某地三级医院检验科采血人员锐器伤影响因素分析  

Somewhere in tertiary hospital clinical laboratory in pursuance of personnel sharp injury incidence status investigation and relative factor analysis

作　　者：丁娥[1] 李卫华[2] 王萍[3] 菅向东[4] 

机构地区：[1]山东大学齐鲁医院检验科,济南250012 [2]山东大学齐鲁医院手术室,济南250012 [3]山东大学齐鲁医院门诊手术室,济南250012 [4]山东大学齐鲁医院急诊科中毒与职业病科,济南250012

出　　处：《中华劳动卫生职业病杂志》2016年第7期502-505,共4页Chinese Journal of Industrial Hygiene and Occupational Diseases

基　　金：2012年国家临床重点专科建设项目（2012650）;泰山学者建设工程专项经费项目（ts20130911）

摘　　要：目的调查某地三级医院检验科采血人员锐器伤发病现况及影响因素，分析其原因并探讨其控制策略。方法选择山东省10家三级医院检验科采血人员1198人，用横断面调查的方法，调查采血人员的职业暴露因素、组织管理因素、个人认知情况等，以x2检验及多因素Logistic回归分析方法分析数据。结果采血工作环境中存在接触注射针头、玻璃等锐器、接触噪音、接触化学物、接触患者的血液等生物标本、接触高危人群、患者及家属负面情绪、遭受患者及家属埋怨等相关的影响因素。在组织管理因素中，以工作强度大、防护用具不足为最不满意；医务人员对职业暴露的个人认知能力因素方面，未能遵守医疗护理规范操作及发生暴露后未能及时正确处理并上报发生率较高。三级医院检验科采血人员锐器伤的发生率与岗位、超负荷工作、锐器接触、防护用具是否完善、医疗废弃物安全处置5种因素。结论三级医院检验科采血人员锐器伤的发生率与多种因素相关，医院应制定相应的规章制度，改善工作环境，规范安全操作，以降锐器伤的发生率。Objective Investigation in tertiary hospital clinical laboratory in pursuance of the current state of the sharp injury incidence and influencing factors, analyze the causes and discuss the control strategy. Methods Application of cross-sectional survey method, according to the unified investigation questionnaire investigation, with chi-square test and the multi-factor Logistic regression analysis methods to analyze research data. Results The work environment exit contact with injection needles, glass and other sharps, contact with noise, contact with chemicals, contact the patient＇ s blood and other biological specimens, high-risk groups, the patient and family to negative emotions, by patients and their families complain or abuse related influencing factors. In the organization and management factors, in order to work strength is insufficient for the most dissatisfied, protective equipment, medical staff personal cognitive factors of occupational exposure, failing to abide by the medical care standard operation and high incidence after exposure to failed to report. Somewhere in tertiary hospital clinical laboratory in pursuance of the incidence of sharps injuries associated with five factors ： different jobs, working strength, protective equipment perfect or not, sharp instrument use and disposal of medical wastes. Conclusion Tertiary hospital clinical laboratory in pursuance of the incidence of sharp injury related to many factors, Hospitals should formulate corresponding rules and regulations, improve the working environment, the standard safety operation, reduced the incidence of sharps injuries.

关 键 词：医生 血液 职业暴露 

分 类 号：R197.323[医药卫生—卫生事业管理]