ميزان فراواني و گزارشدهي موارد آسيب ديدگي با اجسام نوك تيز و برنده تيم جراحي دانشگاه علوم پزشكي كرمانشاه در سال 1391

The Incidence and Reporting Rates of Needle-Stick Injury Amongst Surgeons of Kermanshah University of Medical Sciences, 2012

ﺯﻣﻴﻨﻪ ﻭ ﻫﺪﻑ: ﻣﺘﺨﺼﺼﻴﻦ ﺟﺮﺍﺣﻲ ﻳﮑﻲ ﺍﺯ ﮔﺮﻭﻩﻫﺎﻳﻲ ﻫﺴﺘﻨﺪ ﮐﻪ ﺩﺭ ﻣﻌﺮﺽ ﺁﺳﻴﺐ ﻧﺎﺷﻲ ﺍﺯ ﺍﺟﺴﺎﻡ ﻧﻮﮎ ﺗﻴﺰ ﻭ ﺑﺮﻧﺪﻩ ﺩﺭ ﻣﺤﻞ ﮐﺎﺭ ﻗﺮﺍﺭ ﺩﺍﺭﻧﺪ. ﺍﻳﻦ ﭘﮋﻭﻫﺶ ﺑﺎ ﻫﺪﻑ ﺗﻌﻴﻴﻦ ﻣﻴﺰﺍﻥ ﻓﺮﺍﻭﺍﻧﻲ ﻭ ﮔﺰﺍﺭﺵ ﺩﻫﻲ ﻣﻮﺍﺭﺩ ﺁﺳﻴﺐ ﺩﻳﺪﮔﻲ ﺑﺎ ﺍﺟﺴﺎﻡ ﺗﻴﺰ ﻭ ﺑﺮﻧﺪﻩ ﺩﺭ 6 ﻣﺎﻫﻪ ﺍﻭﻝ ﺳﺎﻝ 1391 ﺩﺭ ﺟﺮﺍﺣﺎﻥ ﺷﺎﻏﻞ ﺩﺭ ﺩﺍﻧﺸﮕﺎﻩ ﻋﻠﻮﻡ ﭘﺰﺷﮑﻲ ﮐﺮﻣﺎﻧﺸﺎﻩ ﺍﻧﺠﺎﻡ ﮔﺮﻓﺖ. ﻣـﻮﺍﺩ ﻭ ﺭﻭﺵ ﻫﺎ: ﺩﺭ ﻣﻄﺎﻟﻌـﻪ ﺍﻱ ﻣﻘﻄﻌﻲ ﺍﺯ ﻧﻮﻉ ﺗﻮﺻﻴﻔﻲ ﺗﺤﻠﻴـﻠﻲ، 29 ﺟﺮﺍﺡ ﺑﻪ ﺭﻭﺵ ﺳﺮﺷﻤـﺎﺭﻱ ﻭﺍﺭﺩ ﻣﻄﺎﻟﻌﻪ ﺷﺪﻧﺪ. ﺟﻬﺖ ﺟﻤﻊﺁﻭﺭﻱ ﺩﺍﺩﻩﻫﺎ ﺍﺯ ﭘﺮﺳﺸﻨﺎﻣﻪ ﺭﻭﺍ ﻭ ﭘﺎﻳﺎ ﺍﺳﺘﻔﺎﺩﻩ ﺷﺪ. ﺩﺍﺩﻩﻫﺎ ﺑﺎ ﺍﺳﺘﻔﺎﺩﻩ ﺍﺯ ﻧﺮﻡ ﺍﻓﺰﺍﺭ SPSS ﻧﺴﺨﻪ 16 ﻭ ﺁﻣﺎﺭ ﺗﻮﺻﻴﻔﻲ ﻭ ﺍﺳﺘﻨﺒﺎﻃﻲ ﻣﺠﺬﻭﺭ ﮐﺎﯼ ﻭ ﻣﻦ ﻭﻳﺘﻨﻲ ﻳﻮ( ﻣﻮﺭﺩ ﺗﺠﺰﻳﻪ ﻭ ﺗﺤﻠﻴﻞ ﻗﺮﺍﺭ ﮔﺮﻓﺘﻨﺪ. ﻳﺎﻓﺘﻪ ﻫﺎ: ﺍﺯ 29 ﺟﺮﺍﺡ ﺗﺤﺖ ﻣﻄﺎﻟﻌﻪ، 5 ﻣﻮﺭﺩ )17/2 ﺩﺭ ﻃﻲ 6 ﻣﺎﻩ ﺩﭼﺎﺭ ﺁﺳﻴﺐ ﺩﻳﺪﮔﻲ ﺑﺎ ﺍﺟﺴﺎﻡ ﺗﻴﺰ ﻭ ﺑﺮﻧﺪﻩ ﺷﺪﻩ ﺑﻮﺩﻧﺪ ﮐﻪ ﺍﺯ ﻣﻴﺎﻥ ﺁﻥ ﻫﺎ ﻓﻘﻂ ﻳﮏ ﻧﻔﺮ )20%( ﺩﺳﺘﻮﺍﻟﻌﻤﻞ ﻣﺮﺑﻮﻁ ﺑﻪ ﮔﺰﺍﺭﺵﺩﻫﻲ ﻭ ﭘﻴﮕﻴﺮﻱ ﺩﺭﻣﺎﻥ ﻫﺎ ﺭﺍ ﺍﻧﺠﺎﻡ ﺩﺍﺩﻩ ﺑﻮﺩ. ﺷﺎﻳﻌﺘﺮﻳﻦ ﻭﺳﻴﻠﻪ ﺁﺳﻴﺐﺯﺍ، ﺳﻮﺯﻥ ﺑﺨﻴﻪ ﺑﻮﺩ. ﺑﻴﻦ ﺁﺳﻴﺐ ﺩﻳﺪﮔﻲ ﻭ ﻣﺘﻐﻴﺮﻫﺎﻱ ﺟﻨﺲ )0/003=X2= 5/612, P(، ﺗﻌﺪﺍﺩ ﺑﻴﻤﺎﺭﺍﻥ )0/016=Z=2/40, P( ﻭ ﺳﺎﻋﺎﺕ ﮐﺎﺭ ﺩﺭ ﺭﻭﺯ 0/004=Z=2/85, P( ﺩﺭ ﺩﻭ ﮔﺮﻭﻩ ﺁﺳﻴﺐ ﺩﻳﺪﻩ ﻭ ﺁﺳﻴﺐ ﻧﺪﻳﺪﻩ، ﺍﺧﺘﻼﻑ ﺁﻣﺎﺭﻱ ﻣﻌﻨﺎﺩﺍﺭﻱ ﻳﺎﻓﺖ ﺷﺪ. ﻧﺘﻴﺠﻪ ﮔﻴـﺮﻱ: ﺑﺎ ﻋﻨﺎﻳﺖ ﺑﻪ ﻓﺮﺍﻭﺍﻧﻲ ﻧﺴﺒﺘﹰﺎ ﺯﻳﺎﺩ ﺁﺳﻴﺐ ﺩﻳﺪﮔﻲ ﺑﺎ ﺍﺟﺴﺎﻡ ﺗﻴﺰ ﻭ ﺑﺮﻧﺪﻩ ﺩﺭ ﻣﺘﺨﺼﺼﻴﻦ ﺟﺮﺍﺣﻲ ﻭ ﮔﺰﺍﺭﺵ ﺍﻧﺪﮎ ﺁﻥ ﻫﺎ، ﭘﻴﺸﻨﻬﺎﺩ ﻣﻲ ﺷﻮﺩ ﺩﺳﺘﻮﺭﺍﻟﻌﻤﻞ ﺁﺳﻴﺐ ﺩﻳﺪﮔﻲ ﺩﺭ ﺍﺗﺎﻕ ﻋﻤﻞ ﺭﺍ ﺑﻪ ﺻﻮﺭﺕ ﮐﺎﻣﻞ ﺭﻋﺎﻳﺖ ﺷﻮﺩ. ﻫﻤﭽﻨﻴﻦ ﺍﺯ ﺍﺑﺰﺍﺭﻫﺎﻱ ﺟﺮﺍﺣﻲ ﺍﻳﻤﻦ ﻭ ﮐﻢ ﺧﻄﺮﺗﺮ ﺑﺮﺍﻱ ﺟﺮﺍﺣﻲ ﺍﺳﺘﻔﺎﺩﻩ ﮔﺮﺩﺩ.

Introduction & Objective: Surgeons are one of the high-risk groups who are at the risk of injury from sharp objects at their workplace. This study was aimed to determine the prevalence and reporting rates of needle-stick injury amongst surgeons affiliated to Kermanshah University of Medical Sciences during 6 months of 2012. Materials & Methods: In a cross-sectional descriptive-analytic study, 29 surgeons were recruited for this study by the census sampling method. A valid and reliable questionnaire was used for data collection. Data was analyzed by using SPSS-16 software and descriptive and analytic statistics including Chi-squared test and Mann-Whitney U. Results: Of the 29 selected surgeons, 5 (17.2%) had a needle-stick injury during the last 6 months. Only 1 of the 5 (20%) who has suffered from a needle-stick injury, had followed the established confined plan. The most common cause of needle stick injuries was suture needle (60%). There were a statistically significant differences between needle-stick injury and sex (P=0.003, X2=5.612), the numbers of patients (Z=2.40, P=0.016) and the amount of working hours per day (Z=2.85, P=0.004) in both injured and non injured groups. Conclusions: Considering the relatively high prevalence of needle-stick injury among the surgeons and their neglect of reporting and tracking this issue, it is recommended that needle stick protocols should be completely adhered to in the operating rooms. The tools used for operation should be safe and less risky.