摘要
目的了解医务人员职业暴露中锐器伤的危险因素和环节,探讨有效的锐器伤预防管理措施。方法回顾性分析2009年8月-2011年8月医院医务人员锐器伤发生情况,并对2011年8月医院所有可能接触锐器的医务人员进行危险因素回顾性调查,与同时段上报上海市医院感染质控中心内部监测网的资料进行对比。结果两年内网上上报锐器伤26例,以针刺、外科器械损伤为主;锐器伤人员以年龄<25岁、护士、消化内科及普外科为主,分别占61.5%、50.0%、26.9%、19.2%;锐器伤发生率网上上报明显低于问卷调查方式(χ2=4.894,P=0.034)。结论年轻护士、外科医务人员的针刺伤最多见;行政部门需加强器械规范操作、职业安全及自我防护意识、网上准确上报锐器伤等方面教育和管理。
OBJECTIVE To explore the risk factors for the occupational exposure to sharp insturment injuries among the medical staff and explore the effective prevention measures for the sharp instrument injuries. METHODS A retrospective analysis of the sharp injuries of medical staff from Aug 2009 to Aug 2011 was carried out. The risk factors of occupational exposure in all the medical staff were surveyed retrospectively. The detection rate of the sharp injuries by two methods （questionnaire or online reported to Shanghai nosocomial infection control center） were compared. RESULTS Totally 26 cases were reported online in two years. Most of the sharp injuries were by acupuncture and surgical instruments damage. Surgeons and medical nurses under the age of 25 years old were the main population of with the sharp injuries the personel with sharp injuries unceer 25 years old,hurses digestive medcine aepartment and geheral surgery ccepartmem aecounting for 61. 5%, 50. 0%, 26. 9%, and 19. 2%, respectively. The incidence rate of the sharp injuries reported online was significantly lower than that hy the questionaire. （χ2 = 4. 894, P= 0. 034）. CONCLUSION Young nurses and surgeons are most likely to be exposed to sharp injuries. There is an imperative need to strengthen the education and management on standardized operation of instrument, occupational safety, self-protection awareness, and the accurate online report of sharp injuries.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2013年第2期394-396,共3页
Chinese Journal of Nosocomiology
关键词
锐器伤
网上上报
管理措施
Sharp injuries
Online report
Management measure
