MERKEZİ STERİLİZASYON ÜNİTESİNDE ÇALIŞAN SAĞLIK PROFESYONELLERİNDE ERGONOMİK RİSK FAKTÖRLERİ VE KAS İSKELET SİSTEMİ SORUNLARI

Yıl 2024, Cilt: 13 Sayı: 3, 1078 - 1086, 26.09.2024

Doğan Beysir , Esra Eren

https://doi.org/10.37989/gumussagbil.1370389

Öz

Bu çalışma merkezi sterilizasyon ünitesinde çalışan sağlık profesyonellerinde ergonomik risk faktörlerini ve kas iskelet sistemi sorunlarını belirlemek amacıyla yapılmıştır. Çalışma tanımlayıcı kesitsel tiptedir. Araştırmanın örneklemini İstanbul'da özel bir sağlık grubuna bağlı yedi hastanenin merkezi sterilizasyon ünitesinde çalışan 87 sağlık çalışanı oluşturmuştur. Veriler Şubat-Eylül 2020 tarihleri arasında sosyodemografik özellikler formu, geçerliliği ve güvenilirliği yapılmış Ergonomik Risk Faktörleri ve Kas İskelet Sistemi Bozuklukları Ölçeği (ERKİSO) ve Cornell Kas İskelet Sistemi Bozuklukları Ölçeği (T-CMDQ) kullanılarak yüz yüze görüşme yöntemi ile toplanmıştır. Verilerin değerlendirilmesinde faktör analizi, tanımlayıcı istatistikler, Mann Whitney U testi, Kruskal-Wallis H testi, post-Hoc analiz testi ve korelasyon testi kullanılmıştır. Tüm analizlerde anlamlılık düzeyi p<0,05 olarak kabul edilmiştir. Elde edilen verilere göre merkezi sterilizasyon ünitesinde çalışan sağlık profesyonellerinin T-CMDQ genel puan ortalamaları incelendiğinde ayak bölgesi yüksek (6,87±9,43), el bölgesi ise düşük (1,82±4,38) olarak belirlenmiştir. Sağlık çalışanlarının ERKİSO toplam boyut puanları yüksek, fiziksel ortam düzeni, uygun ekipman kullanımı alt boyut puanları düşük, performans etkinliği alt boyut puanları ise orta düzeyde bulunmuştur. Sağlık profesyonellerinin T-CMDQ puan ortalamalarının düşük olduğu, sağlık profesyonellerinin bazı sosyo-demografik özelliklerine göre ERKİSO ve T-CMDQ puan ortalamaları arasında anlamlı farklılıklar olduğu tespit edilmiştir. Yapılan analizler sonucunda ERKİSO'nun güvenilir ve geçerli bir ölçüm aracı olduğu tespit edilmiştir.

Anahtar Kelimeler

iş sağlığı ve güvenliği, kas iskelet sistemi, merkezi sterilizasyon ünitesi., Ergonomi

Etik Beyan

Araştırmanın yürütülmesinde etik ihlal yapılmamış olup, gerekli tüm izinler alınmıştır.

Ergonomic Risk Factors and Musculoskeletal System Problems In Healthcare Professionals Working In Central Sterilization Unit

Öz

This study was conducted to determine ergonomic risk factors and musculoskeletal system problems in healthcare professionals working in the central sterilization unit. The study is of descriptive cross-sectional type. The sample of the study consisted of 87 health professionals working in the central sterilization unit of seven hospitals of a private health group in Istanbul. Data were collected by face-to-face interview method using the sociodemographic characteristics form, the validated and reliable Ergonomic Risk Factors and Musculoskeletal Disorders Scale (ERKISO) and the Cornell Musculoskeletal Disorder Scale (T-CMDQ) between February and September 2020. Factor analysis, descriptive statistics, Mann Whitney U test, Kruskal-Wallis H test, post-Hoc analysis test and correlation test were used in the evaluation of the data. The level of significance was accepted as p<0.05 in all analyzes. According to the data obtained, when the T-CMDQ general score averages of healthcare professionals working in the central sterilization unit were examined, the foot region was determined as high (6.87±9.43), while the hand region was low (1.82±4.38). determined. While health professionals' ERKISO total dimension scores were high, physical environment order, use of appropriate equipment sub-dimension scores were low, performance effectiveness sub-dimension scores were moderate. It was found that the mean T-CMDQ scores of health professionals were low, and there were significant differences between the mean scores of ERKISO and T-CMDQ according to some socio-demographic characteristics of health professionals. As a result of the analyzes made, it was found that ERKISO is a reliable and valid measurement tool.

Anahtar Kelimeler

Ergonomics, Central Sterilization Unit, Musculoskeletal System, Occupational Health and Safety.

Kaynakça

• 1. Karadayı, A, Aydın, K. and Üçüncü, Osman. (2009). “Examination of Hospital Risky Areas (Operating Room, Intensive Care Unit and Sterilization Unit) Planning/Design and Medical Waste Management in Terms of Infection”. 6th National Sterilization Disinfection Congress, 1-5 April, DAS, Antalya.
• 2. DAS Association. Disinfection and Sterilization Guide. (2015). www.das.org.tr/kitaplar.
• 3. Arslanoğlu, A. ve Urk, M. (2015). “Employee Safety in the Central Sterilization Unit”. Journal of Health Academics, 2(4): 194-203.
• 4. Disinfection, Antisepsis, Sterilization Association. Disinfection Antisepsis Sterilization Guide, (2019).
• 5. Özcan, E. ve Kesiktaş, N. (2007). “Occupational Musculoskeletal Diseases Prevention and Ergonomics”. Journal of Occupational Health and Safety, 34:6-9.
• 6. Taşçıoğlu, İ. (2007). “Risks Caused by Work and Working Environment in Lüleburgaz State Hospital and Lüleburgaz 82nd Year State Hospitals and Determination of Nurses' Perception Levels of These Risks”. Trakya University, Institute of Health Sciences, Department of Public Health, Master's Thesis, Edirne.
• 7. Şirzai, H, Doğu, B, Erdem, P, Yılmaz, F. ve Kuran, B. (2015). “Work-Related Musculoskeletal Diseases in Hospital Employees: Upper Extremity Problems”. Şişli Hamidiye Etfal Training and Research Hospital Medical Bulletin, 49(2): 135-141.
• 8. Özcan, E, Esmaeilzadeh, S, ve Başat, H. (2011). “Upper extremity work-related musculoskeletal diseases in computer users and the effectiveness of ergonomics intervention”. Turkish Physician Medicine Rehab Journal.; 57:236-241.
• 9. Erdinç, O, Hot, K. ve Özkaya, M. (2011). “Turkish version of the cornell musculoskeletal discomfort questionnaire: Cross cultural adaptation and validation”. Work, 39(3),251-60.
• 10. Tinubu, BMS, Mbada, C.E, Oyeyemi, A.L. ve Fabunni, A,A. (2010). “Work-Related Musculoskeletal Disorders among Nurses in Ibadan, South- west Nigeria: a cross- sectional survey”. BMC Musculoskeleltal Disorders, 11(12):1-8.
• 11. Tezel, A. (2005). “Musculoskeletal complaints among a group of Turkish nurses”. Int j Neurosci; 115: 871-880.
• 12. Hou, J.Y. ve Shiao, JSC. (2006). “Risk factors for musculoskeletal discomfort in nurses”. J Nurs Res; 14 (3): 228-236. 13. Smith, D.R, Mihashi, M, Adachi, Y, Koga, H. ve Ishitake, T. (2006). “A detailed analysis of musculoskeletal disorder risk factors among Japanese nurses”. J Safety Res; 37: 195-200.
• 14. Yip, V. Y. B. (2004). “New low back pain in nurses: work activities, work stress and sedentary lifestyle”. JAN Informing Practice and Policy Worldwide Through Research and Scholarship, 430-440.
• 15. Deniz, F, Alçelik, A, Yeşildal, N, Mayda, A. S. ve Ayakta Şerifi, B. (2005). “Health survey and life habits of nurses who work at the medical faculty hospital at AIBU”. TAF Preventive Medicine Bulletin, 4(2), 55-65.
• 16. Yörükoğlu, K, Sayıner, A. ve Akalın, E. (2005). “ Occupational health hazards and safety guidelines in histopathology laboratory”. Aegean Pathology Journal 2; 98-115.
• 17. İlçe, A. (2007). “Investigation of Ergonomic Factors in Intensive Care Units”. Ege University, Institute of Health Sciences, PhD Thesis, İzmir.
• 18. Öztürk, H, Babacan, E, Anahar, E. Ö. (2012). “Occupational Safety of Health Personnel Working in the Hospital”. Gümüşhane University Journal of Health Sciences /Gümüşhane University Journal of Health Sciences: 2012;1(4) pp:1.
• 19. Karahan, A, Kav, S, Abbasoglu, A. ve Dogan, N. (2009). “Low back pain: prevalence and associated risk factors among hospital staff”. Journal of Advanced Nursing, 65(3), 516-524.
• 20. Cımbız, A, Uzgören, N, Aras, Ö, Öztürk, S, Elem, E. ve Aksoy, CC. (2007). “Determination of risk factors for pain in the musculoskeletal system by logistic regression analysis: a pilot study”. Physiotherapy Rehabilitation 2007;18 (1): 20-27.
• 21. Duyum, A. (2018). “Determining the factors that cause work-related musculoskeletal disorders in healthcare workers by numerical methods”. Mersin University, Institute of Science and Technology, Department of Occupational Health and Safety.
• 22. Yip, Y.B. (2002). “The association between psychosocial work factors and future low back pain among nurses in Hong Kong: a prospective study”. Psychology, Health & Medicine, 7(2),223-233.