某三级甲等中医院医务人员职业暴露现状分析  

Occupational exposure among medical staff in a tertiary Traditional Chinese Medicine hospital

作　　者：蒋东贤 蓝志明[1] 谢懿[1] 郭竹英 Jiang Dongxian;Lan Zhiming;Xie Yi;Guo Zhuying(Shenzhen Traditional Chinese Medicine Hospital,Shenzhen 518000,Guangdong Province,China)

机构地区：[1]深圳市中医院,广东省深圳市518000

出　　处：《中国医疗管理科学》2024年第5期77-81,共5页Chinese Journal Of Medical Management Sciences

基　　金：深圳市中医院首届医院管理研究课题项目(No.7)。

摘　　要：目的了解中医院医务人员职业暴露现状和特征,为制订有效的职业安全防护策略提供参考。方法采用回顾性分析方法,对广东省某三级甲等中医院2020年1月至2023年12月发生职业暴露的医务人员资料进行分析。结果2020年—2023年该医院共发生职业暴露事件398例,发生率为4.83%。不同年份职业暴露发生率比较,差异无统计学意义(P>0.05)。发生职业暴露的人群中,女性、工龄≤5年者及医生占比较高。暴露发生环节主要是拆卸器械或设备(40.70%),发生场所以病房为主(56.28%),暴露方式以锐器伤为主(87.69%),种类以针灸针最为常见(42.69%)。暴露源多见于无血源性传染疾病(51.26%)。暴露时有185人(46.48%)佩戴手套,376人(94.47%)进行符合要求的紧急应急处理。暴露后经6个月随访监测,均未发生暴露后感染。结论中医院医务人员职业暴露发生率较高,应加强规范安全注射和职业安全培训,增强职业防护意识,进一步预防职业暴露发生。Objective To explore the occupational exposure among medical staff in Traditional Chinese Medicine(TCM)hospitals,aiming to provide evidence in the development of effective strategies for occupational safety.Methods The data of medical personnel experiencing occupational exposure in a tertiary TCM hospital in Guangdong Province from January 2020 to December 2023 were retrospectively analyzed.Results A total of 398 cases(4.83%)of occupational exposure were reported during this period.The incidence rates of occupational exposure did not differ across different years(P>0.05).Women,staff with less than 5 years of service,and doctors accounted for higher proportions of occupational exposure.The exposure typically occurred during the disassembly of instruments or equipment(40.70%),mainly in the site of wards(56.28%).The most common type of exposure was sharps wounds(87.69%),especially by acupuncture needles(42.69%).The source of exposure was more common in non-blood borne infectious diseases(51.26%).At the time of exposure,185 individuals(46.48%)wore gloves,and 376(94.47%)received standard emergency treatment.After 6 months of follow-up monitoring,no post-exposure infection occurred.Conclusion The incidence of occupational exposure is high among medical staff in TMC hospitals.Standardized injection practice,enhanced occupational safety training,and higher awareness of occupational protection will help prevent occupational exposure.

关 键 词：中医院 医务人员 职业暴露 职业防护 

分 类 号：R197.4[医药卫生—卫生事业管理] R192[医药卫生—公共卫生与预防医学] R183