西部地区某三甲中医院护理工作人员安全注射和针刺伤知识行为调查分析  

An Analysis of Knowledge and Behavior of Nursing Staffs about Safe Injection and Needlestick Injury in a Class TCM Hospital in Western China

作　　者：石丽丽[1] 薛世萍[2] 张秀娟[1] SHI Lii;XUE Shiping;ZHANG Xiujuan(Gansu Provincial Hospital of Traditional Chinese Medicine,Lanzhou 730050,China;Gansu Provincial Academy of Chinese Medicine,Lanzhou 730050,China)

机构地区：[1]甘肃省中医院,甘肃兰州730050 [2]甘肃省中医药研究院,甘肃兰州730050

出　　处：《西部中医药》2024年第12期52-55,共4页Western Journal of Traditional Chinese Medicine

摘　　要：目的:调查某省级三甲中医院护理工作人员安全注射和针刺伤知识行为现状,探讨加强安全注射和防治针刺伤的可行性对策。方法:采用问卷调查法,对某中医院护理工作人员的安全注射和针刺伤知识的认知情况进行回顾性调查并进行统计学分析。结果:1)不同科室的护理人员注射工作量不同,注射量最大是门诊护士,平均每周(178.26±56.38)次,但针刺伤率最高的是内科护士,达到30.4%(109/358);2)发生针刺伤后向院感管理部门报告比例仅占13.19%(12/91);3)给乙型病毒性肝炎患者和艾滋病感染者注射会影响护理人员的心理,有2.2%(8/358)的护理人员拒绝给艾滋病患者服务;4)完全掌握安全注射概念的护理人员比例仅占49.2%(176/358);5)对安全注射具体措施的知晓率比较高,只有双手回套针帽和用手分离注射针头的知晓率略偏低,分别占74.0%(265/358)和78.8%(282/358)。结论:该医院护理人员对安全注射认知态度较好,但仍需加强对针刺伤的防护和培训,并要协助护理人员树立正确的服务观念。Objective:To explore a practicable countermeasure to improve safe injection and prevent needles-tick injury by investigating the current state of nurses′knowledge and behavior about safe injection and needlestick injury in a provincial-level TCM hospital.Methods:A retrospective survey of nursing staffs′knowledge of safe injection and needlestick injuries,and the statistical analysis,was conducted in a TCM hospital using questionnaire.Results:1)The injection workload of nurses varied in different departments,with the highest volume of injections being given by outpatient nurses with an average of(178.26±56.38)injections per week,but the highest rate of needlestick injuries was given by internal medicine nurses at 30.4%(109/358).2)The proportion of reporting needlestick injury to the departments of hospital infection management only occupied 13.19%(12/91).3)Giving injections to patients with viral hepatitis B and HIV-infected persons affected the nurses psychologically,2.2%(8/358)of the nurses refused to serve AIDS patients.4)The proportion of nurses who grasped the concept of safe injection competely only held 49.2%(176/358).5)The awareness rate of the knowledge of specific measures for safe injection was relatively high,with only slightly lower rates for returning the needle cap by both hands and separating the injection needles by hand,respectively reaching 74.0%(265/358)and 78.8%(282/358).Conclusion:Nursing staffs of the hospital have a better attitude towards safe injection,however,there is still a need to improve protection and training against needlestick injury and to assist nursing staffs in developing a proper service mindset.

关 键 词：护理人员 安全注射 针刺伤 知识 行为 

分 类 号：R472[医药卫生—护理学]