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Title:PREPREČEVANJE BOLNIŠNIČNIH OKUŽB V OPERACIJSKIH PROSTORIH
Authors:ID Novak, Eva (Author)
ID Šimec, Mateja (Mentor) More about this mentor... New window
Files:.pdf 2668$$eva_novak_diplomska_naloga.pdf (1,52 MB)
MD5: 1F2241820FB4E4919810ACD042683917
 
Language:Slovenian
Work type:Bachelor thesis/paper
Organization:UNM FZV - University of Novo mesto - Faculty of Health Sciences
Abstract:Teoretična izhodišča: Bolnišnične okužbe so okužbe, povezane z zdravstveno nego, in dandanes predstavljajo velik izziv po celem svetu. Po podatkih Svetovne zdravstvene organizacije bolnišnične okužbe povečujejo možnost za nastanek večjih stroškov, povečane obolevnosti in invalidnosti ter v nekaterih primerih celo vodijo v smrt. Operacijski prostori predstavljajo veliko tveganje za širjenje in prenos mikroorganizmov. Ti se lahko prenašajo prek zdravstvenega osebja, okolja, materiala ter pacienta in imajo možnost povzročitve bolnišničnih okužb in resnih pooperativnih zapletov. Namen raziskave v diplomski nalogi je raziskati morebitne možnosti za preprečevanje bolnišničnih okužb v operacijskih prostorih. Cilji raziskave so bili ugotoviti pomen higiene rok in naloge zdravstvenega osebja, raziskati vloge okolijskih dejavnikov ter identificirati dejavnike tveganja za nastanek bolnišničnih okužb v operacijskih prostorih. Metoda: Raziskava je temeljila na kvantitativnem načinu raziskovanja in deskriptivni metodi dela. Podatke smo pridobili z anketnim vprašalnikom. Raziskovalni vzorec je predstavljalo 110 anketirancev (27 moških in 83 žensk). Med celotno raziskavo in obdelavo podatkov so bila upoštevana etična načela raziskovanja. Rezultati: Večina (68 %) anketirancev meni, da je največji dejavnik tveganja za nastanek bolnišničnih okužb v operacijskih prostorih neustrezna higiena rok, kamor spadata umivanje in razkuževanje rok. Takoj za tem pa je kontaminacija instrumentov (67 %). Okoli 85 % anketirancev meni, da je higiena rok zanje zelo pomembna, in 13 %, da je pomembna. Kot največji razlog za nepravilno izvajanje higiene rok je 59 % anketirancev izbralo pomanjkanje časa. Kar 80 % anketirancev je mnenja, da sta čistoča in sterilizacija operacijskih prostorov zelo pomembno opravilo. Večina (67 %) anketirancev pa meni, da je čistoča površin največji vpliv iz okolja. Razprava: Ugotovili smo, da so glavni dejavniki za nastanek bolnišničnih okužb v operacijskih prostorih neustrezna higiena rok, nepravilna sterilizacija instrumentov, neuporaba osebne zaščitne opreme, slabo očiščeni prostori in pomanjkljivo usposabljanje osebja. Neustrezna higiena rok je najpogostejši dejavnik za nastanek okužbe, pri čemer smo ugotovili, da kljub visoki ozaveščenosti zdravstvenega osebja v praksi pogosto prihaja do pomanjkljive higiene rok. Tudi druge raziskave omenjajo, da je ustrezna higiena rok eden najpomembnejših, najcenejših in najpreprostejših ukrepov za preprečevanje okužb. Prav tako smo ugotovili, da ima zdravstveno osebje ključno vlogo pri preprečevanju bolnišničnih okužb v operacijskih prostorih. To vključuje pravilno higieno rok, pravilno sterilizacijo instrumentov in pravilno uporabo osebne varovalne opreme. Kljub dejavnikom tveganja, ki so povezani z zdravstvenimi delavci, pacientom, ne smemo pozabiti na dejavnike iz okolja. Ugotovili smo, da so dejavniki iz okolja, kot so umivanje in razkuževanje površin v operacijskih prostorih, kakovost zraka, temperatura in vlaga, še kako pomembni za varno delovanje v operacijski sobi. Pri vseh kategorijah se pojavljajo razne ovire, vendar moramo kljub vsem tem delovati strokovno in po naših najboljših močeh, da pacientu zagotovimo varno zdravstveno obravnavo.
Keywords:bolnišnične okužbe, operacijski prostor, izolacija, dejavniki tveganja
Year of publishing:2025
PID:20.500.12556/ReVIS-11565 New window
Publication date in ReVIS:28.03.2025
Views:116
Downloads:8
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Secondary language

Language:English
Title:PREVENTION OF HOSPITAL INFECTIONS IN OPERATING ROOMS
Abstract:Theoretical Background: Hospital-acquired infections are infections associated with healthcare and are a major challenge worldwide today. According to the World Health Organization, hospital-acquired infections increase the risk of increased costs, increased morbidity and disability, and in some cases even lead to death. Operating rooms pose a high risk of spreading and transmitting microorganisms. These can be transmitted via healthcare personnel, the environment, materials, and the patient, and have the potential to cause hospital-acquired infections and serious postoperative complications. The purpose of the research in the thesis is to investigate potential options for preventing hospital-acquired infections in operating rooms. The objectives of the research were to determine the importance of hand hygiene and the tasks of healthcare personnel, to investigate the role of environmental factors, and to identify risk factors for the occurrence of hospital-acquired infections in operating rooms. Method: The research was based on a quantitative research method and a descriptive work method. Data were obtained using a survey questionnaire. The research sample consisted of 110 respondents (27 men and 83 women). Ethical principles of research were observed throughout the research and data processing. Results: The majority (68 %) of respondents believe that the greatest risk factor for the development of hospital-acquired infections in operating rooms is inadequate hand hygiene, which includes washing and disinfecting hands. This is followed by contamination of instruments (67 %). Around 85 % of respondents believe that hand hygiene is very important to them, and 13 % that it is important. 59 % of respondents chose lack of time as the biggest reason for improper hand hygiene. As many as 80 % of respondents believe that cleanliness and sterilization of operating rooms are very important tasks. The majority (67 %) of respondents believe that the cleanliness of surfaces is the greatest environmental influence. Discussion: We found that the main factors for the occurrence of hospital-acquired infections in operating rooms are inadequate hand hygiene, improper sterilization of instruments, failure to use personal protective equipment, poorly cleaned rooms and insufficient training of staff. Inadequate hand hygiene is the most common factor for the occurrence of infection, and we found that despite the high awareness of healthcare personnel, inadequate hand hygiene often occurs in practice. Other studies also mention that adequate hand hygiene is one of the most important, cheapest and simplest measures for preventing infections. We also found that healthcare personnel play a key role in preventing hospital-acquired infections in operating rooms. This includes proper hand hygiene, proper sterilization of instruments and the correct use of personal protective equipment. Despite the risk factors associated with healthcare workers and patients, we must not forget about environmental factors. We have found that environmental factors such as cleaning and disinfecting surfaces in operating rooms, air quality, temperature and humidity are very important for safe operation in the operating room. There are various obstacles in all categories, but despite all this, we must act professionally and to the best of our ability to provide safe medical treatment to the patient.
Keywords:hospital infections, operating room, isolation, risk factors


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