Journal of Rafsanjan University of Medical Sciences
مجله دانشگاه علوم پزشکی رفسنجان
JRUMS
Medical Sciences
http://journal.rums.ac.ir
69
journal69
1735-3165
2008-7268
10.66224/jrums
fa
jalali
1400
12
1
gregorian
2022
3
1
20
12
online
1
fulltext
fa
بررسی کمیت، کیفیت و مدیریت پسماندهای بیمارستانی شهر رفسنجان در سال 1399:
یک مطالعه توصیفی
Surveying the Quantity, Quality, and Management of Hospital Wastes in Rafsanjan in 2020: A Descriptive Study
بهداشت
Environmental Health
پژوهشي
Research
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" style="position:absolute; left:0; text-align:left; margin-left:21px; margin-top:1px; width:459pt; height:343.2pt; z-index:-251658240; v-text-anchor:top"> <w:wrap anchorx="margin"> </w:wrap></v:roundrect><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span b="" nazanin="" style="font-family:"><span style="color:black">چکیده</span></span></span></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:110%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span b="" nazanin="" style="font-family:"><span style="color:black">زمینه و هدف:</span></span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span b="" nazanin="" style="font-family:"><span style="color:black"> با توسعه شهرها و افزایش نیازهای بهداشتی درمانی، میزان تولید پسماندهای پزشکی نیز افزایش یافته است. در نتیجه این مطالعه با هدف تعیین کمیت، کیفیت و وضعیت مدیریت پسماندهای بیمارستانی شهر رفسنجان در سال 1399 انجام شد. </span></span></span></span><span dir="LTR" style="color:black"></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:110%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span b="" nazanin="" style="font-family:"><span style="color:black">مواد و روش­ها:</span></span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span b="" nazanin="" style="font-family:"><span style="color:black"> در این مطالعه توصیفی، بیمارستان­های تحت پوشش دانشگاه علوم پزشکی شهر رفسنجان (علی ابن ابی­طالب(ع)، مرادی و نیک نفس) مورد بررسی قرار گرفتند. جمع­آوری اطلاعات با استفاده از </span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span b="" nazanin="" style="font-family:"><span style="color:black">چک لیست</span></span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span b="" nazanin="" style="font-family:"><span style="color:black">استاندارد مرکز سلامت محیط و کار وزارت بهداشت و توسط پژوهش­گر انجام گرفت. در نهایت اطلاعات به­دست آمده با استفاده از نرم­افزار </span></span></span></span><span dir="LTR" style="color:black">Excel</span><span style="font-size:12.0pt"><span style="line-height:110%"><span b="" nazanin="" style="font-family:"><span style="color:black"> مورد توصیف قرار گرفتند. </span></span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:110%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span b="" nazanin="" style="font-family:"><span style="color:black">یافته­ها:</span></span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span b="" nazanin="" style="font-family:"><span style="color:black"> میانگین سرانه تولید پسماند به ازای هر بیمار در بیمارستان­های دانشگاه علوم پزشکی رفسنجان 12/2 کیلوگرم بوده است. از مجموع پسماند تولیدی در بیمارستان­های دانشگاه (1170 کیلوگرم بر روز)، 27/54 درصد (635 کیلوگرم بر روز) پسماند معمولی، 17/40 درصد (470 کیلوگرم بر روز) پسماند عفونی و نوک تیز و برنده و 56/5 درصد (65 کیلوگرم بر روز) پسماند شیمیایی و دارویی بوده است. همچنین میانگین درصد نمره کسب شده از حداکثر نمره قابل احتساب در زمینه مدیریت صحیح پسماند در مراحل مختلف تفکیک، جمع­آوری، ذخیره موقت و بی­خطرسازی و دفع در بیمارستان­های مورد بررسی به ترتیب 36/66، 72/72، 03/62 و 57/57 درصد بوده است.</span></span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:110%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span b="" nazanin="" style="font-family:"><span style="color:black">نتیجه­گیری:</span></span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span b="" nazanin="" style="font-family:"><span style="color:black"> بنابراین با توجه به وضعیت متوسط مدیریت پسماندهای بیمارستانی در شهر رفسنجان، اجرای یک برنامه ایمن و پایدار در حوزه مدیریت پسماندهای بیمارستانی از نقطه تولید تا دفع به صورت عملیاتی و پایش مدام آن توصیه می­شود.</span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span b="" nazanin="" style="font-family:"><span style="color:black"></span></span></span></span></span></span></span></span></span><br>
<b><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">واژه­های کلیدی:</span></span></span></span></b><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black"> پسماند بهداشتی- درمانی، پسماند بیمارستانی، مدیریت پسماند، رفسنجان</span></span></span></span>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="line-height:140%"><span style="color:black">Background and Objectives: </span></span></b><span style="line-height:140%"><span style="color:black">With the development of cities and increasing health-care needs, the production of medical waste has increased. Therfore, this study was conducted to determine the quantity, quality, and status of hospital waste management in hospitals affiliated to Rafsanjan University of Medical Sciences in 2020.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="line-height:140%"><span style="color:black">Materials and Methods:</span></span></b><span style="line-height:140%"><span style="color:black"> In this descriptive study, hospitals affiliated to Rafsanjan University of Medical Sciences (Ali-Ibn Abitalib, Moradi, and Niknafs) were examined. Data were collected by the researcher using a standard checklist of the Environmental and Occupational Health Center. Finally, the obtained data were described and analyzed using Excel software.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="line-height:140%"><span style="color:black">Results: </span></span></b><span style="line-height:140%"><span style="color:black">The mean health-care waste generation rate in Rafsanjan University of Medical Sciences hospitals was 2.12 kg/patinet.day. From the total waste generated in University hospitals (1170 kg/day), 54.27% (635 kg/d) were general waste, 40.17% (470 kg/d) infection and sharp waste, and 5.56% (65 kg/d) chemical waste. Also, the average percentage of the score obtained from the maximum score in the field of proper waste management in different stages of separation, collection, storage, and decontamination and disposal in the studied hospitals were 66.36, 72.72, 62.03 and 57.57, respectively<i>.</i></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="line-height:140%"><span style="color:black">Conclusion: </span></span></b><span style="line-height:140%"><span style="color:black">Therefore, according to the intermediate status of hospital waste management in Rafsanjan, it is recommended to implement a safe and sustainable program in the field of hospital waste management from the point of production to disposal in an operational manner and monitor it continuously. </span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="line-height:140%"><span style="color:black">Key words:</span></span></b><span style="line-height:140%"><span style="color:black"> Health-care waste, Hospital waste, Waste management, Rafsanjan</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span dir="RTL" lang="AR-SA" style="line-height:140%"><span style="color:black"></span></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="line-height:140%"><span style="color:black">Funding:</span></span></b><span style="line-height:140%"><span style="color:black"> This study was funded by Rafsanjan University of Medical Sciences, Rafsanjan, Iran.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="line-height:140%"><span style="color:black">Conflict of interest:</span></span></b><span style="line-height:140%"><span style="color:black"> None declared. </span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="line-height:140%"><span style="color:black">Ethical approval:</span></span></b><span style="line-height:140%"><span style="color:black"> The Ethics Committee of Rafsanjan University of Medical Sciences approved the study (IR.RUMS.REC.1398.167).</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span style="color:black"></span></span></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="line-height:150%"><span style="color:black">How to cite this article:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"><span style="color:black"> Eslami H, Heydar Z, Mohammadtaghizadeh F. Surveying the Quantity, Quality, and Management of Hospital Wastes in Rafsanjan in 2020: A Descriptive Study. <i>J Rafsanjan</i></span></span></span><span style="font-size:9.0pt"><span style="line-height:150%"><span style="color:black"> <i>Univ Med Sci</i> 2022; 20 (12): 1297-308. [Farsi]</span></span></span></span></span></span></span></span>
پسماند بهداشتی- درمانی, پسماند بیمارستانی, مدیریت پسماند, رفسنجان
Health-care waste, Hospital waste, Waste management, Rafsanjan
1297
1308
http://journal.rums.ac.ir/browse.php?a_code=A-10-1168-10&slc_lang=fa&sid=1
H.
Eslami
هادی
اسلامی
Hadieslami1986@yahoo.com
6900319475328460048851
6900319475328460048851
Yes
Rafsanjan University of Medical Sciences, Rafsanjan, Iran
دانشگاه علوم پزشکی رفسنجان
Z.
Heydar
زهرا
حیدر
6900319475328460048852
6900319475328460048852
No
Rafsanjan University of Medical Sciences, Rafsanjan, Iran
دانشجوی کارشناسی بهداشت محیط، کمیته تحقیقات دانشجویی دانشکده بهداشت، دانشگاه علوم پزشکی رفسنجان، رفسنجان، ایران
F.
Mohammadtaghizadeh
فاطمه
محمد تقی زاده
6900319475328460048853
6900319475328460048853
No
Rafsanjan University of Medical Sciences, Rafsanjan, Iran
دانشجوی کارشناسی بهداشت محیط، کمیته تحقیقات دانشجویی دانشکده بهداشت، دانشگاه علوم پزشکی رفسنجان، رفسنجان، ایران