Journal of Health System Research
مجله تحقیقات نظام سلامت
J Health Syst Res
Medical Sciences
http://hsr.mui.ac.ir
1
admin
2783-4093
2322-5564
10.48305
14
8888
13
fa
jalali
1397
4
1
gregorian
2018
7
1
14
2
online
1
fulltext
fa
اثر محیط فیزیکی بر تمیزی اتاق عمل: مطالعه مروری
The Effect of Physical Environment on Operating Room Cleanliness: Review Study
آموزش بهداشت و ارتقاء سلامت
education health and promotion
پژوهشي
Research
<span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Mitra"">مقدمه:</span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Mitra""> حفظ میزان تمیزی در محیط بیمارستانها و فضاهای درمانی، از اهمیت ویژهای برخوردار است؛ به گونهای که میتواند منجر به کاهش عفونت بیمارستانی و حفظ و ارتقای سلامت بیماران و کارکنان شود. با توجه به کمبود تحقیقات صورت گرفته در زمینه برقراری ارتباط بین ویژگیهای محیطی و فضای فیزیکی ساخته شده با کنترل عفونتها در فضاهای درمانی، مطالعه حاضر با هدف بررسی تمیزی اتاق عمل با استفاده از ویژگیهای فیزیکی فضا انجام شد و به تدوین راهکارهایی برای تعریف ویژگیهای اتاق عمل با در نظرگرفتن تأثیر این ویژگیها بر میزان تمیزی آن پرداخت</span></span><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">.</span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Mitra"">روشها:</span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Mitra""> این پژوهش از نوع مروری سیستماتیک بود که در سال 1396 انجام گردید و کلید واژههای «اتاق عمل، اتاق تمیز، ویژگیهای محیط فیزیکی و کنترل عفونت و عفونت بیمارستانی» در پایگاههای اطلاعاتی</span></span><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">ISI</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Mitra"">، </span></span><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">PubMed</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Mitra"">، </span></span><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">ScienceDirect</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Mitra"">، </span></span><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">SID</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Mitra"">، </span></span><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">CIVILICA</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Mitra"">، </span></span><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">Irandoc</span></span><span style="font-size:12.0pt"><span style="font-family:"B Mitra""> و </span></span><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">Magiran</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Mitra"">و سازمانهایی مانند </span></span><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">World Health Organization</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Mitra""> (</span></span><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">WHO</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Mitra"">)، مرکز کنترل و پیشگیری از بیماریها</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Mitra""> (</span></span><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">Center for Disease Control and Prevention</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Mitra""> یا </span></span><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">CDC</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Mitra"">)،</span></span> <span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">American Institute of Architects</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Mitra""> (</span></span><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">AIA</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Mitra"">)، </span></span><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">American Society of Heating, Refrigerating and Air-Conditioning Engineers</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Mitra""> (</span></span><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">ASHRAE</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Mitra"">) و </span></span><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">International Health Facility Guidelines</span></span><span style="font-size:12.0pt"><span style="font-family:"B Mitra""> (</span></span><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">IHFG</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Mitra"">) مورد جستجو قرار گرفت. پژوهشهای انجام شده داخلی و خارجی در بازه زمانی سالهای 2000 تا 2016 به دو زبان فارسی و انگلیسی مورد نظر بود</span></span><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">.</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Mitra""></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Mitra"">یافتهها:</span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Mitra""> عواملی همچون تسهیلات شستشو و بهداشت دست، مشخص کردن فرایند و گردش کار، تعیین و تفکیک حوزههای عملکردی، تهویه مطبوع و مصالح نهایی مورد استفاده در سطوح، در میزان تمیزی اتاق عمل نقشی حیاتی را ایفا میکند</span></span><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">.</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Mitra""></span></span></span></span></span></span></span><br>
<b><span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Mitra"">نتیجهگیری:</span></span></span></b><span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Mitra""> توجه به عوامل محیطی مؤثر در تمیزی فضاهای درمانی از ابتدای فرایند طراحی به منظور کاهش عفونتهای بیمارستانی، ضروری به نظر میرسد.</span></span></span>
<span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span style="font-family:"Times New Roman",serif">Background:</span></span></b><span style="font-size:12.0pt"><span style="font-family:"Times New Roman",serif"> Maintaining cleanliness in the environment of hospitals and medical spaces is of special importance, as it can reduce hospital infection and maintain and improve the health of patients and staff. Given the paucity of studies about the relationship of environmental features and physical spaces with the control of infections in medical settings, the present research aimed to study the cleanliness of operating rooms using physical features of the space and develop solutions for defining the operating room features considering the effects of these features on their cleanliness.</span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span style="font-family:"Times New Roman",serif">Methods:</span></span></b><span style="font-size:12.0pt"><span style="font-family:"Times New Roman",serif"> The present research was a systematic review which was conducted in 2017 through searching the keywords such as operating room, clean room, features of the physical environment, infection control, and hospital infection in ISI, PubMed, ScienceDirect, SID, CIVILICA, Irandoc, and Magiran scientific databases and the website of organizations such as World Health Organization (WHO), Center for Disease Control and Prevention (CDC), American Institute of Architects (AIA), American Society of Heating, Refrigerating and Air-Conditioning Engineers (ASHRAE), and International Health Facility Guidelines (IHFG). Domestic and foreign articles published in the period of 2000-2016 in both Persian and English languages were considered.</span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span style="font-family:"Times New Roman",serif">Findings:</span></span></b><span style="font-size:12.0pt"><span style="font-family:"Times New Roman",serif"> Factors such as the facilities for washing and hand sanitation, identification of the process and workflow, determination and separation of functional areas, air conditioning, and final materials used at different surfaces play a vital role in the cleanliness of operating rooms.</span></span></span></span></span><br>
<b><span style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"Times New Roman",serif">Conclusion:</span></span></span></b><span style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"Times New Roman",serif"> Environmental factors which affect the cleanliness of medical spaces are necessary to be taken into account from the beginning of the design process in order to reduce hospital infections.</span></span></span>
133
141
http://hsr.mui.ac.ir/browse.php?a_code=A-10-39-932&slc_lang=fa&sid=1
Mohammad Hossein
Yarmohammadian
محمد حسین یارمحمدیان