安全注射干预效果评价

Effect evaluation of safe injection intervention

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摘要目的通过对安全注射操作过程的干预,为提高安全注射正确率、实现安全注射持续改进提供参考。方法选择第六师医院包括外科、内科、妇产科、儿科等相关临床科室562名医护人员为研究对象。成立安全注射品管圈,对品管圈人员先期培训。进行安全注射基线调查,然后对所选研究对象进行安全注射知识与技能的培训及注射现场的实践指导干预,12个月后进行干预调查,并对干预效果进行评价。结果干预后医护人员安全注射知晓率由52.49%提高到98.58%,医护人员安全注射操作正确率由57.83%提高到91.99%,注射使用后的医疗废物规范化处理率由75.44%提高到98.58%,差异均具有统计学意义(P<0.001);针刺伤发生率由2017年7.65%下降到2018年的4.09%,差异有统计学意义(P<0.05)。结论有效的干预措施,可以强化安全注射意识,提高安全注射正确率,有效防范因非安全注射导致的医务人员职业伤害事件的发生。 Objective Through the intervention of the safe injection operation process,to provide a reference for improving the correct rate of safe injection and realizing the continuous improvement of safe injection.Methods A total of 562 medical staff from the departments of surgery,internal medicine,obstetrics and gynecology and pediatrics were selected as the subjects.Safety injection quality control circle was established to train the personnel in advance.A baseline safety injection survey was conducted,and then the selected subjects were trained in knowledge and skills of safe injection and given practical guidance and intervention on injection site.The intervention was investigated after 12 months,and then the intervention effect was evaluated.Results After the intervention,the awareness rate of safe injection of medical staff increased from 52.49%to 98.58%,the correct rate of safe injection of medical staff increased from 57.83%to 91.99%,and the standardized treatment rate of medical waste after injection increased from 75.44%to 98.58%,the differences were statistically significant(P<0.001).The incidence of needle puncture decreased from 7.65%in 2017 to 4.09%in 2018,and the difference was statistically significant(P<0.05).Conclusion Effective intervention measures can strengthen the awareness of safe injection,improve the correct rate of safe injection,and effectively prevent the occurrence of occupational injuries of medical personnel caused by unsafe injection.

作者董雪梅吕菊英尹文新葛永梅黄润枝刘红云马芳李寒张莉王华 DONG Xuemei;LV Juying;YIN Wenxin;GE Yongmei;HUANG Runzhi;LIU Hongyun;MA Fang;LI Han;ZHANG Li;WANG Hua(Department of Infection Office,The Sixth Division Hospital of Xinjiang Production and Construction Corps,Wujiaqu,Xinjiang 831300,China;Department of Cardiovascular Division,The Sixth Division Hospital of Xinjiang Production and Construction Corps,Wujiaqu,Xinjiang 831300,China;Department of Stomatology,The Sixth Division Hospital of Xinjiang Production and Construction Corps,Wujiaqu,Xinjiang 831300,China;Department of Critical Care Medicine,The Sixth Division Hospital of Xinjiang Production and Construction Corps,Wujiaqu,Xinjiang 831300,China;Department of Nephrosis;Department of Respiratory,The Sixth Division Hospital of Xinjiang Production and Construction Corps,Wujiaqu,Xinjiang 831300,China;Department of Gynecology and Obstetrics,The Sixth Division Hospital of Xinjiang Production and Construction Corps,Wujiaqu,Xinjiang 831300,China)