医药前沿
醫藥前沿
의약전연
YIAYAO QIANYAN
2015年
21期
356-357
,共2页
周翠琼%杨跃琼%Su Shaofen
週翠瓊%楊躍瓊%Su Shaofen
주취경%양약경%Su Shaofen
医院工作人员%职业暴露%职业防护%防控
醫院工作人員%職業暴露%職業防護%防控
의원공작인원%직업폭로%직업방호%방공
Hospital staff%Occupational exposure%Occupational protection%Prevention and control
目的：了解医院工作人员职业暴露的发生情况，分析高危因素，制定并落实职业暴露防控措施。方法：回顾性分析我院2012年1月至2013年12月间发生的53例职业暴露工作人员的职业分布、暴露环节、暴露种类等。结果：职业暴露人群以护士为主，35例，占35.66%，其中工龄小于5年30例，占85.72%，其次是医生，12例，占22.56%；暴露的主要类别是锐器伤，44例，占83.02%，主要环节是静脉输液和整理废物，输液环节28例，占锐器伤的63.64%，整理废物8例，占锐器伤的18.19%；其次是血液体液飞溅，6例，占11.32%；发生暴露的主要病原体是病毒性肝炎、艾滋病，病毒性肝炎15例,占28.31%，艾滋病8例，占15.10%，暴露源无血源性传播疾病17例，占32.08%；暴露后正确处置率较高为96.23%，一名保洁和实习同学伤后未按规定流程处理，对全部工作人员均进行追踪随访，无一例发生感染。结论：职业暴露发生人群以低年资护理人员、外科医生为主；锐器伤的发生主要因为违规操作、防范意识薄弱、不正确使用防护用品等原因造成，医院应加强职业安全管理，建立健全规章制度，规范操作流程，加强工作人员培训，提高防护用品正确使用率，暴露后及时正确处理，随访。
目的：瞭解醫院工作人員職業暴露的髮生情況，分析高危因素，製定併落實職業暴露防控措施。方法：迴顧性分析我院2012年1月至2013年12月間髮生的53例職業暴露工作人員的職業分佈、暴露環節、暴露種類等。結果：職業暴露人群以護士為主，35例，佔35.66%，其中工齡小于5年30例，佔85.72%，其次是醫生，12例，佔22.56%；暴露的主要類彆是銳器傷，44例，佔83.02%，主要環節是靜脈輸液和整理廢物，輸液環節28例，佔銳器傷的63.64%，整理廢物8例，佔銳器傷的18.19%；其次是血液體液飛濺，6例，佔11.32%；髮生暴露的主要病原體是病毒性肝炎、艾滋病，病毒性肝炎15例,佔28.31%，艾滋病8例，佔15.10%，暴露源無血源性傳播疾病17例，佔32.08%；暴露後正確處置率較高為96.23%，一名保潔和實習同學傷後未按規定流程處理，對全部工作人員均進行追蹤隨訪，無一例髮生感染。結論：職業暴露髮生人群以低年資護理人員、外科醫生為主；銳器傷的髮生主要因為違規操作、防範意識薄弱、不正確使用防護用品等原因造成，醫院應加彊職業安全管理，建立健全規章製度，規範操作流程，加彊工作人員培訓，提高防護用品正確使用率，暴露後及時正確處理，隨訪。
목적：료해의원공작인원직업폭로적발생정황，분석고위인소，제정병락실직업폭로방공조시。방법：회고성분석아원2012년1월지2013년12월간발생적53례직업폭로공작인원적직업분포、폭로배절、폭로충류등。결과：직업폭로인군이호사위주，35례，점35.66%，기중공령소우5년30례，점85.72%，기차시의생，12례，점22.56%；폭로적주요유별시예기상，44례，점83.02%，주요배절시정맥수액화정리폐물，수액배절28례，점예기상적63.64%，정리폐물8례，점예기상적18.19%；기차시혈액체액비천，6례，점11.32%；발생폭로적주요병원체시병독성간염、애자병，병독성간염15례,점28.31%，애자병8례，점15.10%，폭로원무혈원성전파질병17례，점32.08%；폭로후정학처치솔교고위96.23%，일명보길화실습동학상후미안규정류정처리，대전부공작인원균진행추종수방，무일례발생감염。결론：직업폭로발생인군이저년자호리인원、외과의생위주；예기상적발생주요인위위규조작、방범의식박약、불정학사용방호용품등원인조성，의원응가강직업안전관리，건립건전규장제도，규범조작류정，가강공작인원배훈，제고방호용품정학사용솔，폭로후급시정학처리，수방。
Objective To investigate the occurrence of hospital staff occupation exposure,analysis of risk factors,formulate and implement the occupation exposure control measures.Methods Retrospective occupation distribution,occurring in our hospital in 2012January to 2013December53 cases of occupation exposure of staff exposure,exposure and other types of link analysis. Results The occupation population exposed to nurse based,35 cases,accounting for 35.66%,of which 30 cases less than 5 years seniority,accounted for 85.72%,followed by the doctor,in 12 cases,accounting for 22.56%;the main categories of exposure are sharp instrument injury,44 cases,accounting for 83.02%,the main link is the intravenous infusion and finishing waste,transfusion ring section in 28 cases,sharp instrument injury accounted for63.64%,finishing waste in 8 cases,accounting for 18.19% of sharp instrument injury;the second is blood and body fluid splash,6 cases,accounting for 11.32%;main pathogen exposure is viral hepatitis,AIDS,viral hepatitis 15 cases,accounting for 28.31%,8 cases of AIDS,accounting for 15.10%,no source of exposure to blood borne diseases in 17 cases,accounting for 32.08%;a higher rate of correct disposal after exposure for 96.23%,a cleaning and nursing students after injury according to the specified processes,to all of the staff were follow-up,no case of infection.Conclusion The occupation exposure occurred in low seniority nurses crowd,the surgeon;sharp instrument injury occurred mainly because of illegal operation,awareness is weak,the incorrect use of protective equipment and other causes,the hospital should strengthen the occupation safety management,establish and improve rules and regulations,standardize the process,enhance staff training, improve the rate of correct usage protection products,after exposure to timely and correct treatment,follow-up.
