CAJ | 학술논문

目的：探讨消毒供应室护士锐器致伤原因及相关因素，为制定合理的职业暴露防护措施提供依据。方法：对都江堰市3家综合医院消毒供应室人员进行锐器致伤问卷调查，评估消毒供应室锐器致伤发生率及其致伤原因。结果：调查共发放问卷36份，收回有效问卷33份，回收率为91.67%。33份有效问卷中共发生锐器致伤事件88例次，平均发生2.7例次/人，其中28人至少发生过1次锐器伤。锐器致伤的主要原因前3位为缝针（31.82%）、手术刀片（22.73%）、剪刀（20.45%）。接受过职业暴露防护培训人员锐器致伤发生例次明显低于未培训人员；低年资人员锐器致伤发生率显著高于高年资人员，与工作时间呈负相关。结论：消毒供应室锐器伤发生率较高，应加强消毒供应室护士锐器损伤防护知识学习，降低职业暴露风险。
목적：탐토소독공응실호사예기치상원인급상관인소，위제정합리적직업폭로방호조시제공의거。방법：대도강언시3가종합의원소독공응실인원진행예기치상문권조사，평고소독공응실예기치상발생솔급기치상원인。결과：조사공발방문권36빈，수회유효문권33빈，회수솔위91.67%。33빈유효문권중공발생예기치상사건88례차，평균발생2.7례차/인，기중28인지소발생과1차예기상。예기치상적주요원인전3위위봉침（31.82%）、수술도편（22.73%）、전도（20.45%）。접수과직업폭로방호배훈인원예기치상발생례차명현저우미배훈인원；저년자인원예기치상발생솔현저고우고년자인원，여공작시간정부상관。결론：소독공응실예기상발생솔교고，응가강소독공응실호사예기손상방호지식학습，강저직업폭로풍험。
Objective:To evaluate the incidence and reason of sharps injury in the department of sterile supply. Methods:36 nurses in the department of sterile in 3 hospitals were investigated with status survey sheet,and evaluated the incidence and reason of sharps injury. Results:36 survey questionnaires were distributed and 33 valid questionnaires were obtained;the respond rate was 91. 67%. A total of 88 injury case was found in the 33 questionnaires with an average of 2. 7 times each person. 28 nurses had at least one or more sharp instrument injury. The three major Sharps injuries were:the stitches(31. 82%),surgical blades (22. 73%),scissors( 20. 45%). The nurses with occupational exposure protection of training had lower sharp instrument injury incidence than that without training;The incidence of sharps injuries in low qualification nurses had a significantly higher than that in high qualification nurses,and that negatively related to the working time. Conclusion:Higher incidence of sharps injuries was found in the department of disinfection supply room,and strengthen of protection knowledge for the nurses should be taken and which may reduce the risk of occupational exposure.