Yu Ching-Lan, Hsieh Suh-Ing, Lin Li-Hung, Chi Shu-Fen, Huang Tzu-Hsin, Yeh Shu-Ling, Wang Chi
Department of Nursing, Taoyuan Chang Gung Memorial Hospital, Chang Gung University of Science and Technology, Taoyuan City 33378, Taiwan.
Taiwan Union of Nurses Association, Taipei City 103, Taiwan.
Healthcare (Basel). 2022 May 23;10(5):965. doi: 10.3390/healthcare10050965.
Surgical smoke has been proven to be harmful and carcinogenic to humans as well as increasing the risk of acquiring infectious diseases. The operating room nurses' willingness to use protective equipment against surgical smoke was low. The factors associated with personal protective behavior in the operating room against surgical smoke were sparsely explored. The purpose of this study is to determine factors associated with surgical smoke self-protection behavior of the operating room nurses. This was a descriptive correlational study using a convenience sample from a medical center in northern Taiwan. The self-designed questionnaires included personal characteristics and perceived attributes. The data were analyzed by descriptive and linear regression. Attendance at in-service education with regard to surgical smoke, the attitude to surgical smoke, and surgical smoke self-protection barriers were significant factors found in multivariate linear regression after controlling the covariates. The overall model was significant and accounted for 14.2% of variances. In summary, attending in-service education, attitude and barriers in executing self-protective behaviors were significant factors. It is important to promote operating room nurses' health through providing correct surgical smoke knowledge, self-protection strategies to improve attitudes toward surgical smoke, improving the hospital's environment by adding surgical smoke evacuation equipment, and standardizing the operating procedures.
手术烟雾已被证明对人类有害且具有致癌性,还会增加感染疾病的风险。手术室护士使用防手术烟雾防护设备的意愿较低。针对手术室中针对手术烟雾的个人防护行为相关因素的探索较少。本研究的目的是确定与手术室护士手术烟雾自我保护行为相关的因素。这是一项描述性相关性研究,使用了来自台湾北部一家医疗中心的便利样本。自行设计的问卷包括个人特征和感知属性。数据通过描述性分析和线性回归进行分析。在控制协变量后,多元线性回归发现参加手术烟雾在职教育、对手术烟雾的态度以及手术烟雾自我保护障碍是重要因素。总体模型具有显著性,解释了14.2%的方差。总之,参加在职教育、态度以及执行自我保护行为的障碍是重要因素。通过提供正确的手术烟雾知识、自我保护策略以改善对手术烟雾的态度、通过增加手术烟雾排放设备改善医院环境以及规范操作程序来促进手术室护士的健康非常重要。