医护人员经历职业暴露风险真实体验及应对的质性meta整合  

Qualitative meta integration of real experience and coping with occupational exposure risk in medical staff

作　　者：孟广娴 杨霞 张欣[2] 甘燕玲[3] MENG Guang-xian;YANG Xia;ZHANG Xin;GAN Yan-ling(School of Nursing,Tianjin University of Traditional Chinese Medicine,Tianjin,301617,China;Department of Oncology,First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin,300073,China;Department of Neurosurgery,Tianjin Huanhu Hospital,Tianjin,300350,China)

机构地区：[1]天津中医药大学护理学院,天津301617 [2]天津中医药大学第一附属医院肿瘤科,天津300073 [3]天津市环湖医院神经外科,天津300350

出　　处：《职业与健康》2023年第10期1383-1391,共9页Occupation and Health

基　　金：天津市教委科研计划项目(2019KJ051)。

摘　　要：目的通过系统整合和评价主题为医护人员经历职业暴露风险的真实体验及应对策略的质性研究,为有效预防医护人员发生职业暴露及暴露后的多元化应对策略提供参考依据。方法通过检索PubMed、the Cochrane Library、Web of Science、CINAHL、Embase及Scopus 6个英文数据库系统和我国知网(CNKI)、万方、维普和CBM 4个中文数据库系统,主题为医护人员经历职业暴露风险真实体验及对策的相关质性研究,文献检索时间从建库至2022年1月。使用EndNote X9对检索后的文章进行过滤和解析,按照澳大利亚国家循证卫生保健中心研究所的质性研究质量评价标准(2016版)评估文章等级,用meta整合的方法对纳入文献进行结果整合。结果共收入13篇文献,提炼出56个成果,总结合并为9个分类,最后总结成3个整合结果,分别是经历职业暴露风险医护人员的身心体验、导致职业暴露发生的影响因素和职业暴露的多元化应对策略。结论在重大突发公共卫生事件的时代背景下,随着诊疗范围和人群的不断扩大,医护人员职业暴露的风险也随之增加。因此制定科学有效的预防措施及应对策略,关注暴露后医护人员的身心状况、建立健全培训内容和制度,以及合理提供医疗资源,是减少医护人员发生职业暴露和增强其身心健康和职业归属感的重要措施。Objective Through the systematic integration and evaluation on the qualitativeresearches with topics of the real experience and coping strategies of occupational exposure risk in medical staff,to providebasis for the effective prevention of occupational exposure and diversified coping strategies after exposure.Methods By searching six English database systems,including PubMed,the Cochrane Library,Web of Science,CINAHL,Embase and Scopus,and four Chinese database systems,including China Knowledge Network(CNKI),Wanfang,Weipu and CBM,the qualitative researches with topics of the real experience and coping strategies of occupational exposure risk in medical staff were retrieved,and the literature search time was from the database establishment to January 2022.The retrieved articles were filtered and analyzed using EndNote X9,the article grades were assessed according to the quality research quality evaluation standards of the quality evaluation criteria for qualitative research at the Australian National Evidence-based Health Care Center Institute(2016 edition),and the results were integrated by meta integration.Results A total of 13 articles were collected,and 56 results were extracted,summarized into nine categories,and finally summarized into three integrated results,which were the physical and mental experience of medical workers experiencing occupational exposure risk,the factors affecting the occurrence of occupational exposure,and the diversified coping strategies of occupational exposure,respectively.Conclusions Under the background of major public health emergencies,with the expanding scope of diagnosis and population,the risk of occupational exposure in medical workers also increases.Therefore,developing scientific and effective preventive measures and response strategies,paying attention to the physical and mental health of medical staff after exposure,establishing and improving training content and systems,and providing reasonable medical resources are important measures to reduce occupational exposure amo

关 键 词：医护人员 职业暴露 质性研究 

分 类 号：R181.2[医药卫生—流行病学]