急诊护士血源性职业暴露状况及风险防范  

Hematogenous occupational exposures of emergency nurses and risk prevention

作　　者：姜永梅[1] 许永进[1] 商玲[1] 许雪梅[1] 崔琳[1] 王淑云[1] 

机构地区：[1]青岛大学医学院附属医院急诊内科,山东青岛266003

出　　处：《中华医院感染学杂志》2013年第11期2714-2716,共3页Chinese Journal of Nosocomiology

摘　　要：目的了解急诊护士在急救护理过程中发生血源性职业暴露状况,进行相关分析,为血源性职业暴露风险提出防范策略。方法对2007年7月-2010年8月医院急诊护士血源性职业暴露143人进行回顾性调查。结果 143例急诊护士血源性职业暴露以1～5年护龄的护士比例最高,占43.35%;最易发生暴露的环节是拔针及拔针后处置,为46.15%;暴露的方式以锐器伤为主,占74.13%;最常见的暴露源是HBV;发生暴露的局部处理率100.00%;暴露后采取及时、合理的处置及预防措施,143人追踪检测无相关疾病感染。结论血源性职业暴露是急诊护士面临的高危职业风险,应加强职业防护的培训,降低职业暴露的风险。OBJECTIVE To understand the status of hematogenous occupation exposures of the emergency nurses so as to put forward the prevention strategies for the hematogenous occupation exposures. METHODS From Jul 2007 to Aug 2010, a total of 143 emergency nurses with hematogenous occupation exposure were retrospectively investi-gated. RESULTS Of totally 143 cases of emergency nurses investigated, the nurses with the nursing service life in 5 years took the largest proportion （43.35%）; the needle extraction and the disposal after the needle withdraw were the links most prone to exposure, accounting for 46.15% the sharp injuries were the predominant exposure approach, accounting for 74.13 % ; the HBV was the most common source of exposure; the local treatment rate of the exposure was 100. 00%; there were no cases with infections detected after taking timely and reasonable prevention measures. CONCLUSION The emergency nurses are at high risk of the hematogenous occupation exposure, it is necessary to strengthen the training of occupational protection so as to reduce the risk of occupa-tional exposure.

关 键 词：急诊护士 血源性 职业暴露 风险防范 

分 类 号：R197.323[医药卫生—卫生事业管理]