Occupational Needlestick-Sharp Injuries during Clinical Practice Training and Status of Hepatitis B Immunization in Nursing and Midwifery Students

Yıl 2015, Cilt: 17 Sayı: 2/3, 49 - 63, 01.12.2015

Melek Serpil Talas Semra Kocaöz

Öz

Objective: The aims of this study were to identify the frequency of needlestick/sharps injuries NSISIs in nursing/midwifery students and the rate of Hepatitis B vaccination. Method: This descriptive survey was done on a sample of nursing and midwifery students using selfadministered questionnaire. The frequency and mechanism of needlestick and sharp injuries NSISIs and the prevalence of hepatitis B immunisation were determined retrospectively by surveying a nursing and midwifery school in a university. In May and June 2011. 325 84.5% students were questioned about NSISIs on whether they had experienced during their clinical practice and about their hepatitis B immunisation histories. The data were represented as percentages and analysed using Pearson χ2 -values. Results: 50.8% of the students reported NSISIs in clinical practice. 54.5% of injured students had been injured during or after a procedure. 50.3% of injured students said they hadn’t reported their injury. 27.5% of them reported that the injury occurred when recapping a needle. Overall 77.5% of all respondents had completed their series of vaccinations against hepatitis B. Conclusion: This study showed that students frequently sustain NSISIs and that the hepatitis B immunisation rate was low. The nursing and midwifery students should be trained about ocuppational risk to increase their awareness of and compliance their Universal Precaution and instituting policies so that they are fully immunised againist hepatitis B before begining clinical practice.

Anahtar Kelimeler

Needlestick-sharp injuries, nursing and midwifery students, Hepatitis B immunisation

Hemşirelik ve Ebelik Öğrencilerinin Klinik Uygulama Eğitimleri Sırasında Mesleki Delici-Kesici Yaralanmalar ve Hepatit B Aşılı Olma Durumları

Öz

Amaç: Bu çalışma hemşirelik ve ebelik öğrencilerinde mesleki delici-kesici yaralanmaların sıklığı ve hepatit B bağışıklanma durumlarını belirlemek amacıyla yapıldı. Metod: Tanımlayıcı olarak yapılan bu çalışmada hemşirelik ve ebelik öğrencilerinin kendilerinin doldurdurduğu bir anket uygulandı. Çalışmada bir üniversitenin hemşirelik ve ebelik bölümünde okuyan öğrencilerde delicikesici yaralanmaların sıklığı ve Hepatit B aşılı olma durumları geriye dönük olarak belirlendi. Mayıs–Haziran 2011 tarihlerinde 325 %84,5 öğrenci klinik uygulamalı eğitimleri sırasında delici-kesici yaralanma maruziyeti ve Hepatit B aşılı olma durumları bakımından tarandı. Araştırmanın verileri yüzdelik ve Pearson Ki-Kare kullanılarak değerlendirildi. Bulgular: Öğrencilerin %50,8’i klinik uygulma sırasında delici-kesici yaralanma olduğunu bildirdi. Yaralanan öğrencilerin %54,5’i işlem sırasında ya da işlem sonrasında yaralandığını belirtti. Yaralanmış olan öğrencilerin %50,3’ü yaralanmayı rapor etmediğini söyledi. Bunların %27,5’i iğneyi kılıfına geçirirken yaralandığını bildirdi. Öğrencilerin %77,5’inin Hepatit B’ye karşı aşılanma serisini tamamladığı belirlendi. Sonuç: Bu çalışma öğrencilerde delici-kesici yaralanmaların sıklığının yüksek, hepatit B’ye karşı aşılı olma sıklığının düşük olduğunu dösterdi. Bu nedenle, hemşirelik ve ebelik öğrencilerine Uluslararası Önlemler ile ilgili farkındalıklarını arttırmak ve klinik uygulamaya başlamadan önce hepatit B’ye karşı tam bağışıklama için kurumun işleyişine uyumlarını sağlamak için eğitim yapılmalıdır

Anahtar Kelimeler

Delici-kesici yaralanmalar, hemşirelik ve ebelik öğrencileri, Hepatit B immünizasyonu

Kaynakça

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