【摘要】 目的调查沈阳市重症监护病房护士职业暴露发生的现状,提出有针对性的管理对策与措施,为有效降低重症监护病房护士职业暴露的发生提供理论依据。方法自行设计问卷对沈阳市5所三级甲等医院211名重症监护病房护士职业暴露发生情况进行调查与分析。结果重症监护病房护士是护士群体中发生职业暴露的重点人群,职业暴露发生情况整体得分(31.42±10.12)分,发生情况以人体工效学、心理社会和组织因素(如频繁的倒班、不适当的搬运患者等)得分最高(13.08±3.54)分,其次是物理性职业暴露得分(6.44±2.05)分、生物性职业暴露得分(4.55±2.22)分、化学性职业暴露得分(4.39±1.21)分、事故性职业暴露得分(4.25±1.03)分。结论各级卫生行政部门及护理管理者应高度重视重症监护病房护士职业暴露的发生情况,坚持以人为本的管理理念,增加护士人力,加大防护设施的投入,强化护士职业防护的培训及监管,促进护理行为的改变,控制和减少重症监护病房护士职业暴露的发生。更多还原

【Abstract】 Objective To investigate the present situation of occupational exposures of intensive care unit(ICU)nurses in Shenyang City,and put forward countermeasures to provide a theoretical basis for lowering the ICU nurse occupational exposures.Method Total 211 ICU nurses from 5third grade classA hospitals in Shenyang were investigated on the occupational exposures using a selfmade questionaire.Result The average total score of the occupational exposure incidence was(31.42±10.12),with the highest(13.08±3.54)average incidence of ergonomics,psychological and organizational factors(such as the frequent shifts and improper handling of patients),physical occupational exposure(6.44±2.05),chemical occupational exposure and accidental exposure.Conclusion The health administrative departments at all levels and nursing managers should pay more attention to the occurrence of occupational exposure among ICU nurses by adhering to the peopleoriented management philosophy,increasing the nursing manpower,enhancing the investment into protectional facilities,and strengthening the training and supervision of occupational protection for nurses,so as to promote the change of nursing behavior to control and reduce the occupational exposure of ICU nurses.更多还原