Istanbul University, Florence Nightingale Faculty of Nursing, Surgical Nursing Department, Istanbul, Turkey.
Istanbul University, Istanbul Faculty of Medicine, General Surgery Department, Turkey.
Int J Surg. 2014;12(7):720-4. doi: 10.1016/j.ijsu.2014.05.065. Epub 2014 May 21.
It is aimed to identify, the educations given to professionals working in endoscopy units against infectious risks during the endoscopic procedures and awareness of professionals for protection from these infections.
After obtaining the required ethic committee permissions, 50 physicians and 34 nurses, working in the endoscopy units of three university and one training and research hospital, were included in this study. A survey with 37 questions, prepared in accordance with the literature was applied to the participating endoscopist (E) and endoscopy nurses (EN). SPSS (Statistical Package for Social Sciences) for Windows 16.0 program was used for statistical evaluation of the obtained data.
Forty-four (52%) of the subjects were female and 40 (48%) were male, and their average age was 39 (±6.82) years. When trainings on endoscopy of E and EN were evaluated, it was found that 44% (n = 37) of them precise an endoscopy course on endoscopy training, %56 (n = 47) received no training and they learned through master/apprentice system. Furthermore, it was found that 65% (n = 55) of the E and EN received no training on universal precautions procedures, infection and risks endoscopic procedures and only 35% (n = 29) received a specific course or on-the-job training. Nevertheless, rates of wearing protective gowns and gloves were high both for E and EN; but rate of other precautions such as wearing mask, using special gloves and face shields were found to be low. It was found that the rate of "receiving an education on endoscopy" for E was significantly higher than that of EN (p < 0001). The rate of reporting emergency situations such as contact with blood/body fluids or percutaneous injuries and the rate of taking universal precautions of EN who received an education, was statistically higher than that of EN who did not (p < 0.001 and p < 0008).
As a result of our investigation, it was determined that the endoscopists and endoscopy nurses did not effectively apply the universal precautions against infectious risks faced during endoscopic procedures and did not receive the basic trainings. The professionals who received training were more responsive for this issue. According to our results, organizing continuous training programs through endoscopy professionals is necessary to provide the universal precautions of avoiding exposure to blood and body fluids.
确定内镜操作中针对感染风险为内镜操作人员提供的教育，以及专业人员对这些感染的防护意识。
在获得所需伦理委员会许可后，纳入了三所大学和一所培训研究医院内镜单位的 50 名医生和 34 名护士。我们根据文献编写了 37 个问题的调查问卷，对参与的内镜医生（E）和内镜护士（EN）进行了调查。采用 Windows 16.0 版 SPSS（社会科学统计软件包）统计分析软件对所得数据进行统计评估。
44%（n=37）的参与者接受过内镜培训课程，48%（n=40）未接受过培训，而是通过师徒制学习。此外，65%（n=55）的 E 和 EN 未接受过普遍预防措施程序、感染和内镜程序风险方面的培训，只有 35%（n=29）接受过专门课程或在职培训。然而，E 和 EN 都高度重视穿防护服和手套；但戴口罩、使用特殊手套和面罩等其他预防措施的比率较低。E 接受内镜教育的比例明显高于 EN（p<0.0001）。接受过教育的 EN 报告接触血液/体液或经皮损伤等紧急情况和采取普遍预防措施的比例明显高于未接受过教育的 EN（p<0.001 和 p<0.0008）。
我们的调查结果表明，内镜医生和内镜护士没有有效地应用针对内镜操作中面临的感染风险的普遍预防措施，也没有接受基本培训。接受过培训的专业人员对此问题的反应更为积极。根据我们的结果，通过内镜专业人员组织持续的培训计划，对于提供避免接触血液和体液的普遍预防措施是必要的。
