نوع مقاله : مقاله پژوهشی

نویسندگان

1 کارشناسی ارشد تکنولوژی اتاق عمل، دانشکده پرستاری و مامایی، گروه اتاق عمل، دانشگاه علوم پزشکی شیراز، شیراز، ایران

2 دانشیار، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی شیراز، شیراز، ایران

3 مربی، دانشکده پرستاری و مامایی، گروه هوشبری، دانشگاه علوم پزشکی شیراز، شیراز، ایران

4 دانشجوی دکتری پرستاری، کمیته تحقیقات دانشجویی، دانشگاه علوم پزشکی شیراز، شیراز، ایران

چکیده

مقدمه: دستگاه کوتری یکی از پرکاربردترین تجهیزات مورد استفاده در اتاق عمل است. این دستگاه حدود 1 قرن است که در اعمال جراحی استفاده شده و تاثیر مستقیمی بر روی نتایج اعمال جراحی دارد. بررسی اصول استفاده از دستگاه کوتری در پرسنل اتاق عمل باعث افزایش ایمنی بیمار و کاهش خطرات محیط کار می شود.
روش ها: این مطالعه توصیفی- مقطعی در 5 بیمارستان بزرگ آموزشی شهر شیراز انجام گرفت. چگونگی استفاده از دستگاه کوتری توسط پرسنل اتاق عمل در 100 عمل جراحی مورد مشاهده قرار گرفت. اطلاعات مورد نظر با استفاده از چک لیست سنجش عملکرد پرسنل اتاق عمل در بکارگیری دستگاه کوتری جمع­آوری گردید. تجزیه و تحلیل داده ها با آزمون توصیفی، کای اسکوئر در سطح معنی داری 05/0 و از طریق نرم افزار SPSS نسخه  17 صورت گرفت.
یافته­ ها: میانگین سن پرسنل اتاق عمل شرکت کننده در پژوهش 6/772 ± 31/540 بود. عملکرد پرسنل اتاق عمل در بکارگیری دستگاه کوتری، عمدتا در سطح متوسط قرار داشت. بین نمره عملکرد پرسنل اتاق عمل در بکارگیری دستگاه کوتری با  وضعیت شغلی (p-value=0/036) و مدرک تحصیلی (p-value=0/001) ، ارتباط معنی داری وجود دارد.
نتیجه ­گیری:وجود ارتباط مثبت و مستقیم بین بکارگیری دستگاه کوتری با وضعیت استخدامی و همچنین مدرک تحصیلی پرسنل اتاق عمل می تواند نمایانگر این امر باشد که افزایش میزان سنوات ، تجارب بیشتر و تعهد بیشتر نسبت به کار در افراد استخدام رسمی و افزایش مدرک تحصیلی بعلت ارتقا سطح علمی فرد منجر به عملکرد بهتر در بکارگیری دستگاه کوتری شده است. 

کلیدواژه‌ها

عنوان مقاله [English]

Investigating the Extent of Operating Room Personnel’s Compliance with the Principles of Using cautery Units and its Relationship with their Demographic Variables in University Hospitals Affiliated to Shiraz University of Medical Sciences

نویسندگان [English]

  • Armin Fereidouni 1
  • Camellia Torabizadeh 2
  • Seyed Alireza Moayedi 3
  • Mina Amiri 4

1 M.A. of Preoperative Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran

2 Associate Professor, Dean of School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran

3 Instructor, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran

4 Ph.D. Candidate of Nursing, Student Research Committee, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran

چکیده [English]

Introduction: A cautery unit is one of the most widely used pieces of equipment in operating rooms. It has been used in surgeries for about a century and has a direct impact on the results of surgeries.  Operating room personnel’s compliance with the principles of using Cautery units increases patient safety and reduces workplace hazards.
Methods: This cross-sectional, descriptive study was conducted in 5 large university hospitals in Shiraz. We observed the application of cautery units by operating room staff in 100 surgeries. We collected data using the checklist for evaluation of operating room personnel’s use of Cautery units. We analyzed the collected data using the descriptive statistics of the chi-square test and paired T-test at a significance level of 0.05 in SPSS v. 17
Results: The average age of the nurses who took part in the study was 31.540±6.772 years. The mean and standard deviation of the operating room personnel’s compliance with the principles of using cautery units was found to be 18.330±2.666.
Conclusion: The extent of operating room personnel’s compliance with the principles of using electrocautery units was medium. The existence of a positive and direct relationship between the personnel’s use of Cautery on the one hand and their employment status and education on the other can showed that the permanently employed personnel who had longer work experience and greater commitment and also highly educated personnel who had more scientific knowledge performed better at using Cautery units.

کلیدواژه‌ها [English]

  • Electrosurgery units
  • Operating Room Personnel
  • Operating Room
  • Cautery
  1. Mohebbifar R, Purrostami K, Mahdavi A, Hassanpoor E, Sokhanvar M, Nazari M, et al. Effect of Surgical Safety Checklist on Mortality of Surgical Patients in the α University Hospitals. Alborz University Medical Journal. 2014;3(1):33-9. (Persian).
  2. Martinsen T, Pettersen FJ, Kalvøy H, Tronstad C, Kvarstein G, Bakken A, et al. Electrosurgery and temperature increase in tissue with a passive metal implant. Frontiers in surgery. 2019;(6).
  3. Kumar P, Rattan V, Rai S. Comparative evaluation of healing after gingivectomy with electrocautery and laser. Journal of oral biology and craniofacial research. 2015;5(2):69-74.
  4. Coutinho TR, Malafaia O, Torres OJ,
    Ribas Filho JM, Kaminski AF, Cella IF, et al. Comparison between electrocautery and fibrin selant after hepatectomy in rats. Revista do Colegio Brasileiro de Cirurgioes. 2014;41(3):198-202.
  5. Moreira CM, Amaral E. Use of electrocautery for coagulation and wound complications in Caesarean sections. Scientific World Journal. 2014;2014:602375.
  6. Shashurin A, Scott D, Zhuang T, Canady J, Beilis, II, Keidar M. Electric discharge during electrosurgery. Scientific reports. 2015;(5):9946.
  7. Karaca G, Pekcici MR, Altunkaya C, Fidanci V, Kilinc A, Ozer H, et al. The effects of scalpel, harmonic scalpel and monopolar electrocautery on the healing of colonic anastomosis after colonic resection. Annals of surgical treatment and research. 2016;90(6):315-21.
  8. Torabizadeh C, Fereidouni A, Amiri M, Moayedi SA. Application of Electrosurgical Units by Operating Room Personnel: Development and Psychometric Testing of an Instrument. Shiraz E-Med J. 2020;21(2):91639.
  9. Alami Harandi M, Bahador, Mehrpour M, Saeed Reza. Electrosurgery (History, Usage principles, Risk Avoidance). IJOS. 2006;5(1):41-7. (Persian).
  10. Tan E, Russell K. Surgical plume and its implications: A review of the risk and barriers to a safe work place. ACORN Journal. 2017;30(4):33.
  11. Saaiq M, Zaib S, Ahmad S. Electrocautery burns: experience with three cases and review of literature. Annals Of Burns And Fire Disasters. 2012;25(4):203.
  12. Chae SB, Kim WK, Yoo CJ, Park CW. Fires and Burns Occurring in an Electrocautery after Skin Preparation with Alcohol during a Neurosurgery. JKNS. 2014;55(4):230-3.
  13. Mayooran Z, Pearce S, Tsaltas J, Rombauts L, Brown TI, Lawrence AS, et al. Ignorance of electrosurgery among obstetricians and gynaecologists. BJOG. 2004;111(12):1413-8.
  14. Bisinotto FMB, Dezena RA, Martins LB, Galvão MC, Sobrinho JM, Calçado MS. Burns related to electrosurgery–Report of two cases. Brazilian Journal Of Anesthesiology (English Edition). 2017;67(5):527-34.
  15. Alkatout I, Schollmeyer T, Hawaldar NA, Sharma N, Mettler L. Principles and safety measures of electrosurgery in laparoscopy. JSLS. 2012;16(1):130.
  16. Ball K, Doyle D, Oocumma NI. Nursing shortages in the OR: solutions for new models of education. AORN journal. 2015;101(1):115-36.
  17. Mazhari Z, Adel A. Patient Safety Status In Hospitals Of Tehran-Patient Safety Friendly Hospitals Standards: 2013. Payavard Salamat. 2015;8(5):379-89. (Persian).
  18. Senders J. FMEA and RCA: the mantras; of modern risk management. BMJ Quality & Safety. 2004;13(4):249-50.
  19. Madani A, Watanabe Y, Vassiliou MC, Fuchshuber P, Jones DB, Schwaitzberg SD, et al. Long-term knowledge retention following simulation-based training for electrosurgical safety: 1-year follow-up of a randomized controlled trial. Surgical endoscopy. 2016;30(3):1156-63.
  20. Makai GE, Schaeffer KD, Sloan NL. Independent Learning of Electrosurgery in Gynecology: A Randomized Controlled Trial.J. Gynecol. Surg. 2017;33(2):51-6.
  21. Hur H-C, Green I, Modest AM, Milad M, Huang E, Ricciotti H. Needs assessment for electrosurgery training of residents and faculty in obstetrics and gynecology. JSLS. 2014;18(3).
  22. Watanabe Y, Kurashima Y, Madani A, Feldman LS, Ishida M, Oshita A, et al. Surgeons have knowledge gaps in the safe use of energy devices: a multicenter cross-sectional study. Surgical endoscopy. 2016;30(2):588-92.
  23. Khoshdel H, Amouzeshi A, Amouzeshi Z, Unesi Z. Surgical Team'Knowledge About electrocautery smoke complications in the Educational hospitals in Birjand, 2011. Surgery And Trauma. 2014.
  24. Spruce L, Braswell ML. Implementing AORN recommended practices for electrosurgery. AORN journal. 2012;95(3):373-84; quiz 85-7.