BİR ÜNİVERSİTE HASTANESİ MESLEK HASTALIKLARI KLİNİĞİNDE GÜRÜLTÜYLE İLGİLİ İŞİTME KAYBI SIKLIĞI VE İLGİLİ FAKTÖRLER. Ege Üniversitesi Tıp Fakültesi Hastanesi Meslek Hastalıkları Kliniği -2018

Öz

Amaç: Gürültü, insanlarda işitme ve algıyı olumsuz etkileyen, fizyolojik ve psikolojik bozukluklara neden olan ve iş performansını düşüren önemli bir tehlikedir. Meslek hastalıkları kliniğine başvuran hastalarda gürültüye bağlı işitme kaybının sıklığı ile ilişkili sosyo-demografik ve mesleki faktörleri belirlemek ve oluşumunu önlemek için neler yapılması gerektiğine dikkat çekmek istedik. Yöntemler: Kesitsel çalışmanın evrenini Kasım 2015 ile Kasım 2018 arasında bir üniversite hastanesi Meslek Hastalıkları Polikliniğine başvuran 463 çalışan oluşturdu. Genel fizik muayene yapılarak işitme sorunları değerlendirildi ve ardından Madsen Itera II odyometri cihazı ile odyometrik inceleme yapıldı. İstatistiksel analiz olarak ki-kare testi ve tanımlayıcı istatistikler kullanıldı. Sonuçlar: Çalışanların %23,5'inde işitme kaybı tanısı konuldu. Katılımcıların 397'si (%85,7) iş yerinde gürültüye maruz kaldığını belirtti. Gürültüye maruz kalmanın işitme kaybı ile ilişkili olduğu görülmüştür. 15 paket/yıl ve üzeri sigara içmek, işyerinde gürültüye maruz kalmayı ifade etmek ve çalışma ortamında kulaklık, kimyasal maddeler kullanmamak; kurşun, manganez ve civa gibi herhangi birine maruz kalmak işitme kaybı açısından önemli bir fark yaratmıştır. Sonuç: Kulaklık gibi kişisel koruyucu ekipmanların doğru kullanımı bireysel faktörlere bağlıdır. Yanlış ve yetersiz kulaklık kullanımı gürültü kaynaklı işitme kaybında önemli bir faktördür. Bu nedenle mühendislik önlemleri birincil önleyici yöntemler arasında son derece önemlidir. Sigara içmek, kimyasal maruziyet gürültü kaynaklı işitme kaybında etkili faktörlerdir.

Anahtar Kelimeler

• İşitme kaybı
• gürültü
• meslek hastalığı

Destekleyen Kurum

yoktur.

Proje Numarası

Yoktur.

Etik Beyan

Katılımcıların mahremiyeti ve gizliliği korundu. Çalışma bilimsel ilkelere ve literatüre uygun olarak yürütüldü. Çalışmaya Ege Üniversitesi Etik Kurulu'nun 11.12.2018 tarihli 18-12/7 sayılı Kararı ile onayı alındıktan sonra başlandı.

Teşekkür

.

NOISE-RELATED HEARING LOSS FREQUENCY AND RELATED FACTORS IN A UNIVERSITY HOSPITAL OCCUPATIONAL DISEASES CLINIC. Ege University Faculty of Medicine Hospital Occupational Diseases Clinic -2018

Öz

Objective: Noise is an important hazard that negatively affects hearing and perception in humans, causes physiological and psychological disorders, and reduces work performance. We wanted to determine the socio-demographic and occupational factors associated with the frequency of noise-induced hearing loss in patients who applied to the occupational diseases clinic and draw attention to what should be done to prevent its occurrence. Methods: The population of the cross-sectional study consisted of 463 workers who applied to a university hospital Occupational Diseases Policlinic between November 2015 and November 2018. General physical examination was performed and hearing problems were evaluated and than audiometric examination was performed with Madsen Itera II audiometry device. Chi-square test and descriptive statistics were used as statistical analysis. Results: 23.5% of the workers were diagnosed with hearing loss. 397 (85.7%) of the participants described that they were exposed to noise in the workplace. Noise exposure has been associated with hearing loss. 15 packs / year and above smoking, expressing noise exposure in the workplace and not using headphones, chemical substances in the work environment; Exposure to any of the lead, manganese and mercury made a significant difference in terms of hearing loss. Conclusion: The correct use of personal protective equipment such as earphones depends on individual factors. Incorrect and inadequate headphone use is an important factor in noise-induced hearing loss. For this reason, engineering measures are extremely important among the primary preventive methods. Smoking, chemical exposure are effective factors in noise-related hearing loss.

Anahtar Kelimeler

• Hearing loss
• noise
• occupational disease

Destekleyen Kurum

yoktur.

Proje Numarası

Yoktur.

Etik Beyan

Katılımcıların mahremiyeti ve gizliliği korundu. Çalışma bilimsel ilkelere ve literatüre uygun olarak yürütüldü. Çalışmaya Ege Üniversitesi Etik Kurulu'nun 11.12.2018 tarihli 18-12/7 sayılı Kararı ile onayı alındıktan sonra başlandı.

Teşekkür

.

Kaynakça

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