CAJ | 학술논문

目的了解护士血源性职业暴露的发生情况、原因及感染情况,探讨减少护士针刺伤职业暴露发生的有效措施.方法调取本院2007年8月1日至2011年7月31日医务人员职业暴露登记表,对护士血源性职业暴露的原因、分布、暴露源种类、暴露部位及暴露后的处理等进行分析.结果调查期间共发生护士血源性职业暴露31人次,其中针刺伤29人次,占93.55％；体液溅入眼内2人次,占6.45％.发生频率最高的科室是手术室、急诊室.暴露原因以拔针操作、静脉输液操作、静脉抽血最常见.暴露部位手及手指占90.32％.暴露源乙型肝炎最常见.31人次职业暴露后伤口处理及后续处理正确,零感染发生.结论加强医务人员职业安全预防教育,改变不良工作习惯和危险工作行为,早期、规范伤口处理,建立暴露后上报和及时反馈的保障体系至关重要.
목적 료해호사혈원성직업폭로적발생정황、원인급감염정황,탐토감소호사침자상직업폭로발생적유효조시.방법 조취본원2007년8월1일지2011년7월31일의무인원직업폭로등기표,대호사혈원성직업폭로적원인、분포、폭로원충류、폭로부위급폭로후적처리등진행분석.결과 조사기간공발생호사혈원성직업폭로31인차,기중침자상29인차,점93.55％；체액천입안내2인차,점6.45％.발생빈솔최고적과실시수술실、급진실.폭로원인이발침조작、정맥수액조작、정맥추혈최상견.폭로부위수급수지점90.32％.폭로원을형간염최상견.31인차직업폭로후상구처리급후속처리정학,령감염발생.결론 가강의무인원직업안전예방교육,개변불량공작습관화위험공작행위,조기、규범상구처리,건립폭로후상보화급시반궤적보장체계지관중요.
Objective To investigate and analyze the status,reason and infection of the hematogenous occupational exposure so as to discuss the corresponding methods for prevention.Methods From reviewed the occupation exposure enrollment that recorded the hematogenous occupational exposure of nurses from Aug 1,2007 to July 31,2010.Then,analyzed the exposure reason,distribution,source types,parts,and post-exposure treatment and so on.Results During this period,totals of 31 hematogenous occupational cases occurred,among them 93.55％ were injured by needles,6.45％ were splashed into eyes.The most frequent exposure was in the operating room and emergency room.The accident was most occurred in pulling the needles,intravenous infusion and drawing blood.And 90.32％ exposure occurred in hands,HBV was the most exposure source.All of the treatments after exposure were correct and no infection was incidence.Conclusions Changing of the bad habits and dangerous work behavior,and establishing the occupation prevention system for medical staff so as to report the exposure and feedback,and strengthening the safety and protection in mind are crucial.