Hemşire ve Diğer Sağlık Personelinin Cerrahi Dumana Yönelik Bilgi Düzeyleri ve Yaşam Kalitesinin İncelenmesi: Kesitsel Çalışma

Öz

Amaç: Ameliyathanede çalışan hemşire ve diğer sağlık personelinin cerrahi dumana yönelik bilgi düzeyi, yaşam kalitesi ve ilişkili faktörleri belirlemek amaçlandı. Gereç ve Yöntem: Kesitsel, ilişki arayıcı nitelikte planlanan araştırma 14/02/2022 – 28/02/2022 tarihleri arasında, Eskişehir ve Kocaeli illerinde yer alan üniversite hastanelerinin ameliyathanelerinde görev yapan 125 hemşire ve diğer sağlık personeli ile gerçekleştirildi. Araştırmada veri toplamak amacıyla “Kişisel Veri Toplama Formu” ve “Dünya Sağlık Örgütü Yaşam Kalitesi Ölçeği-Kısa Form” kullanıldı. Nitel değişkenler frekans, yüzde ve nicel değişkenler ise ortalama ± standart sapma ve medyan ile ifade edildi. Grup karşılaştırmaları Tek Yönlü Varyans Analizi, Mann Whitney U testi, Kruskal Wallis testi ile değerlendirildi. Nicel değişkenler arasındaki ilişki Spearman korelasyon analizi ile belirlendi. Bulgular: Katılımcıların %64,8’inin kadın, %42,4’ünün hemşire, %45,6’sının haftada 40 saat çalıştığı, %71,2’sinin cerrahi dumana yönelik eğitim almadığı, %76,8’inin cerrahi dumana maruziyet sonrası semptom yaşadığı belirlendi. Bilgi Puan Ortalaması ile yaşam kalitesi puanları arasında istatistiksel olarak anlamlı bir ilişki saptanmadı (p>0,05). Ameliyathanede çalışma süresinin 21 yıl ve üzerinde olmasının yaşam kalitesinin çevresel alan alt boyutu ile; sadece gündüz vardiyasında çalışmanın ise yaşam kalitesinin bedensel alan alt boyutu ile ilişkili olduğu belirlendi. Ameliyathanede çalışma süresinin 0-5 yıl olması, 21 yıl ve üzerinde olmasına göre bilgi puan ortalamasını 4,9 kat arttırdığı belirlendi (%95 GA; p=0,02). Sonuç: Bu çalışma sonucunda cerrahi dumana yönelik bilgi düzeyinin iyi, yaşam kalitesinin ortalamanın üstünde olduğu, ameliyathanede çalışma yılı, vardiyalı çalışma ve haftalık çalışma saatinin ise personelin cerrahi duman bilgi düzeyi ve yaşam kalitesi ile ilişkili faktörler olduğu belirlendi. Bu faktörlerin cerrahi dumanın zararlı etkilerinden korunmak için planlanacak eğitimlerde ele alınması, yaşam kalitesinin arttırılmasında ve cerrahi dumana maruziyetin azaltılmasına yönelik alınacak önlemlerde de göz önünde bulundurulması önerilir. Bu çalışmanın ameliyathane personelinin farkındalığının artması ile ameliyathane salonlarındaki önlemlerin etkinliğinin sorgulanması ve cerrahi dumanın fiziksel etkilerinin dışında da değerlendirilebilmesine olanak sağlanması açısından literatüre katkı sağlayacağı düşünülmektedir.

Anahtar Kelimeler

• yaşam kalitesi
• cerrahi
• duman
• bilgi

Investigation of Knowledge Level and Quality of Life of Nurse and Other Healthcare Personnel on Surgical Smoke: Cross-sectional Study

Öz

Aim: The aim of this study was to determine the knowledge level, quality of life and related factors of nurses and other healthcare personnel working in the operating room about surgical smoke. Materials and Methods: The study, which was planned as a cross-sectional, correlational study, has been conducted between 02/14/2022 - 02/28/2022 with 125 nurses and other healthcare personnel working in the operating rooms of Eskişehir and Kocaeli University Hospitals. “Personal Data Collection Form” and “World Health Organisation Quality of Life Scale-Short Form” were used to collect data in the study. Qualitative variables were expressed as frequency, percentage and quantitative variables were expressed as mean±standard deviation and median. Group comparisons were evaluated by One-Way Analysis of Variance, Mann Whitney U test and Kruskal Wallis test. The relationship between quantitative variables was determined by Spearman correlation analysis. Results: It was determined that 64.8% of the participants were female, 42.4% were nurses, 45.6% worked 40 hours a week, 71.2% did not receive training on surgical smoke, and 76.8% experienced symptoms after surgical smoke exposure. No statistically significant correlation was found between the mean knowledge score and quality of life scores (p>0.05). It was determined that working in the operating room for 21 years or more was associated with the environmental domain sub-dimension of quality of life, and working only in the day shift was associated with the physical domain sub-dimension of quality of life. Working in the operating room for 0-5 years increased the mean knowledge score 4.9 times more than working in the operating room for 21 years or more (OR=4.93; p=0.02). Conclusion: As a result of this study, it was determined that the level of knowledge about surgical smoke has been good, Quality of life was above average, and years of working in the operating room, shift work and weekly working hours were factors associated with the level of knowledge about surgical smoke and quality of life. It is recommended that these factors should be addressed in the trainings to be planned to protect against the harmful effects of surgical smoke and should be taken into consideration in the measures to be taken to improve quality of life and reduce exposure. It is thought that this study will contribute to the literature in terms of increasing the awareness of the operating theatre staff, questioning the effectiveness of the precautions in the operating theatre halls and enabling the evaluation of surgical smoke other than its physical effects.

Anahtar Kelimeler

• surgery
• smoke
• knowledge
• quality of life

Kaynakça

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