关键词: Hazards knowledge orthopaedic surgery southern Nigeria surgical residents

来  源:   DOI:10.4103/jwas.jwas_85_22   PDF(Pubmed)

Abstract:
UNASSIGNED: Orthopaedic surgery is a specialty that deals with a lot of complex and delicate procedures which involve the use of power tools as well as handling of sharp tools and bony spicules, which, among other things, expose trainees to day-to-day hazards which can predispose them to an array of health challenges and burden the health sector. Knowledge of different measures in minimizing some of these risks can go a long way to saving lives and resources.
UNASSIGNED: This study aims to determine the level of awareness among orthopaedic surgical residents about various hazards and risks and to ascertain their views on the prevention thereof to guide certain decision-making concerning surgical hazard risk reduction.
UNASSIGNED: A cross-sectional survey of orthopaedic surgery residents in South East Nigeria was conducted using a structured questionnaire designed using the free software Google® Form and was electronically distributed randomly to orthopaedic surgery residents in southern Nigeria using platforms including WhatsApp and Telegram. The data obtained were analysed using Statistical Package for the Social Sciences (SPSS) statistical software version 26. Consent was obtained from all respondents by outlining a clear statement of consent at the beginning of the form.
UNASSIGNED: At the end of the study period, 49 surgical residents completed and submitted the questionnaire. There was a significant level of awareness of surgical hazard risks among the surgical residents, with over 90% agreeing to radiation exposure, needlestick injury, and inhalation of smoke being the major surgical hazard risks encountered in orthopaedic surgery practice. Over 95.9% of the respondents agreed that the use of sharp collection devices can help reduce needlestick injuries. All respondents agreed that the provision of adequate personal protective equipment (PPE) can help reduce surgical hazards. It was noted that the majority of the respondents (65.3%) had their preliminary knowledge about exposure to surgical hazard risks and appropriate safety measures during their undergraduate education. About 30.6% were aware of a surgery hazard risk safety guideline in their training centres, whereas only 65.3% of those people have studied the guidelines. There was no statistically significant associations between the level of training and marital status and those who had studied the surgical hazard risk guidelines available in their centres (P = 0.086, χ2= 2.942; P = 0.715, χ2=0.133, respectively). All of the residents know that immunization can help reduce the impact of disease risk among the surgery staff, but only 73.5% have completed a hepatitis B immunization and 55.1% have completed the tetanus immunization.
UNASSIGNED: Surgical hazards risks are important issues that need to be addressed and measures regularly reviewed appropriately to ensure and maintain the safety and health of the orthopaedic surgical and all other health personnel. There is a significant level of awareness of surgical hazard risks and prevention measures among orthopaedic residents, but the level of compliance to safety guidelines is not yet optimal.
UNASSIGNED: PPEs and sharp collection boxes should always be available in theatres and measures should be taken to encourage residents\' adherence to studying and practicing established surgical safety guidelines in their hospitals and also completing their immunization schedules.
摘要:
未经授权:骨科手术是一项专业,涉及许多复杂而微妙的程序,涉及使用电动工具以及处理锋利的工具和骨针,which,除其他外,使受训者面临日常危害,这些危害可能使他们容易面临一系列健康挑战,并给卫生部门带来负担。了解不同措施来最大限度地减少其中一些风险,可以大大挽救生命和资源。
UNASSIGNED:本研究旨在确定骨科住院医师对各种危害和风险的认识程度,并确定他们对预防这些危害和风险的看法,以指导有关降低手术危害风险的决策。
UNASSIGNED:使用使用免费软件Google®Form设计的结构化问卷对尼日利亚东南部的骨科手术居民进行了横断面调查,并以电子方式随机分发给尼日利亚南部的骨科手术居民使用WhatsApp和Telegram等平台。使用社会科学统计软件包(SPSS)统计软件版本26分析获得的数据。通过在表格开头概述明确的同意声明,获得了所有受访者的同意。
未经评估:在研究期结束时,49名手术居民填写并提交了问卷。手术居民对手术危险风险的认识水平很高,超过90%的人同意辐射暴露,针刺伤,吸入烟雾是骨科手术实践中遇到的主要手术危险。超过95.9%的受访者认为使用锋利的收集装置有助于减少针刺伤。所有受访者都同意,提供足够的个人防护设备(PPE)可以帮助减少手术危险。值得注意的是,大多数受访者(65.3%)在本科教育期间对暴露于手术危害风险和适当的安全措施有初步了解。约30.6%的人在训练中心知悉手术危险风险安全指引,而只有65.3%的人研究过指南。培训水平和婚姻状况与那些研究了其中心可用的手术危险风险指南的人之间没有统计学上的显着关联(分别为P=0.086,χ2=2.942;P=0.715,χ2=0.133)。所有居民都知道免疫接种有助于降低手术人员疾病风险的影响,但只有73.5%完成了乙型肝炎免疫,55.1%完成了破伤风免疫。
UNASSIGNED:手术危害风险是需要解决的重要问题,并定期适当地审查措施,以确保和维护整形外科和所有其他卫生人员的安全和健康。骨科住院医师对手术危害风险及预防措施的知晓率显著,但遵守安全准则的水平还不是最佳的。
UNASSIGNED:剧院应始终提供PPEs和锋利的收集箱,并应采取措施鼓励居民遵守在其医院学习和实践既定的手术安全指南,并完成其免疫计划。

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