摘要
[目的]了解医务人员对职业防护的认知水平,评估多层次培训对职业防护实践的影响。[方法]采用整群抽样方法抽取某三级综合医院医务人员962名作为研究对象,对他们进行三个层次的职业防护方面的教育培训;使用结构化问卷进行问卷调查,评估他们教育前后职业防护的知识和实践能力以及职业暴露发生率。[结果] 857人完成了教育培训干预后调查,失访率为10.9%。干预前,有67.2%(646/962)的医务人员了解职业防护相关知识,但只有444人(占46.2%)接受过职业防护的正式培训。干预后,医务人员对各项职业暴露认知情况均有好转,各种防护用品穿戴率明显提升(P <0.01)。干预前,医务人员职业暴露率为14.8%(142/962),干预后,职业暴露率为11.6%(99/857),两者差异有统计学意义(P <0.05)。[结论]通过对医务人员多层次的职业防护培训,在实践中推进职业安全标准和措施的落实,可以提高医务人员对职业防护的认知,减少职业暴露的发生。
[Objective]To understand the knowledge,attitude and practice(KAP)of medical staff on occupational injury protection,and to evaluate the effect of multi-level training on actual practice on occupational injury protection.[Methods]Totally 962 medical staffs in a tertiary general hospital were studied.They were trained on occupational injury protection through three-levels.With structured questionnaires,they were investigated before and after training to evaluate intervention effects and the change of incidence of occupational pathogen exposure.[Results]Totally 857 medical staff participated in the survey after the intervention of education and training,and the loss rate of follow-up was 10.9%.Before intervention,67.2%(646/962)of medical staff knew about occupational injury protection,but only 444(46.2%)had received standardized training.After intervention,the awareness of occupational pathogen exposure was improved and the use of various personal protective equipment was significantly increased(P<0.01).Before intervention,the occupational pathogen exposure rate was 14.8%(142/962),while it was 11.6%(99/857)after intervention,and the difference was statistically significant(P<0.05).[Conclusion]Multi-level training on occupational injury protection,and implementation of occupational safety standards on disposal of wastes and proper use of personal protective equipment in the practice could improve the KAP of medical staff on occupational injury protection,and reduce the occurrence of occupational pathogen exposure.
作者
李建民
甘泳江
梁丹燕
汪莉
杨冰
LI Jiangmin;GAN Yongjiang;LIANG Danyang;WANG Li;YANG Bing(The Third Hospital Affiliated to Guangxi Medical University,Nanning,Guangxi 500031,China)
出处
《职业卫生与应急救援》
2019年第2期138-141,共4页
Occupational Health and Emergency Rescue
基金
南宁市科学技术局重点研发计划(20173021-5)
关键词
职业伤害防护
医务人员
认知
干预
occupational injury protection
medical staff
cognition
intervention
