中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
11期
159-159,161
,共2页
职业暴露%对策%精神病医院
職業暴露%對策%精神病醫院
직업폭로%대책%정신병의원
Occupational exposure%Countermeasures%Psychiatric hospital
目的：分析精神病专科医院医护人员发生职业暴露的常见危险因素，并提出有效防护措施。方法：对精神病医院医护人员进行职业暴露调查，并对职业暴露者相关资料进行分析。结果：441名医护人员中共有18名工作人员发生职业暴露，全部为护理人员。其中职业暴露地点全部在病房；部位有14例在手指、3例在手臂、1例在眼睛；类别有锐器伤14例(输液针10例、注射针3例、缝针1例)，患者咬伤3例，血液喷溅1例；暴露环节为输液过程针刺伤8例，其中因患者兴奋不合作导致的针刺伤4例；清理用物6例；护理过程咬伤3例；输液过程血液喷溅1例。暴露源中有3例乙肝病毒阳性；无丙肝、梅毒和HIV病毒阳性。结论：加强职业暴露防护知识培训，落实标准预防措施和规范操作流程，能有效减少职业暴露的发生。
目的：分析精神病專科醫院醫護人員髮生職業暴露的常見危險因素，併提齣有效防護措施。方法：對精神病醫院醫護人員進行職業暴露調查，併對職業暴露者相關資料進行分析。結果：441名醫護人員中共有18名工作人員髮生職業暴露，全部為護理人員。其中職業暴露地點全部在病房；部位有14例在手指、3例在手臂、1例在眼睛；類彆有銳器傷14例(輸液針10例、註射針3例、縫針1例)，患者咬傷3例，血液噴濺1例；暴露環節為輸液過程針刺傷8例，其中因患者興奮不閤作導緻的針刺傷4例；清理用物6例；護理過程咬傷3例；輸液過程血液噴濺1例。暴露源中有3例乙肝病毒暘性；無丙肝、梅毒和HIV病毒暘性。結論：加彊職業暴露防護知識培訓，落實標準預防措施和規範操作流程，能有效減少職業暴露的髮生。
목적：분석정신병전과의원의호인원발생직업폭로적상견위험인소，병제출유효방호조시。방법：대정신병의원의호인원진행직업폭로조사，병대직업폭로자상관자료진행분석。결과：441명의호인원중공유18명공작인원발생직업폭로，전부위호리인원。기중직업폭로지점전부재병방；부위유14례재수지、3례재수비、1례재안정；유별유예기상14례(수액침10례、주사침3례、봉침1례)，환자교상3례，혈액분천1례；폭로배절위수액과정침자상8례，기중인환자흥강불합작도치적침자상4례；청리용물6례；호리과정교상3례；수액과정혈액분천1례。폭로원중유3례을간병독양성；무병간、매독화HIV병독양성。결론：가강직업폭로방호지식배훈，락실표준예방조시화규범조작류정，능유효감소직업폭로적발생。
Objective:To analyze the risk factors of occupational exposure among common psychiatric hospital medical staff,and to propose effective protective measures.Methods:We investigated the occupation exposure status of doctors and nurses in psychiatric hospital,and analyzed the relevant information of occupational exposure.Results:In the 441 doctors and nurses,18 workers occurred occupational exposure,and they were all nurses.All of the occupational exposure locations were in the ward.The position of 14 cases was at the fingers,three cases were at the arm,one case was at the eye.14 patients were sharp injury(10 cases of transfusion needle,3 cases of injection needle,1 case of suture needle),3 cases were bite by the patients,1 case was blood splashes.8 cases were exposed on the infusion process with needle stick injuries,including 4 cases of needle stick injuries because of noncooperation and excitement of patients;6 cases occurred on the process of cleaning materials;3 cases with bite occurred on the nursing process;1 case with blood splashing occurred on the infusion process.In the exposure source,3 cases were positive hepatitis B virus,there was no positive hepatitis C,syphilis and HIV virus.Conclusion:Strengthening occupational exposure protection knowledge training and implementation of standard precautions and standard operating procedures,can effectively reduce the incidence of occupational exposure.
