护理学报
護理學報
호이학보
JOURNAL OF NURSING
2013年
19期
36-39
,共4页
锐器伤%发生率%护理实习生%Meta分析%护理职业暴露
銳器傷%髮生率%護理實習生%Meta分析%護理職業暴露
예기상%발생솔%호리실습생%Meta분석%호리직업폭로
sharp object injury%incidence%nursing student%Meta-analysis%nursing occupational exposure
目的:对近十年国内护理实习生实习期间锐器伤的发生率进行文献定量综合分析。方法系统检索PubMed、ISI Web of Knowledge、Springer、OVID、中国期刊全文数据库、维普中文科技期刊全文数据库和万方数据库,检出国内护理实习生锐器伤发生率的研究文献,对纳入的文献采用Meta分析法进行定量合并。结果本研究共纳入81篇文献,发表于2002-2012年,涉及护理实习生18910名。护理实习生实习期间锐器伤发生率的合并值为75%(95%CI=71%~79%)。按照论文发表时间进行分层后发现:2009年及以前护生锐器伤发生率为78%(95%CI=72%~82%);2009年以后护生锐器伤发生率为71%(95%CI=65%~77%)。在发生锐器伤事件里,污染锐器伤比例为54%(95%CI=45%~63%)。锐器伤发生后的上报率为16%(95%CI=10%~23%)。由于不同研究存在统计学意义的异质性,数据合并采用随机效应模型。结论国内护理实习生锐器伤存在着高发生率的现状,而且近年来其发生率未明显减低,另外锐器伤发生后的上报率也非常低。
目的:對近十年國內護理實習生實習期間銳器傷的髮生率進行文獻定量綜閤分析。方法繫統檢索PubMed、ISI Web of Knowledge、Springer、OVID、中國期刊全文數據庫、維普中文科技期刊全文數據庫和萬方數據庫,檢齣國內護理實習生銳器傷髮生率的研究文獻,對納入的文獻採用Meta分析法進行定量閤併。結果本研究共納入81篇文獻,髮錶于2002-2012年,涉及護理實習生18910名。護理實習生實習期間銳器傷髮生率的閤併值為75%(95%CI=71%~79%)。按照論文髮錶時間進行分層後髮現:2009年及以前護生銳器傷髮生率為78%(95%CI=72%~82%);2009年以後護生銳器傷髮生率為71%(95%CI=65%~77%)。在髮生銳器傷事件裏,汙染銳器傷比例為54%(95%CI=45%~63%)。銳器傷髮生後的上報率為16%(95%CI=10%~23%)。由于不同研究存在統計學意義的異質性,數據閤併採用隨機效應模型。結論國內護理實習生銳器傷存在著高髮生率的現狀,而且近年來其髮生率未明顯減低,另外銳器傷髮生後的上報率也非常低。
목적:대근십년국내호리실습생실습기간예기상적발생솔진행문헌정량종합분석。방법계통검색PubMed、ISI Web of Knowledge、Springer、OVID、중국기간전문수거고、유보중문과기기간전문수거고화만방수거고,검출국내호리실습생예기상발생솔적연구문헌,대납입적문헌채용Meta분석법진행정량합병。결과본연구공납입81편문헌,발표우2002-2012년,섭급호리실습생18910명。호리실습생실습기간예기상발생솔적합병치위75%(95%CI=71%~79%)。안조논문발표시간진행분층후발현:2009년급이전호생예기상발생솔위78%(95%CI=72%~82%);2009년이후호생예기상발생솔위71%(95%CI=65%~77%)。재발생예기상사건리,오염예기상비례위54%(95%CI=45%~63%)。예기상발생후적상보솔위16%(95%CI=10%~23%)。유우불동연구존재통계학의의적이질성,수거합병채용수궤효응모형。결론국내호리실습생예기상존재착고발생솔적현상,이차근년래기발생솔미명현감저,령외예기상발생후적상보솔야비상저。
Objective To establish the incidence of sharp object injuries among nursing students. Methods Studies investigating the prevalence of sharp object injuries in nursing students was searched by PubMed, ISI Web of Knowledge, Springer, OVID, CNKI, VIP, and Wanfang databases. Pooled estimates were summarized by Meta-analysis. Results Based on predefined inclusion criteria, 81 eligible studies with a total of 18 910 individuals were included in this Meta-analysis. The pooled incidence of sharp object injuries for all studies was 75%, 95%CI=71%~79%. Based on the year of publication, the pooled incidence of sharp object injuries before 2009 was 78%, 95%CI=72%~82%. After 2009, the incidence was 71%, 95%CI=65%~77%. Furthermore, the proportion of contaminated injuries was 54%, 95%CI=45%~63%. However, the injury reporting rate was very low with estimate of 16%, 95%CI=10%~23%. Conclusion There are high rates of sharp object injury and low rates of reporting among nursing students.