摘要
目的分析北京地区医护人员锐器伤现况,并提出控制医护人员锐器伤相应的对策。方法利用北京地区医院感染监控系统,根据该地区124所二、三级医院上报的医护人员锐器伤害情况,对其进行描述性统计学分析,通过发现的影响因素制定相应对策。结果护士在全部报告的伤害记录比例最高,约占65.4%,医师占26.9%;锐器伤害的发生地点主要在病房内、手术室、病房外、门诊、急诊、ICU等;工龄<5年的医护人员最易发生锐器伤害;导致锐器伤害的器械种类主要为注射针头等;最为常见发生伤害的医疗操作环节是手术中(缝合或切开时等),占14.8%,丢弃前针头等锐器物处理时占10.3%。结论手术室护理人员锐器伤发生率最高,发生率与工龄、职业分布、工作地点、锐器物种类、操作环节、自我防护意识薄弱,缺乏职业安全教育、操作不规范等因素有关。
OBJECTIVE To analyze current status of sharp injuries of the medical personnel in Beijing and propose corresponding countermeasures to reduce the sharp injuries. METHODS By using nosocomial infections surveillance system, the status of sharp injuries reported from 124 secondary and tertiary hospitals was defined and analyzed statistically, the corresponding countermeasures were put forward through the analysis of risk factors. RESULTS Nurses occupied the largest proportion among all the reported sharp injuries （65.4 %）, followed by doctors which was 26.9 % sharp injuries frequently occurred in the wards, operating rooms, outpatient departments, emergency department, ICU, and so on; medical staff with service life less than 5 years were susceptible to sharp injuries; syringe needle was the predominant type of instrument that causes sharp injuries most common sharp injuries occurred during the operation （14.8%） （suture or incision ere）, the disposal of sharp stuff like needles before dropped accounted for 10. 3%. CONCLUSION The incidence of sharp injuries is the highest in nursing staff of operating room, and it is associated with the service life, occupation, working location, type of sharp objects, operating procedures, weak awareness of selfrotection, lack of training of occupational safety, and irregular operation.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2012年第7期1432-1434,共3页
Chinese Journal of Nosocomiology
基金
首都医学发展科研基金(2007-1008)
关键词
锐器伤
现况研究
控制对策
Sharp injuries Study on current status
Control measures
