手术室人员医源性污染防护认知及行为情况调查  

Cognition and behavior status of iatrogenic pollution protection in Operating Room personnel

作　　者：杨镜蒙[1] 侯睿[2] 冯嘉蕾[2] 

机构地区：[1]首都医科大学宣武医院中心手术室,北京100053 [2]北京大学护理学院,100191

出　　处：《中华现代护理杂志》2015年第31期3758-3760,共3页Chinese Journal of Modern Nursing

摘　　要：目的 了解手术相关人员对医源性污染认知水平和自身防护行为现状,达到预防和控制其职业危害,保护自我及所在环境,预防院内感染的目的. 方法 使用问卷调查法选取北京某三甲医院手术室相关人员105名进行医源性污染分类防护认知行为调查,其中手术室在岗护士52名,外科系统医生53名. 对调查结果采用SPSS12. 0软件进行分析检验. 结果 105名手术室医护人员医源性污染防护分类认知、行为平均得分（78. 06 ± 13. 04）分,医生组（75. 45 ± 13. 47）分,护士组（80. 71 ± 12. 47）,组间比较差异有统计学意义（t=2. 100,P〈0. 05）. 手术室人员在预料有分泌物溅出时经常或总是佩戴防护用具人数只占18. 1%,对医院标准防护内容知晓率为33. 3%. 结论 手术人员应加强自我防护的教育需求,有针对性地进行医院标准防护知识培训,认真分析和探讨,纠正不良行为,增强职业防护意识,改变不安全行为.Objective To probe into cognition and behavior status of iatrogenic pollution protection in Operating Room （ OR） staff, in order to prevent and control occupational hazards, protect self and environment, and achieve the goal of nosocomial infection prevention. Methods A total of 105 OR staff members （52 nurses and 53 surgeons） working in a level three class A hospital in Beijing were selected by questionnaire method and investigate about the classification of medical waste and professional self-protection. SPSS 12. 0 was employed to analyze the results. Results The average score of the iatrogenic pollution preventive cognition for medical waste classification and behavior in OR staff was （78. 06 ± 13. 04）, with surgeons （75. 45 ± 13. 47） and nurses （80. 71 ± 12. 47）. The difference between two groups was statistically significant （t=2. 100,P〈0. 05）. Only 18. 1% OR staff members often or always wore protective equipment when staff members predicted secretion slopped and it was just 33. 3% of cognition rate about hospital standard protection contents. Conclusions OR staff should strengthen the knowledge of self protection; targeted courses should be carried out about hospital standard protection;bad behavior should be analyzed and explored carefully and corrected; occupational safety awareness should be enhanced and unsafe behavior should be changed.

关 键 词：手术室技术员 认知 行为 医源性污染 自我防护 

分 类 号：R197.3[医药卫生—卫生事业管理]