【摘要】 目的:了解全国儿科护士针刺伤现状、针刺伤发生的影响因素,以探讨科学有效的职业防护措施。方法:对全国范围内27个省级行政单位的100家医院儿科在职的12 707名护士进行回顾性调查。结果 :儿科护士针刺伤发生率为7.9%,发生针刺伤后有75.9%没有书面上报医院;高危环节为穿刺后整理用物时,占37.9%。儿科护士针刺伤发生的相关因素包括科室、年限、岗位、职称等。回归分析结果显示每日浅静脉平均穿刺病人例次是儿科护士针刺伤发生的影响因素。结论 :我国儿科护士针刺伤不容忽视。管理者应落实和加强针刺伤预防教育并按照护士等级实施不同的训练方案,建立完善便捷的针刺伤上报系统,关注针刺伤发生比率较高的人群,减少针刺伤的发生。更多还原

【Abstract】 Objective: To study the current situation and influencing factors of needlestick injuries among pediatric nurses in China. Methods: A total of 12 707 pediatric nurses in 100 hospitals from 27 provincial administration units across the country were included in this retrospective survey. Results: The incidence of needlestick injuries in pediatric nurses was 7.9%, and 75.9% of these needlestick injuries were not reported to the hospital in writing. In total, 37.9% needlestick injuries occured in the process of collecting, arranging, and classifying the items at work station, with the highest incidence. The related factors of needlestick injuries in pediatric nurses included departments of working, years of working, nursing positions and titles. The results of multiple linear regression analysis showed that the average number of patients required to perform superficial vein puncture per day was the influencing factor of needlestick injuries in pediatric nurses. Conclusion: The incidence of needle stick injury is high in pediatric nursing in China. The nursing managers should implement the prevention education of needlestick injury, form different training programs according to the different level of nurses, and establish a complete and convenient reporting system for needlestick injuries. Those nurses and processes with a higher incidence of needlestick injuries are the key objects to be paid attention to.更多还原