Honarbakhsh Marzieh, Jahangiri Mehdi, Ghaem Haleh, Farhadi Payam
1 Shiraz University of Medical Sciences.
2 Allameh Tabataba'i University.
Workplace Health Saf. 2018 Apr;66(4):173-182. doi: 10.1177/2165079917703410. Epub 2017 Jul 31.
In hospitals, health care workers (HCWs) are exposed to a wide range of respiratory hazards, which requires using respiratory protective equipment and implementing Respiratory Protection Programs (RPPs). The aim of this cross-sectional study was to investigate RPP implementation in 36 teaching hospitals located in the Fars province of Iran. A researcher-developed checklist, including nine components of the RPP standard, was completed by industrial hygienists in the study hospitals. The Fuzzy Analytical Hierarchy Process (FAHP) was used to determine the weight coefficient of RPP components. Finally, a Respiratory Protection Program Index (RPPI) was developed to calculate hospital compliance with RPP. The results showed that RPP were not fully implemented in the studied hospitals, and the highest and lowest RPPI scores were related to training and fit testing, respectively. To promote the implementation of RPP, significant efforts are required for all components, especially fit testing and worker evaluation.
在医院中，医护人员会接触到多种呼吸道危害因素，这就需要使用呼吸防护设备并实施呼吸防护计划（RPPs）。这项横断面研究的目的是调查伊朗法尔斯省36家教学医院的RPP实施情况。研究医院的工业卫生学家完成了一份由研究人员制定的检查表，其中包括RPP标准的九个组成部分。采用模糊层次分析法（FAHP）确定RPP各组成部分的权重系数。最后，制定了呼吸防护计划指数（RPPI）以计算医院对RPP的依从性。结果表明，研究中的医院并未全面实施RPP，RPPI得分最高和最低的分别与培训和适合性测试有关。为促进RPP的实施，所有组成部分都需要付出巨大努力，尤其是适合性测试和工作人员评估。
