现代临床护理
現代臨床護理
현대림상호리
MODERN CLINICAL NURSING
2013年
4期
5-8
,共4页
张玉芳%林婵兰%许实燕%吴伟珠%吴泽媛
張玉芳%林嬋蘭%許實燕%吳偉珠%吳澤媛
장옥방%림선란%허실연%오위주%오택원
中专%实习护生%锐器伤
中專%實習護生%銳器傷
중전%실습호생%예기상
secondary school%nursing trainee%sharp instrument injury
目的 调查中专临床实习护生锐器伤发生情况,以便为预防及减少护生锐器伤提出针对性的对策.方法 采用自行设计调查问卷对2012届121名中专实习护生进行调查,了解护生实习期间发生锐器伤的情况以及护生锐器伤发生的环节、锐器伤发生时间段和伤害器具分布情况.结果 121名护生发生锐器伤105名,发生率为86.8%.在操作过程,配药发生锐器伤占46.1%,其次为注射后拔出针头/针芯,占18.1%;操作后,重新将针头插回输液袋发生锐器伤占7.3%,双手回套针帽和整理锐器时各占5.6%;护生锐器伤发生率最高时间段为实习前3个月,占60.8%;伤害器具主要为玻璃安瓿,占47.8%,其次为头皮针,占24.1%,注射器针头,占15.1%.结论 中专临床实习护生锐器伤发生普遍,配药时玻璃安瓿划伤发生率最高,操作不熟练和不规范是发生锐器伤的主要原因.学校应增加防护知识教育,提高护生的安全防护意识;医院应加强操作培训,并要求临床带教老师在实践中跟踪指导,反复纠正护生不正确的操作习惯,减少护生锐器伤的发生.
目的 調查中專臨床實習護生銳器傷髮生情況,以便為預防及減少護生銳器傷提齣針對性的對策.方法 採用自行設計調查問捲對2012屆121名中專實習護生進行調查,瞭解護生實習期間髮生銳器傷的情況以及護生銳器傷髮生的環節、銳器傷髮生時間段和傷害器具分佈情況.結果 121名護生髮生銳器傷105名,髮生率為86.8%.在操作過程,配藥髮生銳器傷佔46.1%,其次為註射後拔齣針頭/針芯,佔18.1%;操作後,重新將針頭插迴輸液袋髮生銳器傷佔7.3%,雙手迴套針帽和整理銳器時各佔5.6%;護生銳器傷髮生率最高時間段為實習前3箇月,佔60.8%;傷害器具主要為玻璃安瓿,佔47.8%,其次為頭皮針,佔24.1%,註射器針頭,佔15.1%.結論 中專臨床實習護生銳器傷髮生普遍,配藥時玻璃安瓿劃傷髮生率最高,操作不熟練和不規範是髮生銳器傷的主要原因.學校應增加防護知識教育,提高護生的安全防護意識;醫院應加彊操作培訓,併要求臨床帶教老師在實踐中跟蹤指導,反複糾正護生不正確的操作習慣,減少護生銳器傷的髮生.
목적 조사중전림상실습호생예기상발생정황,이편위예방급감소호생예기상제출침대성적대책.방법 채용자행설계조사문권대2012계121명중전실습호생진행조사,료해호생실습기간발생예기상적정황이급호생예기상발생적배절、예기상발생시간단화상해기구분포정황.결과 121명호생발생예기상105명,발생솔위86.8%.재조작과정,배약발생예기상점46.1%,기차위주사후발출침두/침심,점18.1%;조작후,중신장침두삽회수액대발생예기상점7.3%,쌍수회투침모화정리예기시각점5.6%;호생예기상발생솔최고시간단위실습전3개월,점60.8%;상해기구주요위파리안부,점47.8%,기차위두피침,점24.1%,주사기침두,점15.1%.결론 중전림상실습호생예기상발생보편,배약시파리안부화상발생솔최고,조작불숙련화불규범시발생예기상적주요원인.학교응증가방호지식교육,제고호생적안전방호의식;의원응가강조작배훈,병요구림상대교로사재실천중근종지도,반복규정호생불정학적조작습관,감소호생예기상적발생.
Objective To investigate medical sharp instrument injuries among the nursing trainees of two-year course training schools and come up with preventive strategies.Methods One hundred and twenty-one nursing trainees of Grade 2010 involved in the survey to investigate the medical sharp instrument injuries by a self-designed questionnaire.The questionnaire covered occurrence of sharp instrument injury,links for the sharp nursing students injuries,the time for sharp instrument injuries and the distribution of damage equipment.Results One hundred and five cases among the subjects were wound by medical sharp instruments,taking up 86.8%.During nursing operation,46.1%of them were injuried from dispensing medicine,18.1%of them from withdrawing the needle after transfusion.After nursing operation,7.3%were injuried from withdrawing the needles into the transfusion bag and 5.6%from recapturing the needle with both hand.The rate of sharp instrument injuries reached its highest(60.8%)3 months before starting nursing internship.The main sharp instruments included ampule(47.8%),scalp acupuncture(24.1%),and syringe needle(15.1%), Conclusions Sharp instrument injuries in nursing students during clinical internship frequently occurred.The high prevalence of glass ampoule injury is the largest for the reasons of inexperience in nursing operation and unprofessional operation. The schools should enhance education on preventive knowledge to improve their sense of protection and safety.The hospitals should strengthen the training and guidance by the clinical teachers in practice to correct improper operations to lower the incidence of sharp instrument injuries among nursing trainees.
