Sağlık personellerinin kimyasal, biyolojik, radyasyon ve nükleer tehlikelerden korunma ve acil yardım uygulamaları ile ilgili bilgi düzeyleri ve farkındalıkları

Arzu Babacan
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Abstract

Purpose: The accidental or intentional release of CBRN (Chemical, Biological, Radiological, Nuclear) substances into the environment causes significant loss of life and property and has adverse effects over a long time. This study was planned to raise awareness about protection from CBRN hazards and emergency aid practices, create CBRN awareness, and determine the knowledge level of healthcare professionals. Materials and methods: After reviewing the literature and regulations, the questionnaire was prepared based on the training module on "Emergency Assistance in Chemical, Biological, Radiation and Nuclear Hazards" for Emergency Health Services published by the Ministry of National Education; of the Republic of Turkey. The questionnaire was asked to participants before and after 10 hours of theoretical CBRN training, and the results were compared. Results: The participants were 58.4% female, 41.6% male, and the average age was 38. Most participants were doctors or nurses, and approximately three-quarters of the participants were emergency service staff. 35.6% of them had been working in the emergency department for 1-5 years. 61.4% had not received CBRN training, and 84.2% thought they needed sufficient knowledge and experience. 77.2% had not experienced any CBRN incident nor performed any intervention for CBRN. When the 22 questions asked about the level of CBRN knowledge were evaluated, it was seen that the correct answer rate was above 50% in seven questions of 22 and was above 50% in all questions in the post-test applied after the training. Their level of knowledge was found to be low before CBRN training and good after training. Conclusion: Theoretical training has a significant positive impact on creating CBRN awareness.
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目的:CBRN(化学、生物、放射、核)物质意外或故意释放到环境中会造成重大的生命财产损失,并具有长期的不良影响。本研究旨在提高人们对CBRN危害的保护和应急救援实践的认识,建立CBRN意识,并确定医疗保健专业人员的知识水平。材料和方法:在查阅文献和法规后,根据国家教育部出版的紧急卫生服务"化学、生物、辐射和核危害紧急援助"培训模块编制了问卷;土耳其共和国。在10小时的CBRN理论训练前后,对参与者进行问卷调查,并对结果进行比较。结果:女性58.4%,男性41.6%,平均年龄38岁。大多数参与者是医生或护士,大约四分之三的参与者是急救服务人员。在急诊科工作1-5年的占35.6%。61.4%的人没有接受过CBRN培训,84.2%的人认为需要足够的知识和经验。77.2%的患者没有发生过CBRN事件,也没有采取任何CBRN干预措施。对涉及CBRN知识水平的22个问题进行评估时,22个问题中有7个问题的正确率在50%以上,培训后应用的后测中所有问题的正确率都在50%以上。结果发现,他们在CBRN训练前的知识水平较低,训练后的知识水平较高。结论:理论培训对培养CBRN意识有显著的正向影响。
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