣﻼک ﮐﺸﻮر ﺛﺒﺖ ﮔﺮدﯾﺪ. ٩١٢٩٩ی ﺑﺎ ﺷﻤﺎره ، ﭘﺎﯾﺸﮕﺮUCIN ﻧﺎرس، ﻧﻮﯾﺰ، ﻧﻮزاد، ﮐﻠﯿﺪواژه هﺎ:        Abstract Introduction: Considerable number of premature infants are born in the world. They have to receive care  in Neonatal Intensive Care Unit (NICU) due to their lack of readiness to deal with the real-world. Despite caring premature infants in NICUs, in most cases its conditions is not appropriate and standard for neonates. One of the most co-founding factors on environmental standard which has very bad effect on premature infants's physiological stability is noise. It has devastating effects on premature infants before and afterof birth. As yet several ways have been used to decrease the NICU noise; Nevertheless, there is no system for continuous monitoring of the noises which premature infants are faced to. Without such system evaluating of the best way for reducing noise,  policies and planning for dealing with the future problems of premature infants who are exposed to NICU noises and many other compensatory and preventory ways will not be possible. Therefore we aimed to develop acontinuous noise monitoring system which monitors noises that premature infants are exposed to. Method:  This study was conducted due to the gap perceived in the NICU. At first a review was performed to retrieve  criteria for developing a noise monitoring system. For this purpose, PubMed, Embase, Web of Science and IEEE were selected and were searched for "where and how does in the healthcare field the noise is monitored continuously?". Equipment weaknesses and NICU's needs were defined. HH-06, CJMCU622 and ESP8266 were used to assemble the hardwares. Central softeware was web-based and made in Visual Studio .Net 2019, Database were created in SQL server 2008 r2. Accuracy and precision were measured by Pure Tone Audiometry (PTA) test. Results: after removing  of duplicates, 782 articles remained. Thirty seven articles were included after 3 stagesreviews. Different devices had been used for noise measuring such as microphone, noise dosimeter and SLM. Serial sensors were more suitable than analog ones due to data output.  In our study, PTA results showed high agreement in Correlation Coefficient by 0.946 and Intraclass Correlation Coeffieient by 0.847. Discussion: :. This is the first system for monitoring the noise neonatals are exposed to in NICU in the world and it cost is too fewer than devices such SLM. This system provides management, planning, policies and better therapeutic and economic approach for the NICUs and their clients. Our system as a invention registered in Documentation and Real Estate Agency by No. 99219 Keywords: Noise, Neonatal, Premature, NICU, Monitoring    KERMAN UNIVERSITY OF MEDICAL SCIENCES  Faculty of Management and Medical Informatics In Partial Fulfillment of the Requirement for the Degree(MSc)  Title Designing, Implementing and Evaluating Continuous Premature Infants Noise Monitoring System  By Fatemeh Noroozi Tabrizi Nejad Supervisor Kambiz Bahaadini Advisor Hadis Mohseni Takallou 

طراحی، ساخت و ارزیابی سیستم پایشگر پیوسته ی نویز تحمیلی به نوزادان نارس

http://eprints.kmu.ac.ir/32217/1/7574.pdf

طراحی، ساخت و ارزیابی سیستم پایشگر پیوسته ی نویز تحمیلی به نوزادان نارس

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