期刊文献+

医务人员锐器伤发生相关因素分析及防护对策 被引量:19

Related factors sharp instrument injuries among health care workers and prevention countermeasures
原文传递
导出
摘要 目的结合区域临床医务人员的流行病学调查,探讨锐器伤发生的相关因素,并制定有效的预防措施。方法以青岛市某三级甲等医院临床医务人员为研究对象,按照科别、执业类别、损伤发生类别、发生地点、暴露特点、操作环节、医疗器具等多因素设计医务人员锐器伤调查表,对2012-2017年医院报告登记的2246例次锐器伤进行流行病学及统计学相关因素分析。结果医务人员锐器伤主要发生于动静脉拔针(24.31%)、针头入锐器盒(18.57%)、手术缝针(13.40%)、药物配制(9.17%)、静脉注射(7.79%)等操作过程中,比较差异有统计学意义(χ~2=1197.31,P<0.001);医务人员锐器伤发生频率最高的地点主要是普通病房、急诊室、静配中心和输液室;输液器钢针(44.84%)、手术缝针(10.51%)、静脉留置针(8.59%)、真空采血针(8.33%)和玻璃碎片(2.54%)等是造成医务人员锐器伤的主要医疗器具,比较差异有统计学意义(χ~2=758.16,P<0.001);锐器致伤以轻度为主,大部分病例(2141例,占95.33%)经治疗或观察后治愈。结论防控医务人员锐器伤的危害,最重要的是建立起一套完善的医务人员认知和锐器伤处理流程,加强职业安全教育,实施标准预防,减少医务人员锐器伤的发生。 OBJECTIVE To explore the related factors for the sharp instrument injuries among health care workers in combination with regional epidemiological survey so as to put forward effective prevention measures.METHODS The health care workers of a three-A hospital of Qingdao were recruited as the study objects,the questionnaires of sharp injuries were designed based on the department,types of job,onset locations,characteristics of exposure,operation links and medical apparatus,and the epidemiological and statistical analysis was performed for 2246 case-times of sharp injuries that were reported and registered from 2012 to 2017.RESULTS The sharp injuries of the health care workers mainly occurred in arteriovenous needle extraction(24.31%),placing needle head into sharp instrument box(18.57%),surgical suture(13.40%),drug preparation(9.17%),intravenous injection(7.79%),and there were significant differences(χ2=197.31,P〈 0.001).The common wards,emergency rooms,PIVAS and infusion rooms were the major locations for the sharp injuries.The steel needles of infusion device(44.84%),surgical suture needle(10.51%),venous indwelling needle(8.59%),vacuum blood draw needle(8.33%)and glass fragment(2.54%)were the major medical apparatuses for the sharp injuries,and there were significant differences(χ2=58.16,P〈0.001).The health care workers with mild injuries were dominant,most of whom(2141 cases,95.33%)were cured after treatment and observation.CONCLUSIONit is crucial to develop a set of complete procedure for cognition and treatment of sharp injuries of the health care workers,strengthen the education of occupational safety and carry out the standard prevention so as to reduce the incidence of the sharp injuries among the health care workers.
作者 黄伟丽 李奇峰 秦文 玄超 周晓彬 HUANG Wei-li;LI Qi-feng;QIN Wen;XUAN Chao;ZHOU Xiao-bin(College of Public Health,Qingdao University,Qingdao,Shandong 266000,China)
出处 《中华医院感染学杂志》 CAS CSCD 北大核心 2018年第18期2872-2875,共4页 Chinese Journal of Nosocomiology
基金 国家自然科学基金面上项目(81672073)
关键词 医务人员 锐器伤 流行病学 危险因素 多因素分析 Health care worker Sharp injury Epidemiology Risk factor Multivariate analysis
  • 引文网络
  • 相关文献

参考文献8

二级参考文献103

共引文献302

同被引文献184

引证文献19

二级引证文献75

;
使用帮助 返回顶部