fa بررسی وضعیت بهداشت محیط مهد کودک‌های شهر ساوه در طی پاندمی کووید-19 در سال 1399 عمومى General پژوهشي Research <div style="text-align: justify;"><span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:"><span style="color:black">زمینه و هدف:</span></span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:"><span style="color:black"> بدلیل وجود بیماری‌های عفونی و آلودگی‌های انگلی در مهدکودک‌ها، رعایت نکات بهداشتی در این مراکز از اهمیت خاصی برخوردار است. این مطالعه </span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:"><span style="color:black">تحلیلی مقطعی </span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:"><span style="color:black">با هدف بررسی وضعیت بهداشت محیط مهدکودک‌های شهر ساوه در سال 99 انجام شد.</span></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:"><span style="color:black">روش بررسی:</span></span></span></span></b> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:"><span style="color:black">چک لیستی با 133 سوال که شامل 57 سوال مختص شرایط کرونا برگرفته از دستورالعمل گام دوم مبارزه با ویروس کرونا و 76 سوال از آیین نامه 150/920318 طراحی گردید. تمامی مهدکودک‌های فعال (9 مورد) </span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:"><span style="color:black">وارد مطالعه شدند </span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:"><span style="color:black">و جواب سوالات به صورت بله، خیر و مصداق ندارد ثبت و با استفاده از نرم افزار </span></span></span></span><span dir="LTR" style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">SPSS</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:"><span style="color:black">، </span></span></span></span><span dir="LTR" style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">T</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:"><span style="color:black"> مستقل، کای اسکوئر و آنالیز واریانس یک طرفه آنالیز&shy;&shy;گردید.</span></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:"><span style="color:black">یافته&shy; ها:</span></span></span></span></b> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:"><span style="color:black">نتایج بدست آمده از آنالیز چک لیست&shy; ها نشان داد که مطابقت وضعیت بهداشتی انواع مهدکودک‌ها با آیین نامه 150/920318</span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:"><span style="color:black">، دارای مطلوبیت کل که شامل بهداشت فردی (81/4 درصد)، بهداشت مواد غذایی (63 درصد)، بهداشت ابزار و تجهیزات (66/5 درصد)، بهداشت ساختمان (</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:"><span style="color:black">78 درصد</span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:"><span style="color:black">)، آموزش بهداشت (90</span></span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:"><span style="color:black">درصد</span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:"><span style="color:black">)، ملاحظات درخصوص مواد گندزداها بر پایه الکل (92</span></span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:"><span style="color:black">درصد</span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:"><span style="color:black">) و ملاحظات درخصوص سفید کننده‌ها (94</span></span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:"><span style="color:black">درصد</span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:"><span style="color:black">) بودند. بین سرانه هرکودک با حیطه‌های مختلف چک لیست ارتباط معنی‌داری وجود نداشت (0/05</span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span style="color:black"><</span></span></span><span dir="LTR" style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">p</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:"><span style="color:black">).</span></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" 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:115%"><span b="" lotus="" style="font-family:"><span style="color:black">این مطالعه نشان داد که وضعیت کلی بهداشت محیط مهدکودک‌های شهرستان ساوه مطلوب بوده </span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:"><span style="color:black">و فقط دومتغیر بهداشت ابزار و تجهیزات (66/5&nbsp;</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:"><span style="color:black">درصد</span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:"><span style="color:black">) و همچنین بهداشت مواد غذایی (63</span></span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:"><span style="color:black">درصد</span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:"><span style="color:black">) کمترین مطلوبیت را در بین عوامل بررسی شده دارا بودند، که باید به این مهم رسیدگی گردد. </span></span></span></span>&nbsp;<span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:"><span style="color:black"></span></span></span></span></span></span></span></span></span></div> <div style="text-align: justify;"><span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif"><b><span new="" roman="" style="font-family:" times="">Background and Objective:</span></b><span new="" roman="" style="font-family:" times=""> Due to the presence of infectious diseases and parasitic contamination in kindergartens, it is very important to observe the health points in these centers. This cross-sectional analytical study was conducted to investigate the environmental health status of Saveh kindergartens in 2020.<b> </b></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif"><b><span new="" roman="" style="font-family:" times="">Materials and Methods:</span></b><span new="" roman="" style="font-family:" times=""> A checklist with 133 questions was designed, including 57 questions specific to the conditions of the coronavirus, taken from the instructions for the second step of the fight against the coronavirus and 76 questions from regulation 150/920318. All active kindergartens (9 cases) in the study were included, and the answers to the questions as yes, no, and not applicable were recorded and using SPSS software, independent T, chi-square, and one-way ANOVA was analyzed.<b> </b></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif"><b><span new="" roman="" style="font-family:" times="">Results: </span></b><span new="" roman="" style="font-family:" times="">The results obtained from the analysis of the checklist showed that the compliance of the health status of all kinds of kindergartens with the regulations of 150/920318 has a percentage of total desirability that includes personal hygiene (81/4%), food hygiene (63%), tools and equipment hygiene (66/5%), building hygiene (78%), health education (90%), considerations regarding disinfectants and disinfectants based on alcohol (92%) and considerations regarding bleaches (94%). There was no significant relationship between the per capita of each child and the different items on the checklist (p>0/05).</span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif"><b><span new="" roman="" style="font-family:" times="">Conclusion: </span></b><span new="" roman="" style="font-family:" times="">This study showed that the general environmental health status of kindergartens in Saveh was favorable and only two variables of hygiene of tools and equipment (66/5%) and food hygiene (63%) were the least desirable among the studied factors that should be considered.</span></span></span></span></div> کووید-19, بهداشت عمومی, بهداشت محیط, سلامت کودکان Covid-19, Public health, Environmental health, Pediatrics health 725 736 http://ijhe.tums.ac.ir/browse.php?a_code=A-10-2634-1&slc_lang=fa&sid=1 Mohadeseh Bodaghi محدثه بداغی mohadese.b7672@gmail.com No Student Research Committee, Saveh University of Medical Sciences, Saveh, Iran کمیته تحقیقات دانشجویی، دانشکده علوم پزشکی ساوه، ساوه، ایران Tayebeh Rasolevandi طیبه رسوله وندی tayebeh.rasolevandi@gmail.com No Department of Environmental Health Engineering, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran گروه مهندسی بهداشت محیط، دانشکده بهداشت، دانشگاه علوم پزشکی تهران، تهران، ایران Amir Hossein Mahvi امیرحسین محوی ahmahvi@yahoo.com No Department of Environmental Health Engineering, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran AND Center for Solid Waste Research (CSWR), Institute for Environmental Research, Tehran University of Medical Sciences, Tehran, Iran گروه مهندسی بهداشت محیط، دانشکده بهداشت، دانشگاه علوم پزشکی تهران، تهران، ایران و مرکز تحقیقات مواد زائد جامد، پژوهشکده محیط زیست، دانشگاه علوم پزشکی تهران، تهران، ایران Hossein Azarpira حسین آذرپیرا hazarpira912@gmail.com Yes Department of Environmental Health Engineering, Saveh University of Medical Sciences, Saveh, Iran گروه مهندسی بهداشت محیط، دانشکده علوم پزشکی ساوه، ساوه، ایران