某三级综合医院医务人员的锐器伤流行情况  

Prevalence of sharp instrument injuries among medical staff in a tertiary general hospital

作　　者：连双庆[1] 林璇[1] 张艳青[1] 陈玉芳[1] Lian Shuangqing;Lin Xuan;Zhang Yanqing;Chen Yufang(Fujian Provincial Hospital,Fuzhou 350001,China)

机构地区：[1]福建省立医院,福州350001

出　　处：《中华劳动卫生职业病杂志》2021年第11期848-851,共4页Chinese Journal of Industrial Hygiene and Occupational Diseases

摘　　要：目的调查福州某三级综合医院医务工作者锐器伤发生现状,为制定相关政策提供依据。方法于2019年6月,选择在福州某三级综合医院工作可能发生锐器伤的医务人员作为研究对象,共收到问卷2720份,其中有效问卷2688份,问卷有效率98.8%。调查医务人员年龄、工种、职称、工作年限、操作习惯以及2018年6月至2019年5月锐器伤发生和上报情况。结果1011人发生锐器伤,发生率为37.6%。其中,20.6%(208/1011)的医务人员发生过单人多次锐器伤。污染锐器暴露发生率为15.1%(405/2688)。随年龄、职称和工作年限的增加,锐器伤发生率逐年下降(χ_(趋势)^(2)=12.393、33.339、15.160,P<0.05)。造成锐器伤的前3位原因是徒手掰玻璃安瓿(39.1%,395/1011)、抽取药液(10.4%,105/1011)和徒手处理锐器(10.3%,104/1011)。造成锐器伤的主要锐器有安瓿(43.2%,437/1011)、注射器针头(20.3%,205/1011)和缝合针(9.6%,97/1011)。874名(86.4%)医务人员发生锐器伤后存在漏报。结论福州某三级综合医院锐器伤发生情况仍较严重,应强化锐器伤防护工作。Objective To investigate the current situation of sharp instrument injuries among medical workers in a tertiary general hospital in Fuzhou,so as to provide basis for formulating relevant policies.Methods In June 2019,medical personnel working in a tertiary general hospital in Fuzhou,who may have sharp instrument injuries were selected as the research object.A total of 2720 questionnaires were received,including 2688 valid questionnaires,with an effective rate of 98.8%.The age,type of work,professional title,working years,operating habits,occurrence and reporting of sharp instrument injuries among medical staff from June 2018 to May 2019 were investigated.Results The incidence of sharp instrument injury was 37.6%(1011/2688).Among them,20.6%(208/1011)had multiple sharp instrument injuries.The exposure rate of contaminated sharp instruments was 15.1%(405/2688).With the increase of age,professional title and working years,the incidence of sharp instrument injury decreased year by year(χ_(trend)^(2)=12.393,33.339,15.160,P<0.05).The first three causes of sharp instrument injury were breaking glass ampoules by hand(39.1%,395/1011),extracting liquid medicine(10.4%,105/1011)and handling sharp instruments by hand(10.3%,104/1011).The main sharp instruments causing sharp injury were ampoules(43.2%,437/1011),syringe needles(20.3%,205/1011)and suture needles(9.6%,97/1011).874(86.4%)medical staff had missed reports after sharp instrument injuries.Conclusion The occurrence of sharp instrument injury in this hospital is still serious,and the protection of sharp instrument injury should be strengthened.

关 键 词：职业伤害 医务人员 流行病学 三级预防 锐器伤 

分 类 号：R135[医药卫生—劳动卫生]