CAJ | 학술논문

目的探讨集束化管理策略在手术室护士针刺伤防护中的应用效果。方法采用回顾性问卷调查方式，对手术室83名护理人员的针刺伤情况进行调查分析，手术室护士发生针刺伤的发生率高达86.74%。运用集束化管理策略，成立手术室针刺伤防护小组，分层进行职业安全教育培训，严格落实标准性预防和锐器的规范操作，使用安全医疗器具以及改善针刺伤报告流程。结果运用集束化管理策略后，手术室护士针刺伤的发生率由86.74%降到48.75%，标准预防的执行率由59.03%上升到91.25%，针刺伤后主动报告率由15.66%上升到88.75%。结论集束化管理策略在手术室护士针刺伤防护中具有优势作用。
목적탐토집속화관리책략재수술실호사침자상방호중적응용효과。방법채용회고성문권조사방식，대수술실83명호리인원적침자상정황진행조사분석，수술실호사발생침자상적발생솔고체86.74%。운용집속화관리책략，성립수술실침자상방호소조，분층진행직업안전교육배훈，엄격락실표준성예방화예기적규범조작，사용안전의료기구이급개선침자상보고류정。결과운용집속화관리책략후，수술실호사침자상적발생솔유86.74%강도48.75%，표준예방적집행솔유59.03%상승도91.25%，침자상후주동보고솔유15.66%상승도88.75%。결론집속화관리책략재수술실호사침자상방호중구유우세작용。
Objective Explore the application effects of bundle management on protection of operating room nurses from needle stick injuries. Methods A retrospective questionnaire survey was conducted on 83 operating room nurses to analyze their needle stick injuries. The incidence of needle stick injuries for operating room nurses was 86.74%. Based on bundle management strategy, set up needle stick injury protection group in the operating room, conduct stratified occupational safety education and training, strictly implement standard precaution and normative operation of sharp instruments, use safe medical devices and improve the reporting process of needle stick injuries. Results After the application of bundle management strategy, needle injury incidence of operating room nurses fell from 86.74%to 48.75%;the implementation rate of standard precaution rose from 59.03%to 91.25%;the initiative report rate after needle stick injuries increased from 15.66%to 88.75%. Conclusion Bundle management strategy shows its advantage in the protection of operating room nurse from needle stick injuries.