摘要
目的了解介入导管室医务人员发生针刺伤的危险因素,探讨相应的干预对策。方法对2007年5月-2009年5月导管室医务人员及介入手术医师(包括进修医师10人)共64人,进行针刺伤回顾性问卷调查并对相关因素进行分析。结果 44人存在不同程度针刺伤,发生率为68.8%,其中9人曾发生>3次针刺伤;不同职业针刺伤的发生率医师、护士、护工、技师分别为54.6%、90.0%、86.7%、66.7%,仅医师分别与护士和护工组差异有统计学意义(P<0.05);在不同工龄间不同职业差异有统计学意义(P<0.05);针刺伤的发生时间在不同职业间差异无统计学意义,而其发生主要与不良操作习惯如针头复帽等关系密切(P<0.01)。结论介入导管室医务人员需增强职业安全意识,护工和护士是针刺伤的高发人群,规范术中针头的管理是降低针刺伤发生的保证。
OBJECTIVE To investigate the risk factors of needle stick injury in the seaff of intervention catheterization room and to discuss the corresponding intervention measures.METHODS Sixty-four medical workers in intervention catheterization room and intervention doctors（including refresher doctors） from May 2007 to May 2009 were retrospectively investigated by questionnaire,then the related factors were analyzed.RESULTS From them 44 were stabbed by needle,the incidence was 68.8%.Moreover,9 of them were stabbed more than three times.Among different occupations the incidence of of doctors,nurses,nursing assitants and technicians was 54.6%,90.0%,86.7% and 66.7%,respectively.However,only doctor group had siginificant difference comparing with the nurse group,nursing assistants group,respectively（P〈0.05）.The different occupations in different work periods had significant difference（P〈0.05）.Meanwhile,the surveys showed the occurrence time of needle injury had no significant difference among different occupations,while the time was closely related with bad operation habits such as re-capping for needle（P〈0.01）.CONCLUSIONS Medical staff in intervention catheterization room should enhance the professional safety awareness.Nurse and nursing aids are the high risk population of needle injury.Standard management of needle in operation is a guarantee to decrease needle injury.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2010年第14期2108-2109,共2页
Chinese Journal of Nosocomiology
关键词
介入手术
医务人员
针刺伤
干预对策
Intervention operation
Medical staff
Needle injury
Intervention measure
