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Cerrahi Dumanın Ameliyathane Çalışanlarına Etkisi

Year 2021, Volume: 5 Issue: 1, 80 - 85, 03.04.2021
https://doi.org/10.29058/mjwbs.799170

Abstract

Amaç: Bu araştırma, ameliyathane çalışanlarının cerrahi duman konusunda görüşlerini belirlemek ve
cerrahi dumanın etkilerine maruz kalan sağlık çalışanlarında meydana gelen belirtileri, bulguları ve
aldıkları önlemleri saptamak amacıyla yapılmıştır.
Gereç ve Yöntemler: Tanımlayıcı tipte olan araştırma Kasım 2019-Ocak 2020 tarihleri arasında
gerçekleştirilmiştir. Araştırma KKTC’de bir üniversite hastanesindeki 67 ameliyathane çalışanı (doktor,
hemşire, sağlık teknisyeni) ile tamamlanmıştır. Araştırma verileri, sosyodemografik özellikler ve cerrahi
duman ile ilgili soruları içeren anket formu kullanılarak toplanmıştır. Verilerin analizinde tanımlayıcı
istatistikler kullanılmıştır.
Bulgular: Araştırma kapsamına alınan bireylerin %82,1’i cerrahi dumana maruz kaldığını düşünmektedir.
Cerrahi dumana maruz kalan bireylerin; baş ağrısı (%47,8), bulantı (%35,8), öksürük ve boğazda yanma
(%31,3), göz iritasyonu ve yaşarması (%29,9) ve solunum problemi (%22,4) yaşadıkları saptanmıştır.
Çalışanların cerrahi dumandan korunmak için cerrahi maske (%77,6), aspirasyon kateteri (%55,2),
önlük (%28,4) ve gözlük (%26,9) kullandığı ayrıca cerrahi duman hakkında eğitim almak istedikleri
(%77,6) görülmüştür.
Sonuç: Ameliyathanelerde cerrahi dumandan korunmaya yönelik alınan önlemlerin yetersiz olduğu ve
çalışanların birçok semptom yaşadığı görülmüştür. Ameliyathanelerde cerrahi dumandan korunmaya
yönelik önlemlerin alınması ve yazılı protokollerin oluşturulması önerilmektedir.

Supporting Institution

Yazarlar bu çalışma için herhangi finansal destek almadıklarını beyan etmişlerdir.

Thanks

Yazarlar çalışmaya katılmayı kabul eden ameliyathane çalışanlarına teşekkür eder.

References

  • Aktaş YY, Aksu D. Ameliyathane hemşirelerinin cerrahi dumana maruz kalma durumları ve korunmaya yönelik aldıkları önlemler. Balıkesir Sağlık Bil Derg. 2019;8(3):123-128.
  • Usta E, Aygin D, Bozdemir H, Uçar N. Ameliyathanelerde cerrahi dumanın etkileri ve korunmaya yönelik alınan önlemler. HSP. 2019;6(1):17-24.
  • Olgun Ş. Cerrahi duman, alınacak önlemler ve çalışan farkındalığı. Journal of Awareness. 2020;5(1):65-70.
  • York K, Autry M. Surgical smoke: putting the pieces together to become smoke-free. AORN J. 2018;107(6):692-703.
  • Alcan AO, Giersbergen MY, Tanıl V, ve ark.. Bir üniversite hastanesinde cerrahi duman riskleri ve koruyucu önlemlerin incelenmesi. EGEHFD. 2017;33(2):27-35.
  • Mowbray N, Ansell J, Warren N, Wall P, Torkington J. Is surgical smoke harmful to theater staff? A systematic review. Surg Endosc. 2013;27:3100-3107.
  • Fencl JL. Guideline implementation: surgical smoke safety. AORN J. 2017;105(5): 488-97.
  • Cheng J, Niu X, Zhang R, et al.. Experimental study on influence of personnel activity and surgical smoke on indoor environment inside clean operating room, International Journal of Ventilation. 2020. doi: 10.1080/14733315.2019.1704539
  • Giersbergen MY, Alcan AO, Kaymakci S, Ozsaker E, Dirimese E. Investigation of surgical smoke symptoms and preventive measures in Turkish operating rooms. Int J Health Sci Res. 2019;9(1):138-144.
  • Hahn KY, Kang DW, Azman ZAM, Kim SY, Kim SH. Removal of hazardous surgical smoke using a built-in-filter trocar: a study in laparoscopic rectal resection. Surg Laparosc Endosc Percutan Tech. 2017;27(5):341-345.
  • Ünver S, Yıldızeli Topçu S, Yıldız Fındık Ü. Surgical smoke, me and my circle. International Journal of Caring Sciences. 2016;9(2):697- 703.
  • OSHA. Laser/Electrosurgery Plume. Erişim: https://www.osha.gov/SLTC/laserelectrosurgeryplume/index.html Erişim Tarihi:25 Nisan 2020.
  • Guideline for surgical smoke safety. In: Guidelines for Perioperative Practice. Denver, CO: AORN. Inc; 2017:477-506.
  • ECRI Institute. Laser Use and Safety. (updated 2017 Sept 26). Erişim: https://www.ecri.org/search-results/member-preview/hrc/pages/surgan17/. Erişim Tarihi: 22 Nisan 2020.
  • Steege AL, Boiano JM, Sweeney MH. Second hand smoke in the operating room? Precautionary practices lacking for surgical smoke. Am J Ind Med. 2016;59(11):1020-1031.
  • Steege AL, Boiano JM, Sweeney MH. NIOSH health and safety practices survey of healthcare workers: training and awareness of employer safety procedures. Am J Ind Med. 2014;57(6):640-652.
  • Ilce A, Yuzden GE, Giersbergen MY. The examination of problems experienced by nurses and doctors associated with exposure to surgical smoke and the necessary precautions. J Clin Nurs. 2017;26(11-12):1555–1561.

The Effect of Surgical Smoke on Operating Room Employees

Year 2021, Volume: 5 Issue: 1, 80 - 85, 03.04.2021
https://doi.org/10.29058/mjwbs.799170

Abstract

Aim: This research was carried out to determine the opinions of operating room workers about surgical
smoke and to determine the symptoms, findings and precautions that occurred in health care workers
exposed to smoke.
Materials and Methods: This descriptive study was conducted between November 2019-January 2020.
The research was completed with 67 operating room employees (doctors, nurses, health technicians)
in a university hospital in the TRNC. The research data were collected using a questionnaire containing
questions about sociodemographic features and surgical smoke. Descriptive statics were used in the
analysis of the data.
Results: 82.1% of individuals think that they are exposed to surgical smoke. Among individuals exposed
to surgical smoke; They experienced headache (47.8%), nausea (35.8%), cough and throat burning
(31.3%), eye irritation and epiphora (29.9%) and respiratory problem (22.4%). It has been observed
that employees have used surgical masks (77.6%), aspiration catheter (55.2%), gowns (28.4%) and
medical goggles (26.9%) and they want to receive training on surgical smoke (77.6%) to protect from
surgical smoke.
Conclusion: It has been observed that the measures taken for surgical smoke protection in the operating rooms were insufficient and the employees experienced many symptoms. It is recommended to take precautions for surgical smoke protection and to establish written protocols in the operating rooms.

References

  • Aktaş YY, Aksu D. Ameliyathane hemşirelerinin cerrahi dumana maruz kalma durumları ve korunmaya yönelik aldıkları önlemler. Balıkesir Sağlık Bil Derg. 2019;8(3):123-128.
  • Usta E, Aygin D, Bozdemir H, Uçar N. Ameliyathanelerde cerrahi dumanın etkileri ve korunmaya yönelik alınan önlemler. HSP. 2019;6(1):17-24.
  • Olgun Ş. Cerrahi duman, alınacak önlemler ve çalışan farkındalığı. Journal of Awareness. 2020;5(1):65-70.
  • York K, Autry M. Surgical smoke: putting the pieces together to become smoke-free. AORN J. 2018;107(6):692-703.
  • Alcan AO, Giersbergen MY, Tanıl V, ve ark.. Bir üniversite hastanesinde cerrahi duman riskleri ve koruyucu önlemlerin incelenmesi. EGEHFD. 2017;33(2):27-35.
  • Mowbray N, Ansell J, Warren N, Wall P, Torkington J. Is surgical smoke harmful to theater staff? A systematic review. Surg Endosc. 2013;27:3100-3107.
  • Fencl JL. Guideline implementation: surgical smoke safety. AORN J. 2017;105(5): 488-97.
  • Cheng J, Niu X, Zhang R, et al.. Experimental study on influence of personnel activity and surgical smoke on indoor environment inside clean operating room, International Journal of Ventilation. 2020. doi: 10.1080/14733315.2019.1704539
  • Giersbergen MY, Alcan AO, Kaymakci S, Ozsaker E, Dirimese E. Investigation of surgical smoke symptoms and preventive measures in Turkish operating rooms. Int J Health Sci Res. 2019;9(1):138-144.
  • Hahn KY, Kang DW, Azman ZAM, Kim SY, Kim SH. Removal of hazardous surgical smoke using a built-in-filter trocar: a study in laparoscopic rectal resection. Surg Laparosc Endosc Percutan Tech. 2017;27(5):341-345.
  • Ünver S, Yıldızeli Topçu S, Yıldız Fındık Ü. Surgical smoke, me and my circle. International Journal of Caring Sciences. 2016;9(2):697- 703.
  • OSHA. Laser/Electrosurgery Plume. Erişim: https://www.osha.gov/SLTC/laserelectrosurgeryplume/index.html Erişim Tarihi:25 Nisan 2020.
  • Guideline for surgical smoke safety. In: Guidelines for Perioperative Practice. Denver, CO: AORN. Inc; 2017:477-506.
  • ECRI Institute. Laser Use and Safety. (updated 2017 Sept 26). Erişim: https://www.ecri.org/search-results/member-preview/hrc/pages/surgan17/. Erişim Tarihi: 22 Nisan 2020.
  • Steege AL, Boiano JM, Sweeney MH. Second hand smoke in the operating room? Precautionary practices lacking for surgical smoke. Am J Ind Med. 2016;59(11):1020-1031.
  • Steege AL, Boiano JM, Sweeney MH. NIOSH health and safety practices survey of healthcare workers: training and awareness of employer safety procedures. Am J Ind Med. 2014;57(6):640-652.
  • Ilce A, Yuzden GE, Giersbergen MY. The examination of problems experienced by nurses and doctors associated with exposure to surgical smoke and the necessary precautions. J Clin Nurs. 2017;26(11-12):1555–1561.
There are 17 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Research Article
Authors

Nida Aydın 0000-0002-3590-9092

Ufuk Kaya 0000-0002-0911-4886

Ümran Dal Yılmaz 0000-0002-9482-6983

Publication Date April 3, 2021
Acceptance Date January 15, 2021
Published in Issue Year 2021 Volume: 5 Issue: 1

Cite

Vancouver Aydın N, Kaya U, Dal Yılmaz Ü. Cerrahi Dumanın Ameliyathane Çalışanlarına Etkisi. Med J West Black Sea. 2021;5(1):80-5.

Medical Journal of Western Black Sea is a scientific publication of Zonguldak Bulent Ecevit University Faculty of Medicine.

This is a refereed journal, which aims at achieving free knowledge to the national and international organizations and individuals related to medical sciences in publishedand electronic forms.

This journal is published three annually in April, August and December.
The publication language of the journal is Turkish and English.