CAJ | 학술논문

目的：探讨手术室护士对标准预防认知与执行现状并分析其影响因素。方法：随机抽取广州市3所二级医院、5所三级医院手术室护士共60名为研究对象，通过问卷调查了解手术室护士对标准预防与职业暴露的情况。结果：不同工龄、职称和医院级别的护士之间对标准预防的认知差异有统计学意义(P<0.05)，工龄>10年、主管护师以上和三级医院的护士认知较好；护士在工作中职业暴露现象的重视程度三级医院要高于二级医院(P<0.05)，1年中被锐器损伤的次数二级医院要高于三级医院(P<0.05)；手术室职业暴露的原因疏于防范和防不胜防占了所有原因的85%以上，做器械护士时被锐器损伤的几率高达55%。结论：手术室护士对标准预防的认知和执行力度仍需提高，院感控部门应加强对标准预防工作的监管。
목적：탐토수술실호사대표준예방인지여집행현상병분석기영향인소。방법：수궤추취엄주시3소이급의원、5소삼급의원수술실호사공60명위연구대상，통과문권조사료해수술실호사대표준예방여직업폭로적정황。결과：불동공령、직칭화의원급별적호사지간대표준예방적인지차이유통계학의의(P<0.05)，공령>10년、주관호사이상화삼급의원적호사인지교호；호사재공작중직업폭로현상적중시정도삼급의원요고우이급의원(P<0.05)，1년중피예기손상적차수이급의원요고우삼급의원(P<0.05)；수술실직업폭로적원인소우방범화방불성방점료소유원인적85%이상，주기계호사시피예기손상적궤솔고체55%。결론：수술실호사대표준예방적인지화집행력도잉수제고，원감공부문응가강대표준예방공작적감관。
Objective:To investigate the operation room nurse cognition of standard prevention and the status of implementation and analyze related influencing factors.Method:The survey used a random sample,selected a total of 60 operation room nurses in 3 second class hospitals,and 5 tertiary hospitals randomly,got the information of standard prevention and occupation exposure through questionnaire survey about operation room nurses.Result:There were significant difference in cognition of standard precaution among nurses with different seniority,academic background and level of hospital(P<0.05),more than 10 work years,nurse-in-charge above and tertiary hospital nurses cognition was better.The severity of nurses occupation exposure phenomenon in the tertiary hospitals was higher than those of grade two hospitals(P<0.05) The number of sharp injurg one year of the grade two hospitals was higher than that of tertiarg hospitals.Neglect to take precautions and impossible to guard against accounted for more than 85%in the occupation exposure causes in operation room nurses,instrument nurse was as high as 55%probability of sharp instrument injury.Conclusion:Operation room nurses cognition about SP and executive strength still needs to improve,hospital infectious and control departments shall strengthen supervision on the SP work.