我校实习护生职业损伤情况调查与分析  

Investigation and analysis on occupational injury for nursing students

作　　者：左凤林 陈天芬[2] 

机构地区：[1]重庆市万州卫生学校护理教研室,重庆404000 [2]重庆三峡中心医院普通外科,重庆404000

出　　处：《护理管理杂志》2006年第5期20-22,共3页Journal of Nursing Administration

摘　　要：目的了解2002级护生实习期间职业损伤情况,对护生的职业防护培训制定相应措施提供依据。方法对2002级184名实习护生采用自行设计问卷进行回顾性调查。结果82.6%实习护生发生锐器伤,发生两次以上者占53.3%,共受伤324例次,被污染针头刺伤者占58.7%,安瓿割伤者占30.9%;发生锐器伤后正确处理者占5.3%;认为锐器伤可感染HIVHBV、HCV者占6.5%;防护知识来源于临床带教老师者占63.6%;接触患者血液、体液、排泄物、分泌物时不戴手套者占44.6%;未接种乙型肝炎疫苗者占49.5%。结论实习护生锐器伤发生率高,防护意识淡薄,护理教师应加强护生临床实习前职业防护知识培训。Objective To understand the status of occupational injury for nursing students in grade 2002 during their clinical practice, so as to find out some evidences to make training strategies for protect the students from professional exposure. Method 184 nursing students were investigated by a self-administrated questionnaire. Results Among the subjects,82.6% suffered injuries by sharp instruments and 53.3% were injured twice or more. The total numbers of injury by sharp instruments were 324,and 58.7% of them were stabbed by contaminated injector needles,30.9% were cut by medical bottles. Only 5.3% of the nursing students took correct and effective measures to deal with their injuries. 6.5% of them considered injuries by sharp instruments will contaminate with HIV ,HBV and HCV. 63.6% of the students acquired the protection knowledge through their clinical teachers. 44.6% of them contacted patient＇s blood,body fluid dejection without medical gloves. 49.5% of them didn＇t inject vaccine of hepatitis B. Conclusions The rate of nursing students＇ injuries by sharp instruments is high and the students＇ self - protection consciousness is weak. So the teachers must strengthen vocational prevention and protection training to the students before their clinical practice.

关 键 词：实习护生 锐器伤 职业防护 培训 

分 类 号：R192.6[医药卫生—卫生事业管理]