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手术部医务人员锐器伤调查分析与对策

Sharp Injuries among Medical Workers in Operating Department:A Survey Analysis and Countermeasures

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【作者】 邓利平江兰英

【Author】 DENG Li-ping,JIANG Lan-ying(Tongcheng People′s Hospital,Tongcheng,Anhui 231400,China)

【机构】 桐城市人民医院护理部桐城市人民医院护理部 安徽桐城231400安徽桐城231400

【摘要】 目的了解手术人员锐器伤发生情况,探讨相应的防护对策。方法对3所二甲医院255名手术人员采用自行设计问卷,对2006年7月-2007年6月锐器伤进行回顾性调查。结果手术人员锐器伤发生率为63.14%,按职别统计发生率医生、护士、护生分别为46.67%、80.00%、92.73%;按工龄统计发生率与工龄长短关系密切;锐器伤类型与职别关系密切;伤后主动上报率医生、护士、护生分别为38.57%、87.50%、3.92%;进行潜在血液接触操作每次戴手套执行率医生、护士、护生分别为88.00%、80.00%、16.37%。结论手术人员面临锐器伤危险;护生和新进人员是受伤高发人员也是安全防范的重点人群;完善操作规程;规范职业防护管理是降低锐器伤发生率的保证。

【Abstract】 OBJECTIVE To investigate the status of the sharp injuries among medical workers in operating department and explore the countermeasures for the occupational protection.METHODS The status of the sharp injuries was investigated retrospectively from Jul 2006 to Jun 2007 used a self-designed questionnaire among 255 medical workers in three grade 2A hospitals in Tongcheng city.RESULTS Among the medical workers 63.14% suffered sharp injuries.Furthermore,the proportion of sharp injuries among doctors,nurses and nurse students were 46.67%,80.00% and 92.73%,and the sharp injuries rate was closely associated with the working years.The type of sharp injuries was closely associated with occupation.The proportion of reporting sharp injuries among doctors,nurses and nurse students was 38.57%,87.50% and 3.92%,respectively.The proportion of taking on gloves among doctors,nurses and nurse students was 88.0%,80.0% and 16.37% when they worked in contact with blood or body liquid.CONCLUSIONS The medical workers meet the danger of sharp injury.Nurse students and new medical workers have high incidence of the sharp injury,so they are high-risk subjects who should enhance their safeguard procedures.Thus,perfecting the operating protocols and standardizing the managements of occupational prevention and protection could reduce the sharp injuries rate.

  • 【文献出处】 中华医院感染学杂志 ,Chinese Journal of Nosocomiology , 编辑部邮箱 ,2008年05期
  • 【分类号】R47
  • 【被引频次】67
  • 【下载频次】128
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