血液透析护士职业暴露防护行为分析及管理对策  

Analysis and management countermeasures of occupational exposure and protecting behavior in hemodialysis nurses

作　　者：张燕[1] 卜玲[1] 杨卉[1] 

机构地区：[1]江苏省苏北人民医院肾内科,江苏扬州225001

出　　处：《实用临床医药杂志》2013年第6期48-51,共4页Journal of Clinical Medicine in Practice

摘　　要：目的调查血液透析护士职业暴露及防护行为的发生情况,探讨血液透析护士职业暴露的特点及防护行为的影响因素。方法采用自行设计的一般资料调查表、血液透析职业暴露发生情况调查问卷表及防护行为调查问卷表调查分析扬州市5所医院82名血液透析护士的相关资料。结果血液透析护士职业暴露发生情况以事故性危害方面职业暴露得分最高;教育程度、工作岗位、职业暴露经历、培训经历、工作年限是影响护士防护行为的主要因素。结论事故性危害、生物性危害、心理社会因素方面是血液透析护士最常面临的职业暴露。管理者应采取针对性措施以减少职业暴露的发生,如加强护士职业防护的培训及监督、合理安排工作岗位、为护士提供充足的防护物品等。Objectives To investigate the conditions of occurrence of occupational exposure and protecting behavior in hemodialysis nurses and explore the features of occupational exposure in hemodialysis nurses as well as the influence factors of protecting behavior. Methods Rdated materials of 82 hemodialysis nurses were collected from 5 different hospitals in Yangzhou, and these materials were investigated with the self - designed questionnaires such as the general information questionnaire, questionnaire on the occurrence of occupational exposure associated with hemodialysis and questionnaire on the protecting behavior. Results Accidental injury was the most frequent and serious adverse effect of occupational exposure in hemodialysis nurses; educational level, operating post, experience of occupational exposure, training and working lifetime were the main influential factors of protecting behavior in hemodialysis nurses. Conclusion Accident injury, biological injury and mental and social factors are the most common occupational exposures. Directed measures such as enhanced training and monitoring of occupational protection for nurses, reasonable arrangement of operating post and provision of protecting materials for nurses should be implemented for the reduc- tion of occurrence of occupational exposure.

关 键 词：护士 血液透析 职业暴露 综合预防 

分 类 号：R472.4[医药卫生—护理学]