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Publication
Questões Ambientais no sector público da saúde: resíduos sólidos em Cirurgia Minimamente Invasiva na Unidade Local de Saúde da Região de Leiria, E.P.E.
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Authors
Abstract(s)
Em ambiente hospitalar são produzidos muitos resíduos, principalmente no bloco operatório
(BO), provenientes de materiais médicos de uso único. A maioria destes resíduos não são
contaminados, contudo, são indevidamente descartados como tal. Este trabalho visa
conhecer as características dos resíduos sólidos hospitalares produzidos a partir de material
de uso único e quantificar a potencial valorização dos resíduos produzidos em Cirurgias
Minimamente Invasivas (CMI), e ainda, conhecer a perceção pelas preocupações ambientais
dos colaboradores de empresas fornecedoras de dispositivos médicos.
Este trabalho de investigação inclui dois estudos complementares. No estudo I, exploratório,
foram analisadas características, tanto do material de uso único utilizado, como do resíduo
descartado, ao longo de dois meses, no BO da Unidade de Local de Saúde da Região de
Leiria EPE (ULSRL), num total de 225 CMI. No estudo II, correlacional, incluem-se 31
colaboradores de empresas de dispositivos médicos que responderam a um questionário
sobre a perceção das preocupações ambientais, recorrendo à correlação de spearman.
O estudo I revelou a produção de resíduo potencialmente valorizável a partir de material de
uso único, entre 11,65% até 53% (Colecistectomia por via laparoscópica). Das 225 cirurgias
observadas, contabilizaram-se 319.900 gramas de resíduos com possibilidade de
valorização. Este resíduo provém, na totalidade, das embalagens do material. Contudo, todo
o resíduo produzido no BO é descartado no grupo III. O estudo II constatou uma tendência
positiva de perceção relativa às preocupações ambientais das empresas. Destaca-se uma
relação parcial entre a idade dos colaboradores e sua experiência profissional com o nível de
perceção relativas às preocupações ambientais e com a visão da empresa relativa à
sustentabilidade ambiental.
A quantidade de resíduos produzidos em CMI é significativa, com um valor considerável de
resíduo potencialmente valorizável e verifica-se uma crescente perceção sobre as
preocupações ambientais por parte das empresas de dispositivos médicos.
In a hospital environment, a lot of waste is produced, especially in the operating room (OR), from single-use medical materials. Most of this waste is not contaminated, but it is improperly disposed of as such. This study aims to find out the characteristics of hospital solid waste produced from single-use material and quantify the potential recovery of waste produced in Minimally Invasive Surgeries (MIS), as well as to find out the perception of environmental concerns among employees of companies supplying medical devices. This research project includes two complementary studies. In study I, an exploratory study, the characteristics of both the single-use material used and the waste discarded were analyzed over two months in the OR of the Local Health Unit of the Leiria Region EPE (ULSRL), in a total of 225 MIS. Study II, a correlational study, included 31 employees of medical device companies who answered a questionnaire on their perception of environmental concerns, using Spearman's correlation. Study I revealed the production of potentially recoverable waste from single-use material ranging from 11.65% to 53% (laparoscopic cholecystectomy). Of the 225 surgeries observed, 319,900 grams of potentially recoverable waste were accounted for. This waste comes entirely from the packaging of the material. However, all the waste produced in the OR is disposed of in group III. Study II found a positive trend in the perception of companies' environmental concerns. There was a partial relationship between the age of employees and their professional experience with the level of perception of environmental concerns and with the company's vision of environmental sustainability. The amount of waste produced at CMI is significant, with an important amount of potentially recoverable waste. There is a growing perception of environmental concerns on the part of medical device companies.
In a hospital environment, a lot of waste is produced, especially in the operating room (OR), from single-use medical materials. Most of this waste is not contaminated, but it is improperly disposed of as such. This study aims to find out the characteristics of hospital solid waste produced from single-use material and quantify the potential recovery of waste produced in Minimally Invasive Surgeries (MIS), as well as to find out the perception of environmental concerns among employees of companies supplying medical devices. This research project includes two complementary studies. In study I, an exploratory study, the characteristics of both the single-use material used and the waste discarded were analyzed over two months in the OR of the Local Health Unit of the Leiria Region EPE (ULSRL), in a total of 225 MIS. Study II, a correlational study, included 31 employees of medical device companies who answered a questionnaire on their perception of environmental concerns, using Spearman's correlation. Study I revealed the production of potentially recoverable waste from single-use material ranging from 11.65% to 53% (laparoscopic cholecystectomy). Of the 225 surgeries observed, 319,900 grams of potentially recoverable waste were accounted for. This waste comes entirely from the packaging of the material. However, all the waste produced in the OR is disposed of in group III. Study II found a positive trend in the perception of companies' environmental concerns. There was a partial relationship between the age of employees and their professional experience with the level of perception of environmental concerns and with the company's vision of environmental sustainability. The amount of waste produced at CMI is significant, with an important amount of potentially recoverable waste. There is a growing perception of environmental concerns on the part of medical device companies.
Description
Keywords
Sustentabilidade ambiental Resíduos hospitalares Bloco operatório Resíduo valorizável Material de uso único Cirurgia minimamente invasiva