中华实验和临床感染病杂志（电子版）
中華實驗和臨床感染病雜誌（電子版）
중화실험화림상감염병잡지（전자판）
CHINESE JOURNAL OF EXPERIMENTAL AND CLINICAL INFECTIOUS DISEASES(ELECTRONIC VERSION)
2014年
6期
823-826
,共4页
余德兰%刘健琼%卢健丽%谭焕源
餘德蘭%劉健瓊%盧健麗%譚煥源
여덕란%류건경%로건려%담환원
内镜室%医院感染%护士%危险因素%防护措施
內鏡室%醫院感染%護士%危險因素%防護措施
내경실%의원감염%호사%위험인소%방호조시
Endoscopy room%Nosocomial infection%Nurse%Risk factor%Protection measure
目的：分析内镜室护士医院感染的危险因素，提出针对性的防护措施。方法对本市3家三级医院内镜室护士11名，发放自行设计的医院感染调查问卷、自我防护调查问卷进行调查，统计医院感染的危险因素，包括体液污染、排泄物污染、血液污染、锐器损伤发生频次，自我防护情况，包括自我防护等级和个人防护意义等。结果本市3家医院内镜室2013年1月共进行胃镜、结肠镜、十二指肠镜和支气管镜1110例次，随机抽查436例，不同级别防护职业暴露发生率比较差异具有统计学意义（F=5.2614、4.2615、4.6251、4.0123，P均＜0.05）。6名主管护师职称体液污染、排泄物污染、血液污染和锐器损伤分别为0.92、0.69、0.00和0.23例次，显著低于护师及护士，不同职称职业暴露例次比较差异具有统计学意义（P均＜0.05）。11名护士防护不当后果知晓率为90.90%，职业暴露处理方法知晓率为63.63%，高危操作防护知晓率为72.73%，标准预防内容知晓率为54.55%，主管护师职称各项知晓率显著高于护师及护士，两组比较差异具有统计学意义（χ2=6.2053、21.5647、12.4851、15.0314，P均＜0.05）。结论内镜室护士职业暴露发生率较高，部分护师和护士防护意识较差，因此，提高认识、强化内镜室护士防护管理，对降低医院感染具有重要意义。
目的：分析內鏡室護士醫院感染的危險因素，提齣針對性的防護措施。方法對本市3傢三級醫院內鏡室護士11名，髮放自行設計的醫院感染調查問捲、自我防護調查問捲進行調查，統計醫院感染的危險因素，包括體液汙染、排洩物汙染、血液汙染、銳器損傷髮生頻次，自我防護情況，包括自我防護等級和箇人防護意義等。結果本市3傢醫院內鏡室2013年1月共進行胃鏡、結腸鏡、十二指腸鏡和支氣管鏡1110例次，隨機抽查436例，不同級彆防護職業暴露髮生率比較差異具有統計學意義（F=5.2614、4.2615、4.6251、4.0123，P均＜0.05）。6名主管護師職稱體液汙染、排洩物汙染、血液汙染和銳器損傷分彆為0.92、0.69、0.00和0.23例次，顯著低于護師及護士，不同職稱職業暴露例次比較差異具有統計學意義（P均＜0.05）。11名護士防護不噹後果知曉率為90.90%，職業暴露處理方法知曉率為63.63%，高危操作防護知曉率為72.73%，標準預防內容知曉率為54.55%，主管護師職稱各項知曉率顯著高于護師及護士，兩組比較差異具有統計學意義（χ2=6.2053、21.5647、12.4851、15.0314，P均＜0.05）。結論內鏡室護士職業暴露髮生率較高，部分護師和護士防護意識較差，因此，提高認識、彊化內鏡室護士防護管理，對降低醫院感染具有重要意義。
목적：분석내경실호사의원감염적위험인소，제출침대성적방호조시。방법대본시3가삼급의원내경실호사11명，발방자행설계적의원감염조사문권、자아방호조사문권진행조사，통계의원감염적위험인소，포괄체액오염、배설물오염、혈액오염、예기손상발생빈차，자아방호정황，포괄자아방호등급화개인방호의의등。결과본시3가의원내경실2013년1월공진행위경、결장경、십이지장경화지기관경1110례차，수궤추사436례，불동급별방호직업폭로발생솔비교차이구유통계학의의（F=5.2614、4.2615、4.6251、4.0123，P균＜0.05）。6명주관호사직칭체액오염、배설물오염、혈액오염화예기손상분별위0.92、0.69、0.00화0.23례차，현저저우호사급호사，불동직칭직업폭로례차비교차이구유통계학의의（P균＜0.05）。11명호사방호불당후과지효솔위90.90%，직업폭로처리방법지효솔위63.63%，고위조작방호지효솔위72.73%，표준예방내용지효솔위54.55%，주관호사직칭각항지효솔현저고우호사급호사，량조비교차이구유통계학의의（χ2=6.2053、21.5647、12.4851、15.0314，P균＜0.05）。결론내경실호사직업폭로발생솔교고，부분호사화호사방호의식교차，인차，제고인식、강화내경실호사방호관리，대강저의원감염구유중요의의。
Objective To analyze the risk factors of nosocomial infection of nurses in endoscopy rooms, and put forward some pertinent protection measures. Methods Total of 11 nurses were collected from three tertiary hospitals, issued nosocomial infection questionnaires, self-protection questionnaires which designed by their own hospitals. The risk factors of nosocomial infection, included fluid contamination, excreta contamination, blood contamination, number of sharp instrument injury, self-protection conditions, including self-protection levels and self protection meanings were analyzed, respectively. Results Three tertiary hospitals’ endoscopy rooms totally conducted gastroscopies, duodenoscope, bronchoscopy about 1 110 cases, 436 cases were checked randomly, different levels of protection professionals had different incidence of exposure, with signiifcant differences (F=5.2614, 4.2615, 4.6251 and 4.0123;P all<0.05). There were 6 lead nurses’ lfuid contamination, excreta contamination, blood contamination, number of sharp instrument injury were 0.92, 0.69, 0.00 and 0.23 persontime, respectively, signiifcantly lower than nurses and nurse practitioners, the cases of exposure in different professional titles were signiifcantly different (P<0.05). There were 90.90%of 11 nurses knew their improper protection behavior, occupational exposure processing method awareness rate was 63.63%, high risk operations awareness rate was 72.73%, normal prevention knowledge awareness rate was 54.55%, the awareness rate in lead nurses was signiifcantly higher than nurses and nurse practitioners (χ2= 6.2053, 21.5647, 12.4851 and 15.0314, P < 0.05). Conclusions Endoscopy room’s occupational exposure rate is high, some nurses and nurse practitioners’ protection awareness is poor, thus, deepen the understanding and strengthen endoscopy room nurses’ protection management are important for decreasing nosocomial infection.
