宜宾市某三甲医院医务人员锐器伤回顾性调查  

Retrospective study on Sharp Instrument Injuries among medi-clinical staff in a tertiary comprehensive hospital,Yibin City

作　　者：李晓玲[1] 施燕飞[1] 余启碧[1] 

机构地区：[1]宜宾市第一人民医院预防保健科,四川宜宾644000

出　　处：《现代预防医学》2017年第13期2341-2343,2359,共4页Modern Preventive Medicine

摘　　要：目的了解医务人员锐器伤发生特点及原因,以便为采取针对性的应对措施提供依据。方法采用自行设计的《职业性锐器伤调查问卷》收集调查对象过去12月锐器伤情况,采用SPSS20.0进行统计分析。结果 613名被调查医务人员中,锐器伤终身发生率67.20%,平均次数为3.16次/人,锐器伤年发生率32.46%。刺伤原因主要为操作时太过仓促(比例为51.76%),其次是操作不规范(比例为23.62%)。医生遭遇锐器伤的主要环节为手术缝合和传递器械过程(比例分别为60.29%和19.11%),护理人员遭遇锐器伤的主要环节为拔针和整理废物(比例分别为35.88%和35.11%)。遭遇锐器伤后立即上报的仅占39.70%,暴露源术前检查结果正常为未上报的主要原因,其次是工作太忙没时间或自身不重视。结论当前医务人员遭遇锐器伤有关问题依然突出,针对锐器伤主要发生环节和影响因素的应对措施亟待加强。Objective To explore the current situation of sharp instrument injuries among medical workers so as to provide a scientific basis for developing targeted preventive measures. Methods A self - designed questionnaire was used to conduct the retrospective survey in medical staff. SPSS 20.0 was used to analyze data. Results Of the surveyed 613 medical workers, 67. 20% workers suffered sharp instrument injuries during their work - life, and 32.46% workers were in the last 12 months. The mainly influencing factors were a sense of urgency （ rate was 51.76% ） and unstandardized operations （ rate was 23.62% ）. The high - risk procedures of sharp instrument injuries were surgical suture and handover of sharp instrument among doctors （ rate were 60.29% and 19. 11% respectively）, while among nurses the high- risk procedures were withdrawing needles and collecting used sharp instruments （rate were 35.88% and 35.11% respectively）. Only 39.70% workers who suffered sharp instrument injuries reported their suffering. Conclusion Current situation of needle - stick injury among clinical staff is rigorous. Countermeasures regard to high - risk procedures and mainly influencing factors should be conducted timely.

关 键 词：锐器伤 职业暴露 医务人员 回顾性调查 

分 类 号：R13[医药卫生—劳动卫生]