医院护理人员针刺伤现状及对策研究  

Current Situation of Needle Puncture Injuries Among Nursing Staff and Its Countermeasures

作　　者：王芳 李阳洋 杜婕 许苹 彭飞 Wang Fang;Li Yangyang;Du Jie;Xu Ping;Peng Fei(Nursing Department,Shanghai Changzheng Hospital,Shanghai 200003,China;School of Nursing,Soochow University,Suzhou 215031,China;Department of Military Health Service Management,Faculty of Military Health Services,Naval Medical University,Shanghai 200082,China)

机构地区：[1]上海长征医院护理处,上海200003 [2]苏州大学护理学院,苏州215031 [3]海军军医大学卫生勤务学系军队卫生事业管理教研室,上海200082

出　　处：《成都医学院学报》2024年第1期116-120,共5页Journal of Chengdu Medical College

基　　金：国家社会科学基金重点项目(No:22AGL034)。

摘　　要：目的分析2018年中华护理学会《针刺伤防护专家共识》颁布后5年内上海长征医院护理人员针刺伤的发生现状并探讨其对策,为护理人员职业防护提供科学有效的依据。方法采用回顾性调查收集上海长征医院2019年1月至2023年10月护理人员中73例针刺伤事件发生情况,对护理人员基本信息、所属科室、发生时机、处理方式等进行综合分析,并根据护理人员针刺伤发生现状进行相关对策研究。结果护理人员针刺伤事件中,针刺伤发生前3位科室分别是急诊室、手术室、骨科;高危班次为白班,高危时段为8:00—10:00、12:00—14:00;高危环节为用物处理和拔针环节,其中用物二次处理占比最高(19.18%);发生针刺伤后,“一挤”执行率最高(93.27%),“二冲”和“四报告”执行率不理想,分别为60.12%、78.81%。结论随着国家对医护人员针刺伤重视度的提高,护理人员针刺伤防护意识明显提升,针刺伤发生率明显下降,但护理人员临床规范操作行为仍是后期亟需持续改进的重点。Objective To analyze the current situation of needle puncture injuries among the nursing staff in shanghai changzheng Hospital within 5 years after the release of the 2018 Expert Consensus on Needle Injury Prevention by Chinese Nursing Association,and explore the countermeasures,so as to provide scientific and effective basis for occupational protection of nursing staff.Methods A retrospective survey was conducted on 73 cases of needle puncture injuries among the nursing staff in shanghai changzheng Hospital from January 2019 to October 2023.Basic information of the nursing staff,departments,time of occurrence,and coping measures were comprehensively analyzed.And the protection countermeasures were put forward according to the current situation of needle puncture injuries among nursing staff.Results Among the 73 cases of needle puncture injuries among nursing staff,the top three departments with needle puncture injuries were:emergency department,operating room,and orthopedics department;The high-risk shift was day shift,and the high-risk period was from 8:00 to 10:00 and from 12:00 to 14:00;The high-risk operations included material handling and needle extraction,with secondary material handling accounting for the highest proportion of 19.18%;Of the four steps of coping measures after the occurrence of needle puncture injuries required by the 2018 Expert Consensus on Needle Injury Prevention,namely squeezing,washing,disinfection,and reporting,"squeezing"had the highest execution rate(93.27%),while the execution rates of"washing"and"reporting"were not ideal(60.12%and 78.81%,respectively).Conclusion With the increasing attention paid by the government to needle puncture injuries among medical staff,the awareness of needle puncture injury protection among nursing staff has significantly improved,and the incidence of needle puncture injuries has significantly decreased.However,the clinical standard operation of nursing staff is still the focus of later continuous improvement.

关 键 词：护理人员 针刺伤 现状 对策 

分 类 号：R47[医药卫生—护理学]