农村诊所临床注射过程安全评价  

Safe Assessment of Clinical Injection in Rural Clinic

作　　者：宋明宇[1] 魏强[1] 夏峰[1] 张义永[1] 周名松 刘明[1] 

机构地区：[1]霍邱县卫生防疫站,安徽霍邱237400

出　　处：《安徽预防医学杂志》2003年第4期238-240,共3页Anhui Journal of Preventive Medicine

摘　　要：目的　了解农村诊所临床注射过程中产生不安全注射的因素 ,为采取干预措施提供依据。方法　采用面对面问卷调查 ,现场观察和采样相结合的方法 ,对村医及周围群众进行调查 ,注射器进行检验。结果　 93.75 %诊所不使用碘酒和酒精进行二次消毒 ,90 .2 2 %诊所不能正确配制 75 %酒精 ;一次性注射器细菌培养阳性率 8.2 4%,残留血阳性率 1.42 %,玻璃注射器细菌培养阳性率 17.39%,残留血阳性率 11.96 %;35 .2 3%居民反映诊所随意丢弃一次性注射器 ,0 .45 %居民反映孩子被丢弃注射器刺伤。结论　村医文化水平较低 ,安全注射意识淡薄 ,防病知识差 ,注射器存在着严重不安全隐患 ,管理不到位是目前主要不安全因素。培训村医 ,加强一次性医疗用品监督管理和用后处理是提高安全注射水平的重要措施。Objective In order to find unsafe factors in clinical injection in rural clinics and provide basis for intervene measures.Methods An investigation was conducted with questionnaire face to face. Village doctors and immediate natural population were surveyed. Field observation and specimen collection were used. Syringe was examined. Results 93.75% clinics did not disinfect patient s skin for two times with iodine tincture and ethyl alcohol. 90.22% clinics could not compound 75% ethyl alcohol. Bacteria culture positive rate of disposal syringe was 8.24% and the residual blood positive rate was 1.42%. Bacteria culture positive rate of glass syringe was 17.39% and the residual blood positive rate was 11.96%. 35.23% inhabitants reported the clinics threw their used syringes at will. 0.45% inhabitants said children were hurt by used syringe. Conclusions Village doctors had lower education level, weak consciousness of safe injection and insufficient knowledge. There was severe unsafe latent risk of syringes. Unsuitable management was the main unsafe factor. Thus, in order to improve safe injection in rural area, training should be enhanced and supervision and handling of disposal syringe should be strengthened.

关 键 词：农村诊所 临床注射 安全评价 问卷调查 注射器 碘酒 酒精 消毒 

分 类 号：R472.1[医药卫生—护理学]