中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2014年
16期
178-180
,共3页
锐器伤%低年资护士%高危因素
銳器傷%低年資護士%高危因素
예기상%저년자호사%고위인소
Sharp instrument injury%Junior nurses%Risk factor
了解低年资护士的锐器伤的高危因素及防护现状，为制定针对性的职业防护措施提供科学依据。方法采用自行设计的调查问卷，对2012年1月-2013年3月该院工作5年内的护士锐器伤的发生情况进行问卷调查。结果调查的175名低年资护士中80％发生过锐器伤，62.29%的护士表示在为患者进行可能接触到血液或体液的操作时从不戴手套；发生锐器伤的高危环节是掰安瓿、整理使用后的锐器、双手回套针帽、治疗后拔针、操作中未对准或戳穿；75％的护士锐器伤后能够正确处理伤口；污染锐器伤的60人中73.3%的护士在受伤时未戴手套，伤后仅23.33％上报。结论低年资护士自我防护意识淡薄、操作不熟练不规范、安全用具使用不足及上报意识差等是锐器伤的高危因素；加强对低年资护士职业防护及操作的培训,提高自我防护意识及操作能力,提高锐器伤管理意识，完善上报系统,能有效降低锐器伤的发生。
瞭解低年資護士的銳器傷的高危因素及防護現狀，為製定針對性的職業防護措施提供科學依據。方法採用自行設計的調查問捲，對2012年1月-2013年3月該院工作5年內的護士銳器傷的髮生情況進行問捲調查。結果調查的175名低年資護士中80％髮生過銳器傷，62.29%的護士錶示在為患者進行可能接觸到血液或體液的操作時從不戴手套；髮生銳器傷的高危環節是掰安瓿、整理使用後的銳器、雙手迴套針帽、治療後拔針、操作中未對準或戳穿；75％的護士銳器傷後能夠正確處理傷口；汙染銳器傷的60人中73.3%的護士在受傷時未戴手套，傷後僅23.33％上報。結論低年資護士自我防護意識淡薄、操作不熟練不規範、安全用具使用不足及上報意識差等是銳器傷的高危因素；加彊對低年資護士職業防護及操作的培訓,提高自我防護意識及操作能力,提高銳器傷管理意識，完善上報繫統,能有效降低銳器傷的髮生。
료해저년자호사적예기상적고위인소급방호현상，위제정침대성적직업방호조시제공과학의거。방법채용자행설계적조사문권，대2012년1월-2013년3월해원공작5년내적호사예기상적발생정황진행문권조사。결과조사적175명저년자호사중80％발생과예기상，62.29%적호사표시재위환자진행가능접촉도혈액혹체액적조작시종불대수투；발생예기상적고위배절시배안부、정리사용후적예기、쌍수회투침모、치료후발침、조작중미대준혹착천；75％적호사예기상후능구정학처리상구；오염예기상적60인중73.3%적호사재수상시미대수투，상후부23.33％상보。결론저년자호사자아방호의식담박、조작불숙련불규범、안전용구사용불족급상보의식차등시예기상적고위인소；가강대저년자호사직업방호급조작적배훈,제고자아방호의식급조작능력,제고예기상관리의식，완선상보계통,능유효강저예기상적발생。
Objective To comprehend the risk factors of sharp instrument injury in junior nurses so as to provide a scientific basis for developing targeted occupational preventive measures. Methods The nurses working in hour hospital within 5 years were sur-veyed from January, 2012 to March, 2013 about the occurrence of sharp instrument injury by a self-designed questionnaire. Re-sults Of the surveyed 175 junior nurses, 80% nurses had sharp instrument injury, 62.29% never wear gloves when they contact with blood and body fluids of the patients; the high risk links of sharp instrument injury are breaking the ampoule, arranging the used sharp instrument, handing the needle cap back, withdrawal of needles after treatment, misalignment or puncture during oper-ation;75%can appropriately treat the wound;73.3%nurses did not wear gloves when they were injured by contaminated sharp in-strument, and only 23.33% reported after injured. Conclusion The high risk factors of sharp instrument injury in junior nurses are weak consciousness of self-protection, unskilled and non-standard operations, under-use of safety appliance, poor awareness of report and so on. Strengthening the occupational protection and operation training, improving the consciousness of self-protection, operation ability, sharp instrument injury management consciousness, and the report system, can reduce the occurrence of sharp in-strument injury effectively.
