医院围手术期医护人员手术烟气对健康的影响及其相关因素

H. TitiRahmawati, R. Fikri
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引用次数: 3

摘要

背景:手术烟雾是一种公认的职业危害,可对手术室工作人员造成急性和慢性健康影响。本研究旨在确定手术烟雾暴露对谢尔当医院围手术期医护人员健康影响的患病率及其相关因素。材料与方法:采用分层比例随机抽样的方法,对谢尔当医院3个科室137名围手术期医护人员进行横断面研究。在手术室工作超过四周的受访者被纳入研究。数据的收集采用经过验证的、预先测试的、自我管理的在线问卷和纸质问卷。它由5个部分组成;社会人口统计数据,就业特点,在外科手术中的作用,控制措施因素和健康影响。使用SPSS版本25对数据进行统计分析,以确定健康影响的患病率、相关因素和健康影响的预测因素,显著水平设置为p <0.05。结果:手术烟气急性健康影响患病率为58.4%。报告的最常见症状是上呼吸道刺激(40.0%)、头痛(27.4%)、眼睛刺激(20.6%)和哮喘样症状(12.0%)。四个显著因素与至少一项急性健康影响相关(p < 0.05),即就业因素(科室、在手术中的角色、在医院工作的时间)和手术因素(每周进行或辅助的手术次数)。辅助手术是至少一种手术烟雾急性健康影响的重要预测因素(AOR=2.7, 95%, CI=1.1, 7.0)。结论:在这项研究中,近60%的应答者由于暴露于手术烟雾而经历了急性健康影响。外科手术烟气急性健康影响的重要预测因子是辅助作用。这一发现可用于设计预防和控制程序,以减少手术烟雾对健康的影响。
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HEALTH EFFECTS OF SURGICAL SMOKE AND ITS ASSOCIATED FACTORS AMONG PERIOPERATIVE HEALTHCARE WORKERS IN HOSPITAL SERDANG
Background: Surgical smoke is recognized as occupational hazard which may lead to acute and chronic health effects to those who work in operation theatre. This study aimed to determine the prevalence of health effects from surgical smoke exposure and its associated factors among perioperative healthcare workers in Hospital Serdang. Materials and Methods: A cross sectional study was conducted among 137 perioperative healthcare workers from 3 departments in Hospital Serdang who were selected using a stratified proportionate random sampling. Respondents who work in the operation theatre for more than four weeks of employment were included in the study. Data was collected using validated, pre-tested, and self-administered by using both online web-based and hardcopy questionnaires. It consists of 5 sections; sociodemographic data, employment characteristics, roles in surgery, control measure factors and health effects. Data was statistically analysed to determine the prevalence of health effects, associated factors and predictors of health effects using SPSS version 25 with a significant level set at p <0.05. Result: The prevalence of acute health effects of surgical smoke among respondents was 58.4%. The most common symptoms reported were upper airway irritation (40.0%), headache (27.4%), eye irritation (20.6%) and asthma like symptoms (12.0%). Four significant factors were associated (p < 0.05) with at least one acute health effects, namely employment factors (department, role in surgery, period of working in hospital) and surgical factors (number of surgeries conducted or assisted per week). Assisting role in surgery was a significant predictor of having at least one acute health effects of surgical smoke (AOR=2.7, 95%, CI=1.1, 7.0). Conclusion: Almost 60% of respondents in this study experienced acute health effects due to exposure to surgical smoke. The significant predictor of acute health effects of surgical smoke is assisting role in surgery. This finding can be used in designing prevention and controls program to reduce the health effects of surgical smoke.
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