县级医院护理人员血源性传染病职业暴露现状调查  

Occupational Exposure to Blood Borne Infectious Diseases Among Nurses in Hospitals in a County

作　　者：刘廷杰 王宏 徐程莹[2] 周子莹 Liu Tingjie;Wang Hong;Xu Chengying;Zhou Ziying(Guoyang County Center for Disease Control and Prevention,Guoyang 233600,China;Guoyang County People’s Hospital,Guoyang 233600,China)

机构地区：[1]安徽省涡阳县疾病预防控制中心,涡阳233600 [2]安徽省涡阳县人民医院,涡阳233600

出　　处：《健康教育与健康促进》2024年第5期519-522,共4页Health Education and Health Promotion

摘　　要：目的 了解涡阳县县级公立医院护理人员发生血源性传染病职业暴露的现状及其影响因素,为制定该人群的干预措施提供依据。方法 对涡阳县县级公立医院的在职护理人员开展职业暴露问卷调查。结果 共调查655名在职护理人员。从执业开始至今发生过职业暴露的为20.61%,近1年发生过职业暴露的为6.11%。多因素logistic回归分析显示,本科及以上文化程度、工龄越长、最近1年发生过割伤、黏膜暴露的护理人员更容易发生血源性传染病职业暴露;手术室、传染科以及大内科的护理人员相比其他科室更容易发生血源性传染病职业暴露。结论 涡阳县县级公立医院护理人员发生血源性传染病职业暴露的风险较高。医院应继续完善院感防控工作,加强护理操作流程的标准化建设,规范开展护理工作,进一步降低护理人员血源性传染病的职业暴露风险。Objective To understand the status of occupational exposure to blood-borne infectious diseases among nurses in county-level public hospitals in Guoyang County and its influencing factors,to provide the basis for formulating the intervention measures of this population.Methods A questionnaire survey on occupational exposure was conducted among nursing staff in county-level public hospitals in Guoyang County.Results Among 655 nurses,20.61%had occupational exposure to bloodborne infectious diseases,and 6.11%had occupational exposure to blood-borne infectious diseases in the last year.Multivariate logistic regression analysis showed that:subjects with bachelor degree or above,longer working years,previous cut,mucous membrane exposure,occupational exposure to blood-borne infectious diseases was more likely to occur during their career;nurses in the operating room,and in the department of infectious diseases and the department of internal medicine were more likely to have occupational exposure to blood-borne infectious diseases than those in other departments.Conclusion The risk of occupational exposure to blood-borne infectious diseases among nursing staff in Guoyang County county-level public hospitals is high.Hospitals should continue to improve the prevention and control of nosocomial infection and strengthen the standardization of nursing procedures,to standardize nursing work and further reduce the risk of occupational exposure to blood-borne infectious diseases among nursing staff.

关 键 词：血源性传染病 职业暴露 护理人员 

分 类 号：R47[医药卫生—护理学]