某传染病医院实习护士血源性职业暴露分析  

Analysis of blood-borne occupational exposure of intern nurses in a tertiary infectious disease hospital

作　　者：黄继峥[1] 韩明锋[1] 罗腾达[1] 任阿可 周晓平[1] Huang Jizheng;Han Mingfeng;Luo Tengda;Ren Ake;Zhou Xiaoping(Department of Infection Management, NO.2 People's Hospital of Fuyang City, Fuyang 236015, China)

机构地区：[1]阜阳市第二人民医院医院感染管理科,236015

出　　处：《中华劳动卫生职业病杂志》2019年第7期551-553,共3页Chinese Journal of Industrial Hygiene and Occupational Diseases

摘　　要：目的探讨某传染病医院实习护士血源性职业暴露危害因素,提出预防策略。方法回顾分析某三级传染病医院2013年1月1日至2017年12月31日82例实习护士血源性职业暴露资料,分析实习护士职业暴露发生率、病原体构成、发生部位及暴露环节。结果该医院2013至2017年实习护士职业暴露总体发生率为6.20%(82/1 322)。病原体以HBV为主(52例,63.4%);发生部位主要为手指(75例,91.5%);发生环节中,拔针35例(42.7%),动静脉穿刺20例(24.4%),分离针头及整理用物17例(20.7%)。结论该传染病医院实习护士血源性职业暴露发生率较高,应加强实习护士职业安全教育,规范拔针、动静脉穿刺等临床操作。Objective To explore the risk factors of occupational exposure of intern nurses in an infectious disease hospital, and put forward prevention and control strategies. Methods A retrospective analysis was made of 82 reported cases of occupational exposure of intern nurses in a tertiary infectious disease hospital from 2013 to 2017. The occupational exposure rate, pathogens, occurrence sites and exposure links of the intern nurses were analyzed. Results The overall occupational exposure rate of internship nurses in 2013-2017 was 6.20%(82/1322).The pathogens were mainly HBV, 52 cases, accounting for 63.4%. The site of occurrence was mainly finger, 75 cases, accounting for 91.5%. In the occurrence of the process, 35 cases were taken, accounting for 42.7%;20 cases of arteriovenous puncture, accounting for 24.4%;17 cases of separation needles and finishing materials, accounting for 20.7%. Conclusion The incidence of blood-borne occupation of intern nurses is higher, which needs special attention in infectious disease hospitals. To prevent blood-borne occupational exposure of intern nurses, occupational safety education should be strengthened, clinical operation should be standardized and humanized management should be provided.

关 键 词：职业暴露 实习护士 危险因素 预防策略 

分 类 号：R47[医药卫生—护理学]