手术室护理人员血源性职业暴露调查及防护对策  

Investigation of Occupational Exposure to Blood-borne Diseases among Operating Nurses and Protective Countermeasures

作　　者：李静[1] 王琳洁 何文英[1] 张焱[1] 芦永华[1] 郑丽英[1] 孙洁[1] LI Jing;WANG Lin-jie;HE Wen-ying;ZHANG Yan;LU Yong-hua;ZHENG Li-ying;SUN Jie(Hospital infection Control Office,The First Affiliated Hospital of Shihezi University School of Medicine,Shihezi 832008,Xinjiang,China;Changsha Medical College,Changsha 410219,Hunan,China)

机构地区：[1]石河子大学医学院第一附属医院院内感染控制办公室,新疆石河子832008 [2]湖南省长沙医学院,长沙410219

出　　处：《农垦医学》2019年第5期445-448,共4页Journal of Nongken Medicine

摘　　要：目的:探讨手术室护理人员发生血源性职业暴露的相关因素,制定有效的防护对策。方法:查阅保健科职业暴露在案登记表及相关人员职业暴露报告卡,对2013年1月—2017年12月手术室护理人员发生职业暴露情况进行统计分析。结果:82例职业暴露中年龄<30岁的占41.46%、护龄<5年的占35.36%,护士占36.58%;职业暴露的暴露源最高的是乙肝病毒占52.44%和丙肝病毒暴露占26.83%;暴露方式最多的是缝合针扎伤占34.15%。结论:手术室护理人员中低年资的护士、乙肝和丙肝病毒及缝合针扎伤是发生职业暴露的高危因素,应针对发生血源性职业暴露的高危因素加强职业安全防护教育,规范操作流程,制定科学合理的防护措施,降低手术室护理人员血源性职业暴露的发生。Objective:To explore the related factors of blood source occupational exposure in operating room nurses,and to formulate effective protective measures.Methods:by consulting the occupational exposure registration form and the occupational exposure report card of relevant personnel in the health care department,the occupational exposure of the operating room nurses from January 2013 to December 2017 was statistically analyzed.Results:among 82 cases of occupational exposure,41.46%were under 30 years old,35.36%were under 5 years old,36.58%were nurses,52.44%were hepatitis B virus and 26.83%were hepatitis C virus,34.15%were suture needle.Conclusion:Hepatitis B,hepatitis C virus and suture needle are the high risk factors of occupational exposure for nurse.We should strengthen the education of occupational safety protection,standardize the operation process,formulate scientific and reasonable preventive measures to reduce the occurrence of occupational exposure.

关 键 词：手术室 护理人员 职业暴露 防护对策 

分 类 号：R472.3[医药卫生—护理学]