Lotfi Mojgan, Sheikhalipour Zahra, Zamanzadeh Vahid, Aghazadeh Ahmadmirza, Khordeforoush Hassan, Rahmani Parvin, Akhuleh Omid Zadi
Nursing and midwifery faculty. Tabriz University of Medical Science, Tabriz, Iran.
Department of Basic sciences, Paramedical Faculty, Tabriz University of Medical Sciences, Tabriz, Iran.
Perioper Care Oper Room Manag. 2022 Mar;26:100234. doi: 10.1016/j.pcorm.2021.100234. Epub 2021 Dec 15.
Surgical smoke (SS), which is produced by the use of high-temperature devices for cutting and coagulation of tissue during surgical procedures, is considered a serious threat to the health of operating room (OR) staff due to the presence of hazardous substances and possibility of transmitting various infections such as HPV, HIV, COVID-19 and so on. This study was conducted to determine the Attitude, preventive practice and perceived barriers among perioperative and anesthesia nurses toward surgical smoke hazards.
In this cross-sectional descriptive study, conducted at hospitals of Tabriz University of Medical Sciences (Iran) in 2021, 262 perioperative and anesthesia nurses were included by stratified random sampling. Data were collected using a demographic questionnaire and an SS questionnaire consisting of questions on attitude (17 item), practice (8 item), and barriers (13 item). Collected data were analyzed using SPSS16.
The mean attitude and preventive practice scores (49.52 ± 12.36 and 15.8 ± 2.05, respectively) of the operating room nurses were reported at moderate and weak levels, respectively. There was a direct and significant relationship between attitude and practice scores ( = 0.129, = 0.019). The main barriers to the prevention and dealing with the hazards of SS in ORs were reported in management (3.68 ± 1.06) and equipment (3.24 ± 0.66) dimensions, respectively.
It is recommended to adopt strategies to improve the attitude of OR staff regarding the preventive measures against surgical smoke hazards. Moreover, appropriate equipment and support of managers should be provided by explaining the policies and guidelines to prevent the complications of surgical smoke.
手术烟雾（SS）是在外科手术过程中使用高温设备切割和凝固组织时产生的，由于存在有害物质以及可能传播各种感染，如人乳头瘤病毒（HPV）、人类免疫缺陷病毒（HIV）、2019冠状病毒病等，被认为对手术室（OR）工作人员的健康构成严重威胁。本研究旨在确定围手术期和麻醉护士对手术烟雾危害的态度、预防措施及感知障碍。
在本横断面描述性研究中，于2021年在大不里士医科大学（伊朗）的医院进行，通过分层随机抽样纳入了262名围手术期和麻醉护士。使用人口统计学问卷和手术烟雾问卷收集数据，手术烟雾问卷包括关于态度（17项）、措施（8项）和障碍（13项）的问题。使用SPSS16对收集的数据进行分析。
手术室护士的平均态度得分和预防措施得分分别为中等水平（49.52±12.36）和较弱水平（15.8±2.05）。态度得分与措施得分之间存在直接且显著的关系（=0.129，=0.019）。手术室预防和应对手术烟雾危害的主要障碍分别报告在管理方面（3.68±1.06）和设备方面（3.24±0.66）。
建议采取策略提高手术室工作人员对手术烟雾危害预防措施的态度。此外，应通过解释预防手术烟雾并发症的政策和指南，为管理人员提供适当的设备和支持。
