Klinik Araştırma
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Ameliyathane Hemşirelerinde Cerrahi Dumanın Etkileri ve Cerrahi Dumandan Korunmaya Yönelik Aldıkları Önlemler: Türkiye ve Filistin Örneği

Yıl 2025, Cilt: 28 Sayı: 3, 315 - 322, 24.09.2025
https://doi.org/10.17049/jnursology.1559403

Öz

Amaç: Bu araştırma ameliyathane hemşirelerinde cerrahi dumanın etkileri ve cerrahi dumandan korunmaya yönelik aldıkları önlemlerin belirlenmesi amacıyla yapıldı.

Yöntemler: Araştırma, Atatürk Üniversitesi Araştırma Hastanesi ve Filistin Gazze şeridi Al Şifa Hastanesi’nde Haziran 2022-Temmuz 2023 tarihleri arasında yapıldı. Araştırmanın evrenini ilgili hastanelerin ameliyathanelerinde çalışan 169 ameliyathane hemşiresi oluşturdu. Araştırmanın verileri literatür doğrultusunda hazırlanan form ile araştırmacılar tarafından yüz yüze toplandı.

Bulgular: Araştırmada Türkiye’de çalışan hemşirelerin yaş ortalaması 30,47±7,85, Filistin’de çalışan hemşirelerin yaş ortalaması 30,67±5,65 olarak belirlendi. Türkiye’de çalışan hemşirelerin %84,3’ünün Filistin’de çalışan hemşirelerin %68,7’sinin kadın olduğu saptandı. Türkiye’de çalışan hemşirelerin cerrahi duman nedeniyle %67,1’i baş ağrısı, %54,3’ü öksürük, %50’si göz yaşarması ve %41,4’ü bulantı semptomlarını yaşadıkları belirtildi. Filistin’de çalışan hemşirelerin ise cerrahi duman nedeniyle %96’sı saçlarda koku, %50,5’i baş ağrısı, %30,3’ü baş dönmesi ve %21,2’si havayolu inflamasyonu semptomlarını yaşadıklarını ifade etti. Her iki ülkede de hemşirelerin çoğunluğunun cerrahi dumandan korunmak için cerrahi maske, eldiven ve önlük kullandığı saptandı.

Sonuç: Her iki ülkede de ameliyathanelerde cerrahi dumandan korunmaya yönelik alınan önlemlerin yetersiz olduğu ve hemşirelerin buna bağlı bazı sorunlar yaşadığı tespit edildi.

Kaynakça

  • 1. Olgun Ş. Surgical smoke, precautions and employee awareness. Journal of Awarenes. 2020;1(5):65-70. https://journals.gen.tr/index.php/joa/article/view/928
  • 2. Hofer V, Kriegel M. Exposure of operating room surgical staff to surgical smoke under different ventilation schemes. Indoor Air. 2022;32(1):1-12. doi: 10.1111/ina.12947.
  • 3. AORN. Guidelines for perioperative practice. Accessed May 13, 2023. http://fumees-chirurgicales.fr/wp-content/uploads/2017/01/Read-article-5.pdf
  • 4. Fencl JL. Guideline implementation: surgical smoke safety. AORN J. 2017;105(5):488-497. doi: 10.1016/j.aorn.2017.03.006.
  • 5. Hill DS, O’Neill JK, Powell RJ, et al. Surgical smoke a health hazard in the operating theatre: a study to quantify exposure and a survey of the use of smoke extractor systems in UK plastic surgery units. J Plastic, Reconstructive Aesthetic Surg. 2012;65(7):911-916. doi: 10.1016/j.bjps.2012.02.012.
  • 6. Liu Y, Song Y, Hu X, et al. Awareness of surgical smoke hazards and enhancement of surgical smoke prevention among the gynecologists. J Cancer. 2019;10(12): 2788-2799. https://www.jcancer.org/v10p2788.htm
  • 7. Ball K, Gilder RE. A mixed method survey on the impact of exposure to surgical smoke on perioperative nurses. Perioperative Care and Operating Room Management. 2022;26: 100232. https://doi.org/10.1016/j.pcorm.2021.100232
  • 8. Zhou Y, Wang C, Zhou M, et al. Surgical smoke: A hidden killer in the operating room. Asian J Surg. 2023;46: 3447-3454. https://doi.org/10.1016/j.asjsur.2023.03.066
  • 9. Asdornwised U, Pipatkulchai D, Damnin S, et al. Recommended practices for the management of surgical smoke and bio-aerosols for perioperative nurses in Thailand. J Perioperative Nurs. 2018;31(1:):33-41. doi: 10.26550/2209-1092.1022.
  • 10. Usta E, Aygin D, Bozdemir H, et al. The effects of surgical smoke in operating rooms and precautions for protection. J Health Sci Profession. 2019;6(1): 17-24. doi: 10.17681/hsp.403579.
  • 11. Mowbray N, Ansell J, Warren N, et al. Is surgical smoke harmful to theater staff? A systematic review. Surg Endosc. 2013;27(9): 3100-3107. doi: 10.1007/s00464-013-2940-5.
  • 12. Steege AL, Boiano JM, Sweeney MH. Secondhand smoke in the operating room? Precautionary practices lacking for surgical smoke. Am J Indust Med. 2016;59(11):1020-1031. doi: 10.1002/ajim.22614
  • 13. Van Gestel EA, Linssen ES, Creta M, et al. Assessment of the absorbed dose after exposure to surgical smoke in an operating room. Toxicol Lett. 2020;32886):45-51. doi: 10.1016/j.toxlet.2020.04.003.
  • 14. Lindsey C, Hutchinson M, Mellor G. The nature and hazards of diathermy plumes: a review. AORN J. 2015;101(4):428-442. doi: 10.1016/j.aorn.2015.01.021.
  • 15. Aydın N, Kaya U, Dal Yılmaz U. The effect of surgical smoke on operating room employees. Med J West Black Sea. 2021;5(1):80-85. doi: 10.29058/mjwbs.799170.
  • 16. Okgün Alcan A, Yavuz van Giersbergen M, Tanıl V, et al. Investigation of surgical smoke risks and preventive measures in an university hospital. J Ege Univ Nurs Fac. 2017;33(2):27-35. https://dergipark.org.tr/tr/pub/egehemsire/issue/32885/327169
  • 17. Dikmen Aydın Y, Gürkan A, Kırtıl I. Surgical smoke: Impact on health professionals working in the operating room and examination of precautions taken. J Health Life Sci. 2024;6(1):40-47. doi: 10.33308/2687248X.202461329.
  • 18. Ünver S, Topçu SY, Fındık UY. Surgical smoke, me and my circle. Int J Caring Sci. 2016;9(2):697-703.
  • 19. Williams K. Guidelines in Practice: Surgical smoke safety. AORN J. 2022;116(2):145-159. doi: 10.1002/aorn.13745.
  • 20. Hahn KY, Kang DW, Azman ZAM, et al. Removal of hazardous surgical smoke using a built-in-filter trocar: a study in laparoscopic rectal resection. Surgical Laparoscopy Endoscopy & Percutaneous Techniques. 2017;27(5):341-345. doi: 10.1097/SLE.0000000000000459.
  • 21. Katoch S, Mysore V. Surgical smoke in dermatology: Its hazards and management. J Cutaneous Aesthetic Surg. 2019;12(1):1-7. doi: 10.4103/JCAS.JCAS_177_18.
  • 22. Yaman Aktaş Y, Aksu D. Exposure to surgical smoke of nurses in operating rooms and precautions for protection. Balikesir Health Sci J. 2019;8(3):123-128. https://dergipark.org.tr/en/download/article-file/908467
  • 23. Meretsky CR, Mahmoodi A, Knecht EM, et al. The impact of electrocautery smoke on surgical staff and the efficacy of normal surgical masks versus N95 masks. Cureus. 2024;16(4): e58106. https://doi.org/10.7759/cureus.58106
  • 24. Seyyar SA, Tokuç EÖ. Comparison of the effects of N95 face mask and surgical mask used by health professionals on choroidal thickness. Kocaeli Med J 2022;11(2):215-221. https://kocaelimj.org/jvi.aspx?pdir=kocaelitip&plng=tur&un=KTD-48726

The Effects of Surgical Smoke on Operating Room Nurses and the Precautions They Take for Protection from Surgical Smoke: An Example of Türkiye and Palestine

Yıl 2025, Cilt: 28 Sayı: 3, 315 - 322, 24.09.2025
https://doi.org/10.17049/jnursology.1559403

Öz

Objective: This research was carried out to determine the effects of surgical smoke on operating room nurses and the precautions they take to protect themselves from it.

Methods: The research was carried out between June 2022 and July 2023 at Atatürk University Research Hospital and Al Şifa Hospital in Palestine Gaza Strip. The study population consisted of 169 operating room nurses working in the operating rooms of the relevant hospitals. The researchers collected the data face-to-face using a form prepared in accordance with the literature.

Results: In the study, the average age of nurses working in Turkey was 30.47±7.85, and the average age of nurses working in Palestine was 30.67±5.65. It was determined that 84.3% of the nurses working in Turkey and 68.7% of the nurses working in Palestine were women. 67.1% of the nurses working in Turkey stated that they experienced headaches, 54.3% cough, 50% watery eyes and 41.4% nausea due to surgical smoke. On the other hand, 96% of the nurses working in Palestine stated that they experienced odour in the hair, 50.5% headache, 30.3% dizziness and 21.2% airway inflammation symptoms due to surgical smoke. It has been determined that most nurses in both countries use surgical masks, gloves and gowns to protect themselves from surgical smoke.

Conclusion: In both countries, the precautions taken to prevent surgical smoke in the operating rooms were insufficient, and the nurses experienced related symptoms.

Kaynakça

  • 1. Olgun Ş. Surgical smoke, precautions and employee awareness. Journal of Awarenes. 2020;1(5):65-70. https://journals.gen.tr/index.php/joa/article/view/928
  • 2. Hofer V, Kriegel M. Exposure of operating room surgical staff to surgical smoke under different ventilation schemes. Indoor Air. 2022;32(1):1-12. doi: 10.1111/ina.12947.
  • 3. AORN. Guidelines for perioperative practice. Accessed May 13, 2023. http://fumees-chirurgicales.fr/wp-content/uploads/2017/01/Read-article-5.pdf
  • 4. Fencl JL. Guideline implementation: surgical smoke safety. AORN J. 2017;105(5):488-497. doi: 10.1016/j.aorn.2017.03.006.
  • 5. Hill DS, O’Neill JK, Powell RJ, et al. Surgical smoke a health hazard in the operating theatre: a study to quantify exposure and a survey of the use of smoke extractor systems in UK plastic surgery units. J Plastic, Reconstructive Aesthetic Surg. 2012;65(7):911-916. doi: 10.1016/j.bjps.2012.02.012.
  • 6. Liu Y, Song Y, Hu X, et al. Awareness of surgical smoke hazards and enhancement of surgical smoke prevention among the gynecologists. J Cancer. 2019;10(12): 2788-2799. https://www.jcancer.org/v10p2788.htm
  • 7. Ball K, Gilder RE. A mixed method survey on the impact of exposure to surgical smoke on perioperative nurses. Perioperative Care and Operating Room Management. 2022;26: 100232. https://doi.org/10.1016/j.pcorm.2021.100232
  • 8. Zhou Y, Wang C, Zhou M, et al. Surgical smoke: A hidden killer in the operating room. Asian J Surg. 2023;46: 3447-3454. https://doi.org/10.1016/j.asjsur.2023.03.066
  • 9. Asdornwised U, Pipatkulchai D, Damnin S, et al. Recommended practices for the management of surgical smoke and bio-aerosols for perioperative nurses in Thailand. J Perioperative Nurs. 2018;31(1:):33-41. doi: 10.26550/2209-1092.1022.
  • 10. Usta E, Aygin D, Bozdemir H, et al. The effects of surgical smoke in operating rooms and precautions for protection. J Health Sci Profession. 2019;6(1): 17-24. doi: 10.17681/hsp.403579.
  • 11. Mowbray N, Ansell J, Warren N, et al. Is surgical smoke harmful to theater staff? A systematic review. Surg Endosc. 2013;27(9): 3100-3107. doi: 10.1007/s00464-013-2940-5.
  • 12. Steege AL, Boiano JM, Sweeney MH. Secondhand smoke in the operating room? Precautionary practices lacking for surgical smoke. Am J Indust Med. 2016;59(11):1020-1031. doi: 10.1002/ajim.22614
  • 13. Van Gestel EA, Linssen ES, Creta M, et al. Assessment of the absorbed dose after exposure to surgical smoke in an operating room. Toxicol Lett. 2020;32886):45-51. doi: 10.1016/j.toxlet.2020.04.003.
  • 14. Lindsey C, Hutchinson M, Mellor G. The nature and hazards of diathermy plumes: a review. AORN J. 2015;101(4):428-442. doi: 10.1016/j.aorn.2015.01.021.
  • 15. Aydın N, Kaya U, Dal Yılmaz U. The effect of surgical smoke on operating room employees. Med J West Black Sea. 2021;5(1):80-85. doi: 10.29058/mjwbs.799170.
  • 16. Okgün Alcan A, Yavuz van Giersbergen M, Tanıl V, et al. Investigation of surgical smoke risks and preventive measures in an university hospital. J Ege Univ Nurs Fac. 2017;33(2):27-35. https://dergipark.org.tr/tr/pub/egehemsire/issue/32885/327169
  • 17. Dikmen Aydın Y, Gürkan A, Kırtıl I. Surgical smoke: Impact on health professionals working in the operating room and examination of precautions taken. J Health Life Sci. 2024;6(1):40-47. doi: 10.33308/2687248X.202461329.
  • 18. Ünver S, Topçu SY, Fındık UY. Surgical smoke, me and my circle. Int J Caring Sci. 2016;9(2):697-703.
  • 19. Williams K. Guidelines in Practice: Surgical smoke safety. AORN J. 2022;116(2):145-159. doi: 10.1002/aorn.13745.
  • 20. Hahn KY, Kang DW, Azman ZAM, et al. Removal of hazardous surgical smoke using a built-in-filter trocar: a study in laparoscopic rectal resection. Surgical Laparoscopy Endoscopy & Percutaneous Techniques. 2017;27(5):341-345. doi: 10.1097/SLE.0000000000000459.
  • 21. Katoch S, Mysore V. Surgical smoke in dermatology: Its hazards and management. J Cutaneous Aesthetic Surg. 2019;12(1):1-7. doi: 10.4103/JCAS.JCAS_177_18.
  • 22. Yaman Aktaş Y, Aksu D. Exposure to surgical smoke of nurses in operating rooms and precautions for protection. Balikesir Health Sci J. 2019;8(3):123-128. https://dergipark.org.tr/en/download/article-file/908467
  • 23. Meretsky CR, Mahmoodi A, Knecht EM, et al. The impact of electrocautery smoke on surgical staff and the efficacy of normal surgical masks versus N95 masks. Cureus. 2024;16(4): e58106. https://doi.org/10.7759/cureus.58106
  • 24. Seyyar SA, Tokuç EÖ. Comparison of the effects of N95 face mask and surgical mask used by health professionals on choroidal thickness. Kocaeli Med J 2022;11(2):215-221. https://kocaelimj.org/jvi.aspx?pdir=kocaelitip&plng=tur&un=KTD-48726
Toplam 24 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Cerrahi Hastalıklar Hemşireliği
Bölüm Araştırma Makaleleri
Yazarlar

Abed Alrahman Albaghdadi Bu kişi benim 0000-0002-1223-0220

Dilek Gürçayır 0000-0001-7198-3495

Erken Görünüm Tarihi 20 Eylül 2025
Yayımlanma Tarihi 24 Eylül 2025
Gönderilme Tarihi 2 Ekim 2024
Kabul Tarihi 22 Temmuz 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 28 Sayı: 3

Kaynak Göster

AMA Alrahman Albaghdadi A, Gürçayır D. Ameliyathane Hemşirelerinde Cerrahi Dumanın Etkileri ve Cerrahi Dumandan Korunmaya Yönelik Aldıkları Önlemler: Türkiye ve Filistin Örneği. Journal of Nursology. Eylül 2025;28(3):315-322. doi:10.17049/jnursology.1559403

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