Ameliyathanedeki Sağlık Çalışanlarının Radyasyona Karşı Korunma Bilgi ve Davranışlarının İncelenmesi

Öz

Amaç: Bu araştırmada, ameliyathanelerdeki sağlık çalışanlarının radyasyondan korunma konusundaki bilgi ve davranışları incelenmiştir. Materyal ve Metot: Çalışmada, 100 sağlık çalışanından yüz yüze görüşme tekniği kullanılarak, Tanımlayıcı Bilgi Formu ve Sağlık Çalışanlarının Radyasyondan Korunma Bilgisi Ölçeği uygulanarak veriler toplanmıştır. Araştırmada, ortalama standart sapma değerleri ve Tukey ve t-testleri gibi parametrik testler uygulanmıştır. Bulgular: Araştırmaya katılan sağlık çalışanlarının %51'i kadın olup, yaş ortalamaları 30,81±8,10'dur. Radyasyondan korunma bilgisinin ortalama dağılımı incelendiğinde, %51'inin düşük bilgi düzeyine, %49'unun ise yüksek bilgi düzeyine sahip olduğu belirlenmiştir. Çalışanların eğitim düzeyi, meslek türü ve radyasyondan korunma bilgisi arasında anlamlı fark tespit edilmiştir. Sağlık çalışanlarının %71'i ameliyathanede kullanılan tüm radyasyon koruyucu ekipmanları bilmesine rağmen, %60'ı kendilerini radyasyondan korumak için her zaman tüm koruyucu ekipmanları kullanmamaktadır. Sonuç: Bu sonuçlar, meslek türüne özgü daha kapsamlı ve sık sık organize edilen bir eğitim programına ve koruyucu ekipmanların daha etkili kullanımı için geliştirilmiş stratejilere ihtiyaç olduğunu göstermektedir.

Anahtar Kelimeler

• Ameliyathane
• çalışan güvenliği
• radyasyondan korunma
• sağlık çalışanı

Etik Beyan

Çalışma için Girişimsel Olmayan Klinik Araştırma Etik Kurulu'ndan etik kurul onayı alınmıştır (Tarih: 30.05.2023, karar no: 140). Araştırmanın yürütüldüğü hastane tarafından kurumsal onay verilmiştir (Tarih: 15.08.2023, karar: 2023/12). Çalışmaya katılan tüm katılımcılardan bilgilendirilmiş onam alınmıştır.

Teşekkür

Bu çalışmaya katkıda bulunan tüm sağlık çalışanlarına içten teşekkürlerimizi sunarız.

Investigation of the Protection Knowledge and Behavior of Healthcare Workers in the Operating Room About Radiation

Öz

Objective: This research examined the knowledge and behaviors of healthcare professionals in operating rooms regarding radiation protection. Materials and Methods: In the study, data were collected from 100 healthcare workers using a face-to-face interview technique, applying the Descriptive Information Form and Radiation Protection Knowledge Scale for Healthcare Workers. In the research, average standard deviation values and parametric tests such as the Tukey and t-tests were applied. Results: 51% of the healthcare professionals participating in the research were female, and their average age was 30.81±8.10. When the average distribution of radiation protection knowledge was examined, it was determined that 51% had a low knowledge level, and 49% had a high knowledge level. A significant difference was detected between the employees' education level, occupation type, and radiation protection knowledge. Although 71% of healthcare workers know all the radiation protective equipment used in the operating room, 60% of them do not always use all the protective equipment to protect themselves from radiation. Conclusions: These results show a need for a more comprehensive and frequently organized training program specific to the type of profession and improved strategies for more effective use of protective equipment.

Anahtar Kelimeler

• Employee safety
• healthcare personnel
• operating room
• radiation protection

Etik Beyan

Ethics committee permission was received from the Non-Interventional Clinical Research Ethics Committee (Date: 30.05.2023, decision no: 140). Institutional permission was obtained from the hospital where the research was carried out (Date: 15.08.2023, decision: 2023/12). Consent was obtained from those who participated in the study.

Teşekkür

We would like to thank all healthcare professionals who contributed to the study.

Kaynakça

1. Ay M. Adaptation of healthcare workers' radiation protection knowledge scale into Turkish: Feasibility and reliability study. Necmettin Erbakan University, Institute of Health Sciences, Department of Nursing Management, master’s Thesis, Konya, Türkiye. 2021.
2. Ersöz Ş, Konuk Y, Okudur NO, Genç V. Radiation exposure and thyroid cancer development in operating room workers. Surgical Medical Sciences. Research Paper. J Ankara Univ Fac Med. 2022;75(4):497-500. doi:10.4274/atfm.galenos.2022.24582
3. Akkır FF, Yeşilşerit T. Attitude of medical imaging technicians towards occupational risks. JHIT. 2021;4(1:1-9.
4. Aygin D, Çelik YA, Yaman Ö, Gül A. Operating room radiation safety. J Human Rhythm. 2018;4(1):22-30.
5. Gül A, Işık Aİ, Görücü R, Özen B. Examining the practices of operating room staff regarding the use and safety of fluoroscopy. BAUN Health Sci J. 2019;8(1):1-6.
6. Bacı H. Operating room emission safety: Knowledge and emergence in the protection of workers from ionizing radiation. JISR. 2020;13(69):1083-1091. doi:10.5281/zenodo.7478612
7. Gökoğlan E, Ekinci M, Özgenç E, Özdemir Dİ, Aşıkoğlu M. Radiation and its effects on human health. Anatol Clin. 2020;25(3):289-294. doi:10.21673/anadoluklin.709434
8. Esin A, Özşahin Y, Erkalp K, Salihoğlu Z. Radiation Safety for Anesthesiologists. Phnx Med J. 2023;5(1):1-5. doi:10.38175/phnx.1093308

9. Şenışık AM, Genç DT, Mutlu E. Radiation awareness survey of radiation workers. OTJHS. 2020;5(1):63-70. doi:10.26453/otjhs.520471
10. İdog MR. The importance of radiation safety training for operating room and intensive care workers in terms of occupational health and safety. Master's Thesis, Kafkas University Institute of Science and Technology, Kars, Türkiye. 2021.
11. Uçar M, Akkoç A, Topcuoğlu M, Öztürk SA, Demir M. Evaluation of exposure and awareness of radiation in healthcare professionals exposed to ionizing radiation. Acta Med. Alanya. 2020;4(3):285-90. doi:10.30565/medalanya.804454
12. Akkaya A, Karadağ M. Determination of occupational risks and health problems occurring in the working environment of operating room certificates. EGEHFD. 2021;37(1):11-22.
13. Öğüt S, Caner AG. Evaluation of occupational health and safety climate in healthcare workers working in units containing radiation areas of hospitals. JSTER. 2022;3(2):68-79. doi:10.53525/jster.1209911
14. Ekici M. Developing and implementing a scale to determine healthcare workers’ attitudes toward radiation [master’s thesis]. Erzincan, Turkey: Binali Yıldırım University, Institute of Science; 2019
15. Hirvonen L, Schroderus-Salo T, Henner A, et al. Nurses’ knowledge of radiation protection: A Cross Sectional Study. Radiography. 2019; 25(4): e108–e112. doi:10.1016/j.rad
16. Schroderus-Salo T, Hirvonen L, Henner A, et al. Development and validation of a psychometric scale for assessing healthcare professionals’ knowledge in radiation protection. Radiography. 2019;25(2):136-142. doi:10.1016/j.radi.2018.12.010
17. Sheth B, Jesia A, Parihar R, Somani R, Pawar P. Are Indian orthopaedic surgeons aware of the health hazards of radiation exposure? A survey and review on awareness and ways to mitigate them. JCOT. 2022;32:101982. doi:10.1016/j.jcot.2022.101982
18. Dönmez A, Türk A, Bacak A, Şentürk Ö. Determining the knowledge of healthcare professionals regarding protection from ionizing radiation and radioactive substances. GÜSBD. 2021;10(4), 876-882. doi:10.37989/gumussagbil.850202
19. Alkhayal AM, Alothman AS, Alathel AH, et al. Knowledge and attitude of radiation safety and the use of protective measures among healthcare workers in a tertiary center. Eur Rev Med Pharmacol Sci. 2023;27(5):2047-2051. doi:10.26355/eurrev_202303_31575
20. Khamtuikrua C, Suksompong S. Awareness about radiation hazards and knowledge about radiation protection among healthcare personnel: A quaternary care academic center-based study. SAGE Open M. 2020;8:1-8. doi:10.1177/2050312120901733
21. Uzuntarla Y, Doğan F. Determining the risk perception and knowledge level of medical staff carrying dosimeters about ionizing radiation in a training and research hospital. JHSP. 2019;6(1);34-41
22. Özçöllü E, Taş A, Çapacı B, Kalkan A, Kiraz E, Okyay P. Operating room radiation safety in a university hospital: Exposure status, awareness, knowledge and behaviors of workers regarding protection. GMJ. 2019;30:237-240.
23. Ardıç Z, Şahin TK. Health complaints due to occupational ionizing radiation exposure in healthcare workers in a university hospital. ESTÜDAM. 2022;7(2):301-14.
24. Us SB, Us K. Rights of radiation workers arising from the legislation in Turkey. MUTFTD. 2021;11(1):83-93. doi:10.31020/mutftd.793364
25. Yıldırım S, Demircan S, Aylıkçı NK. Personal protective equipment use, knowledge and skill status of pre-hospital emergency healthcare workers against chemical, biological, radiological and nuclear events: The example of Adana province. JPH. 2021;6(3):381-392. doi:10.54409/hod.1002941
26. Demiralp N. Nurses' knowledge, attitudes and awareness towards chemical, biological, radiation and nuclear (CBR) events in Turkey. JPH. 2023; 8(1);121-142. doi:10.54409/hod.1252505
27. Rowantree SA, Currie C. Orthopaedic surgeons' knowledge and practice of radiation safety when using fluoroscopy during procedures: A narrative review. Radiography. 2024;30(1):274-281. doi:10.1016/j.radi.2023.11.017
28. Paolicchi F, Miniati F, Bastiani L, et al. Assessment of radiation protection awareness and knowledge about radiological examination doses among Italian radiographers. Insights Imaging. 2016;7(2):233-242. doi:10.1007/s13244-015-0445-6
29. Smith M, Thatcher MD, Davidovic F, Chan G. Radiation safety education and practices in urology: A review. J Endourol. 2024:38(1):88–100. doi:10.1089/end.2023.0327
30. Falavigna A, Ramos MB, Lutaka AS, et al. Knowledge and attitude regarding radiation exposure among spine surgeons in Latin America. World Neurosurg. 2018;112:e823-e829. doi:10.1016/j.wneu.2018.01.166