摘要
目的调查医务人员锐器伤的发生率,寻找锐器伤的相关危险因素,探讨锐器伤所致的职业暴露预防控制措施及管理对策,使医务人员树立正确的职业安全防范意识,规范各种医疗操作,减少医务人员锐器损伤的发生率。方法根据广东省医务人员血源性职业暴露监测系统,对全院医务人员进行培训,采用问卷形式,于2011年7月对医务人员锐器伤进行调查,共调查671人,针对发生锐器伤人员的工龄、类别、发生时机、地点、工作量及暴露源分布等进行统计分析。结果发生锐器伤28人、29人次,发生率4.17%,锐器伤的不同工种依次为护士、医师、医技人员、药剂人员、工勤人员,分别占44.83%、27.59%、17.24%、6.90%、3.44%;不同器具锐器伤的发生次数分别为一次性注射器、手术缝针、头皮钢针,分别占37.93%、17.24%、17.24%;不同工种发生锐器伤场所为护士发生在门、急诊各占20.69%,手术室占17.24%,检验科占13.79%,护士在补液室占10.34%,护士在普通病房占10.34%,药剂人员在药房占6.96%。结论针对调查的高危因素、高危人群,高危操作,暴露源的分布,加强全员的职业暴露知识培训,完善职业暴露监测系统,加强预防控制措施落实。
OBJECTIVE To investigate the incidence of sharp injuries in medical staff, look for related risk factors of sharp injuries, discuss the prevention and control measures and countermeasures of sharp injuries caused by oecu- pational exposure, so as to establish the correct professional awareness of security among medical personnel, and regulate a variety of medical operation to reduce the incidence of sharps injuries medical personnel. METHODS According to the Guangdong province medical staff bloodborne occupational exposure monitoring system, in our hospital as a pilot hospital, training of medical staff was implemented by using questionnaires. The survey of sharp injuries in medical personnel was carried out in Jul. 2011, the total survey number was 671. And statistical analy-ses were conducted for personnel seniority of staffs with sharp injuries, categories, occurrence timing, location, workload and distribution of exposure source. RESULTS The sharp injuries ocearred in 28 cases （29 case-times） with the incidence rates of 4.17%. Different types of work with sharp injuries were, in order, nurses accounting for 44.83%, doctors 27.59%, medical technicians 17.24%, pharmacists 6.90%, the workers and service person-nel 3. 44%. Different appliances leading to sharp injuries in the order of occurrences were： the scalp needle 20.69%, disposable syringes 17.24%, surgical needles 17.24%, glass droppertest tube using scissors 6.90%, finger lancets 3.45%. Workplace where sharp injuries happened among different types of work were： nurses in departments of outpatient and emergency accounting for 20.69 % respectively, operating room 17. 24%, laborato-ries 13. 79%, nurses in the infusion room 10. 34%, nurses in the general wards 10.34%, pharmacists in pharma-ties 6.96%. CONCLUSION The training of the occupational exposure knowledge should be strengthened among rehole staffs, the occupational exposure monitoring system showld be improved, and implementation of the pre- ＇ention and control measures showld be enhanced, based on risk factors investigated, high-risk population, and istribution of exposure source.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2013年第23期5773-5775,共3页
Chinese Journal of Nosocomiology
关键词
医务人员
锐器伤
调查与对策
Medical staff
Sharp injuries
Investigation and countermeasures
