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Amaç: Tıbbi araç-gereçlerin ve hastane ortamının temizlik ve dezenfeksiyonunun prosedüre uygun yapılmaması sağlık bakım ilişkili enfeksiyonlara, dirençli mikroorganizmaların yayılmasına ve temizlik-dezenfeksiyon konusunda gereksiz işlemlere bağlı hastane giderlerinin artmasına neden olabilir. Bu çalışmada amaç ağız ve diş sağlığı hastanesinde uygulamalı ünit temizlik ve dezenfeksiyon eğitimi etkinliğini değerlendirmektir. Yöntem: Müdahale araştırması olarak planlanan çalışma Sakarya Ağız ve Diş Sağlığı Hastanesi (SADSH)’de 24.07.2017-20.10.2017 arasında çalışan toplam 68 diş klinik yardımcısı ve temizlik personeline yapıldı. Çalışanlara ünit temizlik ve dezenfeksiyon konularındaki bilgileri derlenmek üzere sorular soruldu ve gözlemler yapıldı. Aynı gruba daha sonra Uygulamalı Ünit Temizlik Dezenfeksiyon Eğitimi (UTDE), enfeksiyon kontrol hemşiresi tarafından verildi. Çalışma grubunun aldıkları UTDE eğitimi sonrasında bilgileri GÖZLEM yoluyla değerlendirildi. Eğitim öncesi ve eğitim sonrası gözlem sonuçları standart bir forma kayıt edildi. Elde edilen veriler SPSS 21 programında analiz edildi ve p<0.05 anlamlı kabul edildi. Bulgular: Sağlık çalışanlarının % 85’i kadın (58/68), %15’i erkek (10/68) olup yaş ortalaması 38.4±7.1 (22-50) idi. Çalışmaya katılanların %44 (n:30)’ü temizlik personeli, %51 (n:35)’i diş klinik yardımcısı ve %4 (n:3)’ü hemşireydi ve sağlık çalışanlarının hastanede çalışma yılı ortalama 9±3 (2-13) yıldı. Gözlenen sağlık çalışanının %90’ı klinik çalışanı, %10’u klinik dışı çalışan idi. UTDE’ye katılım oranı %100 (n:68) idi. Ünit temizlik dezenfeksiyon uygulamaları işlemlerinden malzemelerin toplanması, kullanılan malzeme temizliği, reflektör kolu, kreşuar dezenfeksiyonu, ünit cihaz, kolluk, tabla ve asistan pedalı dezenfeksiyonu ve eldiven değişimi işlem basamaklarında eğitim sonrası anlamlı iyileşme gözlendi (p<0.05). Sonuç: Eğitim sonrası dönemde ünit temizlik ve dezenfeksiyon uygulamalarının prosedüre uygun yapıldığı, UTDE ile temizlik dezenfeksiyon yönünün temizden kirliye doğru artış gösterdiği, birim içi ve uygulamalı verilen eğitimlerin daha etkin olduğu sonuçlarına ulaşılmıştır.
Objective: The failure to do the procedure for the cleaning and disinfection of medical vehicles and hospital environments may lead to an increase in hospital costs related to health care-related infections, the spread of resistant microorganisms and the unnecessary processes in the cleaning and disinfection. The aim of this study is to evaluate the effectiveness of the applied unit cleaning and disinfection training in the oral and dental health hospital. Method: The work planned as an intervention research was done to a total of 68 dental clinical assistants and cleaning staff working between 24.07.2017-20.10.2017 at Sakarya Oral and Dental Health Hospital (SADSH). The employees were asked questions to collect information on units cleaning and disinfection issues and observations were made. The same group was subsequently given Applied Unit Cleaning Desinfection Training (UTDE), by the infection control nurse. The study group received the UTDE training after the information was evaluated through VISION. Preliminary and post-training observation results were recorded in a standard form. The data obtained was analyzed in the SPSS 21 program and p<0.05 was considered meaningful. Results: 85% of health workers are women (58/68), 15% are men (10/68) and the average age was 38.4±7.1 (22-50) 44% (n:30) of the study participants were cleaning staff, 51% (n:35) dental clinical assistant and 4% (n:3) nurses, and the average year of work in the hospital of health workers was 9±3 (2-13) years. 90% of the medical staff observed were clinical staff and 10% were non-clinical staff. The participation rate in UTDE was 100% (n:68). Unit cleaning disinfection applications from processes of material collection, used material cleaning, reflector arm, crossing disinfection, unit device, coating, table and assistant pedal disinfection and handheld exchange process stages observed significant improvement after training (p<0.05). The result: in the post-training period, the unity cleaning and disinfection practices were performed according to the procedure, the UTDE and the cleaning disinfection direction showed an increase from clean to pollution, the unity and practical training was more effective.
Aim: Failure to perform the cleaning and disinfection of medical devices and hospital environments in accordance with the procedure may result in health care-associated infections, dissemination of resistant microorganisms, and increased hospital expenses due to unnecessary procedures for cleaning-disinfection. The aim of this study was to evaluate the effectiveness of applied unit cleaning and disinfection training in oral and dental health hospital. Method: The study, which was planned as an intervention study, was carried out in Sakarya Oral and Dental Health Hospital between 24.07.2017-20.10.2017. Employees were asked questions about unit cleaning and disinfection and the observations were made. The same group was then given the Applied Unit Cleaning Disinfection Training (UCDT) by the infection control nurse. After UCDT training, the data of the study group were evaluated via observation. The results of the observation before and after the training were recorded in a standard form. The data were analyzed in SPSS 21 program and p <0.05 was considered as statistically significant. Results: 85% of healthcare workers were women (n:68) and 15% were men (n:10); the mean age was 38.4 ± 7.1 (22-50). 44% (n: 30) of the participants were cleaning staff, 51% (n: 35) of the dental clinic assistant and 4% (n: 3) of the nurses, and the average number of working year of health workers in the hospital was 9 ± 3 (2- 13) year. 90% of the health care workers were clinical workers and 10% were non-clinical workers. Participation to UCDT was 100% (n: 68). Significant improvement was observed in unit cleaning, material cleaning, reflector arm, cuspidor disinfection, unit device, arm cuff, table and assistant pedal disinfection and glove exchange process steps after unit cleaning (p <0.05). Conclusion: It was concluded that the unit cleaning and disinfection applications in the post-training period were performed in accordance with the procedure, the cleaning disinfection direction with UCDT increased from clean to dirty, and the in-unit and applied training were more effective.
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
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