Abstract | Uvod: Ostvarenje sebe kao roditelja želja je mnogih mladih ljudi. Postoje istraživanja koja upućuju na veću prevalenciju neplodnosti među medicinskim osobljem. Mogući razlozi toga su radna okolina i specifični uvjeti rada poput izloženosti izvorima zračenja, inhalacijskim anesteticima i infekcijama. Rad u operacijskim dvoranama, osim nepovoljnih uvjeta rada na plodnost, nosi sa sobom i visoku razinu stresa, nemogućnost obavljanja osnovnih životnih potreba na vrijeme te nedostatak sna što sve može nepovoljno utjecati na plodnost. Činjenica je i da se sama trudnoća u današnje vrijeme često odgađa do postizanja financijske stabilnosti te je mogući razlog za probleme začeća i starija dob u trenutku pokušaja ostvarenja trudnoće.
Cilj: Primarni cilj ovog istraživanja bio je utvrditi prevalenciju neplodnosti i otežanog začeća medicinskog osoblja (instrumentarke, anesteziološke tehničarke, kirurginje, anesteziologinje) u operacijskim dvoranama u Kliničkom bolničkom centru (KBC) Sestre milosrdnice u Zagrebu, Hrvatska. Sekundarni cilj bio je utvrditi čimbenike povezane s neplodnosti i otežanog začeća među istraživanom populacijom s obzirom na uvjete rada i percepciju ispitanika o povezanosti uvjeta radnog mjesta na ostvarenje roditeljstva.
Metode: Istraživanje je provedeno u operacijskim dvoranama kirurgije, ginekologije, otorinolaringologije, urologije, neurokirurgije i oftalmologije KBC-a Sestre milosrdnice u Zagrebu od ožujka do travnja 2024. godine. Provedeno je presječno istraživanje. Podaci su prikupljeni pisanim anketnim upitnikom. Upitnik je izveden iz dva dostupna upitnika (engl. Infertility Questionnaire i FertiQuol-Croatian) korištena u skupljanju podataka sličnih onima koji se skupljaju u ovom istraživanju te prilagođen pitanjima vezanim uz specifične uvjete rada ispitanica ovog istraživanja. Upitnik je imao 48 pitanja.
Rezultati: Od ukupno 57 ispitanica, u istraživanje je dobrovoljno uključeno 18 (31,5%) anestezioloških tehničarki, 5 (8,8%) anesteziologinja, 30 (52,6%) instrumentarki, 3 (5,2%) kirurginje i 1 (2,9%) pomoćna radnica. Sve ispitanice uključene u istraživanje rade u prostorima operacijskih sala. Među ispitanicama 24 (41,2%) navode probleme sa začećem. Najviše problema sa začećem uočeno je kod zanimanja instrumentarka (11/30; 45,83%) i anesteziološka tehničarka (10/18; 41,67%). Od 24 ispitanice što su prijavile problem sa začećem njih 16 (66,6%) imalo je problema s 1. trudnoćom, 10 (41,6%) s drugom ili nekom sljedećom, a 2 (8,3%) ispitanice su imale problema i s prvom i drugom ili nekom od sljedećih trudnoća. Većina (N=48; 84,2%) ispitanica smatra da su izložene prekomjernom stresu na radnom mjestu. Od ukupno 24 ispitanice koje navode probleme sa začećem njih 10 (41,6%) smatra da je radno mjesto utjecalo na probleme s plodnošću, 13 (54,1%) ispitanica smatra da radno mjesto nema utjecaja te je 1 (4,1%) ispitanica neodlučna. Kroz ovo istraživanje nije dokazana statistički značajna razlika u učestalosti pretpostavljenih rizičnih čimbenika neplodnosti između žena koje jesu i nisu imale problema sa začećem.
Zaključak: Istraživanje pruža uvid u čimbenike povezane s radnim mjestom koji utječu na otežanost ili komplikacije kod začeća među ženskim medicinskim osobljem KBC-a Sestre milosrdnice u Zagrebu, Hrvatska. Većina osoblja ostvarila je trudnoću bez istraživanih problema uključenih u ovo istraživanje međutim pronađena je veća incidencija neplodnosti među ispitivanom populacijom u odnosu na opću populaciju. Buduća nastojanja trebala bi biti usmjerena na poboljšanje kvalitete i radnih uvjeta u operacijskim dvoranama. |
Abstract (english) | Introduction: To become a parent is the goal of many young people. Some studies point to a higher prevalence of infertility among medical personnel. Possible reasons for this could be the work environment and specific working conditions such as exposure to radiation sources, inhalation anesthetics and infections. Working in operating theaters, in addition to unfavorable working conditions for fertility, also brings with it a high level of stress, inability to perform basic life needs on time, lack of sleep, exposure to inhalation anesthetics, all of which can adversely affect fertility. It is also a fact that nowadays pregnancy itself is often postponed until financial stability is achieved, and older age at the time of trying to conceive is also a possible reason for conception problems.
Objective: The primary objective of this study was to determine the prevalence of infertility and difficult conception among medical staff (theater nurses, anesthesiology technicians, surgeons, anesthesiologists) in the operating theaters of the Clinical Hospital Center (UHC) of the Sestre milosrdnice in Zagreb, Croatia. The secondary objective was to determine the factors associated with infertility and difficulties in conception among the researched population concerning working conditions and the respondents' perception of the relationship between workplace conditions and the achievement of parenthood.
Methods: The research was conducted in the operating theaters of surgery, gynecology, otolaryngology, urology, neurosurgery and ophthalmology of the Sestre milosrdnice, UHC in Zagreb from March to April 2024. A cross-sectional study was conducted. The data was collected using a written questionnaire. The questionnaire was derived from two available questionnaires (Infertility Questionnaire i FertiQuol-Croatian) used to collect data similar to those collected in this research and adapted to questions related to the specific working conditions of the respondents of this research. The questionnaire has 48 questions.
The results: Out of a total of 57 respondents, 18 (31.5%) anesthesiology technicians, 5 (8.8%) anesthesiologists, 30 (52.6%) instrument technicians, 3 (5.2%) surgeons and 1 (2.9%) logistic worker. All respondents included in the research work in operating theatres. The data show a high percentage of women in the surveyed population who report problems with infertility. 24 of them (41.2%) report problems with conception but not the majority. The most problems with conception were observed in the occupations of theatre nurse (11/30; 45.83%) and anesthesiology technician (10/18; 41.67%). Of the 24 respondents who reported problems with conception, 16 (66.6%) had problems with their 1st pregnancy, 10 (41.6%) with their second or subsequent pregnancy, and 2 (8.3%) had problems both with the first and second or with one of the following pregnancies. The majority (N=48; 84.2%) of respondents believe that they are exposed to excessive stress at work. Out of a total of 24 female respondents who reported problems with conception, 10 (41.6%) believe that the workplace had an effect on fertility problems, 13 (54.1%) female respondents believe that the workplace has no influence, and 1 (4.1%) ) respondent undecided. This research did not prove a statistically significant difference in the frequency of presumed risk factors for infertility between women who did and did not have problems conceiving.
Conclusion: The research provides insight into the factors related to the workplace that influence the difficulty or complications in conception encountered by the female medical staff of UHC Sestre milosrdnice in Zagreb, Croatia. Most of the staff achieved pregnancy without the investigated problems included in this study, however, a higher incidence of infertility was found among the study population compared to the general population. Future efforts should be aimed at improving the quality and working conditions in operating theaters. |