Upotreba osobne zaštitne opreme među medicinskim sestrama i tehničarima KBC Zagreb u radu s citostaticima

Scientific paper - Original scientific paper

• Title (english): Use of personal protective equipment among nurses and technicians of KBC Zagreb when working with cytostatics
• Author: Selma Islamčević
• Author: Hana Brborović
• Author: Bojana Knežević
• Author: Milan Milošević
• Author's institution: University of Zagreb; School of Medicine; (Department of Environmental and Occupational Health)
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Public Health and Health Care; Health Ecology

Abstract (croatian)

Cilj ovog rada je prikazati rad s citostaticima kroz zakonske okvire, primjenu osobne zaštitne opreme te praksu medicinskih sestara i tehničara Kliničkog bolničkog centra Zagreb. Liječenje malignih bolesti dugotrajan je i zahtjevan proces, a glavni načini liječenja su: primjena antineoplastičnih lijekova (u daljnjem tekstu: citostatici), kirurški zahvati i radioterapija. Uz farmaceutske radnike, medicinske sestre čine profesionalno najizloženiju skupinu zdravstvenih radnika citostaticima. Prema definicijama Američkog instituta za sigurnost i zdravlje na radu te standardima kvalitete Europskog društva ljekarničkih usluga u onkologiji zbog svojih svojstava citostatici čine skupinu lijekova koji se svrstavaju u opasne lijekove. Rad s citostaticima ne znači isključivo obolijevanje radnika, ali zbog česte izloženosti može doći do oštećenja stanica i/ili do procesa koji mogu rezultirati promjenama u organizmu. Kako bi se spriječili štetni učinci, potrebno je utvrditi prisutnost karcinogenih i mutagenih tvari na radnom mjestu i poduzeti odgovarajuće mjere zaštite, a prevencija i rano otkrivanje najvažniji su faktori u smanjivanju učestalosti i posljedica njihovih učinaka. Tijekom svibnja 2022. godine provedeno je istraživanje među medicinskim sestrama zaposlenim na hematološkim i onkološkim odjelima u Kliničkom bolničkom centru Zagreb. U istraživanju je sudjelovalo 130 od mogućih 210 ispitanika, što čini odaziv od 61,9 %. Ciljevi istraživanja bili su: ispitati koju vrstu dostupne zaštitne opreme koriste medicinske sestre u radu s citostaticima i ispitati informiranost o radu na siguran način s citostaticima. Dobiveni rezultati pokazali su da ispitanici sudjeluju na edukacijama i upoznati su s radom na siguran način. Od ukupnog broja ispitanika koji su pristupili anketi, njih 67 % koristi osobnu zaštitu u radu s citostaticima što ukazuje na potrebu kontinuirane provedbe edukacije i unapređenje znanja među zaposlenima.

Abstract (english)

The aim of this paper is to present work with cytostatics through the legal framework, the use of personal protective equipment and the practice of nurses at the University Hospital Centre Zagreb (KBC Zagreb). The treatment of malignant diseases is a long and demanding process, the main methods of treatment are: the use of antineoplastic drugs (cytostatics), surgical interventions and radiotherapy. Nurses, along with pharmaceutical workers, are the most exposed group of health workers to cytostatics. According to the definitions of the National Institute for Occupational Safety and Health (NIOSH) and the quality standards of the European Society of Oncology Pharmacy (ESOP), cytostatics form a group of drugs that are classified as hazardous drugs. Working with cytostatics doesn't mean that the worker will get sick, but due to frequent exposure can lead to damage to cells and/or processes that can result in changes in organism. In order to prevent harmful effects, it is necessary to determine the presence of carcinogenic substances in the workplace and take appropriate protective measures. Prevention and early detection are the most important factors in reducing the frequency and consequences of their effects. During May 2022, a survey was conducted among nurses employed at the hematology and oncology departments of the University Hospital Centre Zagreb. 130 of 210 respondents participated in the survey, which is a response rate of 61.9%. Aims of the research were: to examine what kind of protective equipment nurses use when working with cytostatics and to examine knowledge about safe handling of cytostatics. The obtained results showed that the respondents participate in the education and they are familiar with safe handling of cytostatics. 67% of all respondents use personal protection when working with cytostatics which indicates the need for continuous education and improvement of employees' knowledge.

• Keywords (croatian): profesionalna izloženost; medicinska sestra; citostatici
• Keywords (english): occupational exposure; nurse; cytostatic drugs
• Language: croatian
• Language: english
• Publication type: Scientific paper - Original scientific paper
• Publication status: Published
• Peer review: Peer review
• Publication version: Published version
• Journal title: Sigurnost : časopis za sigurnost u radnoj i životnoj okolini
• Numbering: vol. 66, no. 3, pp. 189-199
• p-ISSN: 0350-6886
• e-ISSN: 1848-6347
• DOI: https://doi.org/10.31306/s.66.3.1
• URN:NBN: urn:nbn:hr:105:299235
• Publication: 2024
• Document URL: https://hrcak.srce.hr/321089
• Type of resource: Text
• Access conditions: Open access
• Created on: 2024-11-28 08:40:32