基于监测数据和回顾性调查分析的医务人员针刺伤特点比较  

Comparison of needle-stick injury features among medical staff base on surveillance data and retrospective survey analysis

作　　者：李晓玲[1] 余启碧[1] 袁世平 LI Xiaoling;YU Qibi;YUAN Shiping(Department of Prevention and Health Care,Yibin Municipal First People′s Hospital,Yibin,Sichuan 644000,China)

机构地区：[1]四川省宜宾市第一人民医院预防保健科,644000

出　　处：《重庆医学》2018年第9期1237-1238,1296,共3页Chongqing medicine

摘　　要：目的基于监测数据和回顾性调查分析医务人员职业性针刺伤发生现状及特点。方法收集整理2011年1月1日至2016年3月31日该院各科室上报的职业暴露案例资料,采用自行设计的《职业性锐器伤调查问卷》于2016年4月1-15日收集调查对象锐器刺伤情况,采用SPSS20.0软件进行统计分析。结果监测数据分析结果显示医务人员职业性针刺伤发生率为11.77%,遭遇针刺伤的医务人员性别以女性为主,年龄以25岁以下居多,工种以护士及实习护士为主;回顾性调查结果发现,44.54%的医务人员在同时段遭遇过针刺伤,男、女医务人员发生针刺伤风险差异无统计学意义(χ2=2.266,P=0.132),25~<40岁年龄组发生风险最高,护士针刺伤发生率48.40%,医生发生率43.50%。结论当前医务人员尤其是医生遭遇职业性针刺伤后上报意识亟待加强,医生同样也是职业性针刺伤的高风险人群。Objective To analyze the occurrence status and characteristics of occupational needle-stick injuries among medical workers base on surveillance data and retrospective survey.Methods The data of occupational exposure reported by various departments were collected and sorted out from January 1,2011 to March 31,2016.The self-designed occupational sharp instrument injuries questionnaire was adopted to collect the sharp instrument injuries situation from April 1-15,2016.Then the analysis was performed by adopting the SPSS20.0 software.Results The surveillance data analysis results showed that the incidence rate of occupational needle-stick injuries was 11.77%,the sex of medical staffs suffering from the needle-stick injuries was dominated by females,the age was mainly under 25 years old,the type of work was mainly nurse and practicing nurse;the retrospective investigation found that 44.54%of medical staffs suffered from the stick injuries at the same time period.The occurrence risk of needle-stick injury had no statistical difference between the male and female medical staffs(χ2=2.266,P=0.132),the occurrence risk was the highest in the 25-40 years old group,the occurrence rate of nurse stick-injury was 48.40%,which of doctors was 43.50%.Conclusion The report awareness after suffering from occupational needle-stick injury among medical staffs urgently needs to be strengthened,and doctors also are the high risk population of occupational needle-stick injury.

关 键 词：针刺伤 职业暴露 医务人员 

分 类 号：R135.99[医药卫生—劳动卫生]