Publication: Sağlık ocaklarında iş ortamı ve iş yaşamına ilişkin risklerinin değerlendirilmesi
Abstract
Amaç: Bu çalışma Doğu Anadolu Bölgesi'nde bir il merkezinde bulunan sağlık ocakları ve AÇSAP merkezlerinde çalışan personelin son bir yıl içinde iş ortamı ve iş yaşamına ilişkin en sık karşılaştıkları riskler ve sağlık sorunlarını tanımlamak amacıyla kesitsel türde yürütülmüş bir çalışmadır. Gereç ve Yöntem: Araştırmanın evrenini TC Sağlık Bakanlığı'na bağlı Tunceli İl Merkezi'nde bulunan Merkez, Atatürk, Cumhuriyet sağlık ocakları ile Ana Çocuk Sağlığı ve Aile Planlaması Merkezi'nde çalışan tüm sağlık personeli ve diğer çalışanları (74 kişi) oluşturmuştur. Tüm kişilere ulaşmanın planmış olmasına karşın, örnekleme 2004 yaz aylarında ulaşılabilen 60 kişi alınmıştır. Veriler, sağlık çalışanlarının sosyodemografik özelliklerini, çalışma ortamı ve çalışma yaşamıyla ilgili risklerin değerlendirmeye yönelik soru formu ile toplanmıştır. Veriler bilgisayar ortamında, çalışanların tanımlayıcı özellikleri ile ilgili veriler sayı ve yüzdelik ile, bağımsız ve bağımlı değişkenler arasındaki ilişkiler ise Pearsonchi- square testi kullanılarak değerlendirilmiştir Bulgular: Araştırmaya katılan sağlık çalışanlarının %80i kadındır. Çalışanların %45i ebe, 26,7'si hemşire, 10,7si sağlık memuru, 6,7si doktor , %10 u ise diğer sağlık personelinden oluşmaktadır. Çalışanların çalışma yaşamında sık karşılaştıkları risklerin başında %71,7 ile stres, %70 ile monoton çalışma ortamı gelmektedir. Çalışanların %55i karda düşme, %51,7'si köpek ve başka hayvan saldırısı, %38,3'ü kimyasal madde sıçraması, %31,7' si ise kesici , batıcı aletle yaralanma yaşamıştır. Çalışanların yaşları ile hasta yakınları tarafından sözel saldırıya maruz kalmaları arasında istatistiksel olarak anlamlı fark bulunmuştur (x2=8,07 p=0.04) Çalışanların cinsiyetleri ile köpek ve bazı hayvan saldırısına maruz kalma ve hasta yakınları tarafından sözlü saldırıya uğrama arasında da istatistiksel olarak anlamlı fark saptanmıştır. (X2=7,35, p=0.00, X2=6,85, p=0.00). Çalışanların %86,7si mesleki risklerden korunmaya yönelik sağlık eğitimi almamıştır. Sonuç: Sağlık çalışanlarının önemli bir bölümünün mesleğe bağlı risklerle korunmaya ilişkin sağlık eğitimi almadığı, yarısından fazlasının hasta yakınları tarafından sözlü şiddet yaşadığı, en sık yaşadıkları sorunların başında stres ve monoton yaşamın geldiği saptanmıştır.
Objective: This cross sectional study has been conducted in order to identify the most common risks and healthcare problems experienced within the working environments and during practices by the healthcare workers employed in mother and child care centers and primary health care units located in Tunceli (A city in East Anatolia Region) Material and Methods: The research comprised all health care and non-health care workers employed in the mother and child care centers and primary health care units located in Tunceli (74 persons). These units and centers are subsidiaries of the Turkish Ministry of Health and are located in central Tunceli. Although it was initially planned to include all the scope without any sampling method, due to leaves during the summer season (2004) a total of 60 subjects were included. Data were collected by questionnaires designed to determine the sociodemographic features of participants and risks on working conditions and enviroment Dependent variables of the study were working environment and risks involved in work, while the independent variables were age, sex, profession, marital status and worked years of the participants. Data were assessed by using percentages and the Pearson-chi-square test. Results: Of the health care workers participating in the survey, 80% were women, 45% midwives, 26,7% were nurses;10,7 % were medical officers; 6,7% were doctors and 10% were other health care workers. The most common risk factors experienced by the health care workers in working life and the environment were stress (71,7%) and monotonous work (70%). Of the workers, 55% had experienced falls during home visits in snowy weather; 51.7% had been attacked by pets; 38.3% of the workers were injured by contact of chemicals; 31.7% were hurt by cutting or piercing. Health care workers demonstrated a statistically significant correlation between age and the number of verbal abuse experienced.(x2=8.07 p=0.04) There were also a statistically significant correlation between the sexes of the workers and pet attacks and verbal abuses from patient relatives (x2 =7,35, p=0.00),(x2= 6,85 p=0.00) Conclusion: In this study, it was determined that major part of health care workers were not educated for protecting themselves from risks, over half of them experinced verbal abuse by relatives of patients in their work environment. The most common problems were stress and monotonous life.
Objective: This cross sectional study has been conducted in order to identify the most common risks and healthcare problems experienced within the working environments and during practices by the healthcare workers employed in mother and child care centers and primary health care units located in Tunceli (A city in East Anatolia Region) Material and Methods: The research comprised all health care and non-health care workers employed in the mother and child care centers and primary health care units located in Tunceli (74 persons). These units and centers are subsidiaries of the Turkish Ministry of Health and are located in central Tunceli. Although it was initially planned to include all the scope without any sampling method, due to leaves during the summer season (2004) a total of 60 subjects were included. Data were collected by questionnaires designed to determine the sociodemographic features of participants and risks on working conditions and enviroment Dependent variables of the study were working environment and risks involved in work, while the independent variables were age, sex, profession, marital status and worked years of the participants. Data were assessed by using percentages and the Pearson-chi-square test. Results: Of the health care workers participating in the survey, 80% were women, 45% midwives, 26,7% were nurses;10,7 % were medical officers; 6,7% were doctors and 10% were other health care workers. The most common risk factors experienced by the health care workers in working life and the environment were stress (71,7%) and monotonous work (70%). Of the workers, 55% had experienced falls during home visits in snowy weather; 51.7% had been attacked by pets; 38.3% of the workers were injured by contact of chemicals; 31.7% were hurt by cutting or piercing. Health care workers demonstrated a statistically significant correlation between age and the number of verbal abuse experienced.(x2=8.07 p=0.04) There were also a statistically significant correlation between the sexes of the workers and pet attacks and verbal abuses from patient relatives (x2 =7,35, p=0.00),(x2= 6,85 p=0.00) Conclusion: In this study, it was determined that major part of health care workers were not educated for protecting themselves from risks, over half of them experinced verbal abuse by relatives of patients in their work environment. The most common problems were stress and monotonous life.