国际输血及血液学杂志
國際輸血及血液學雜誌
국제수혈급혈액학잡지
International Journal of Blood Transfusion and Hematology
2015年
5期
373-376
,共4页
方春梅%张丽娜%曾姣%陈玉溪%张红云%邓曦
方春梅%張麗娜%曾姣%陳玉溪%張紅雲%鄧晞
방춘매%장려나%증교%진옥계%장홍운%산희
控制生物危害物扩散%危害减少%职业暴露%职业卫生%干预性研究%手套,防护%护士
控製生物危害物擴散%危害減少%職業暴露%職業衛生%榦預性研究%手套,防護%護士
공제생물위해물확산%위해감소%직업폭로%직업위생%간예성연구%수투,방호%호사
Containment of biohazards%Harm redaction%Occupational exposure%Occupational health%Intervention studies%Gloves,protective%Nurse
目的 探讨中心血站建立针对血源性职业暴露危害的系统干预模式,降低血站护士职业危害的效果.方法 选择湖北省孝感市中心血站血源性职业暴露危害系统干预模式建立初期、建立2年后的本血站所有在职护士共计17名为研究对象.对本血站建立的具体针对血站护士的血源性职业暴露危害系统的干预措施(11项),于干预模式建立初期和建立2年后对干预措施执行情况进行不定期调查,并对抽查结果进行统计学分析.结果 针对血站护士的血源性职业暴露危害系统干预模式,于干预模式建立初期和建立2年后对干预措施执行情况进行不定期调查结果显示,11项措施中,血液制备或使用化学溶剂时戴手套、处理血制品时戴手套、为献血者更换止血贴时戴手套、可能出现血液飞溅时戴防护镜、进出血液检验室时更换衣服及鞋、采血前常规洗手的平均得分,显著高于干预模式建立初期,并且均差异有统计学意义(P＜0.05);然而,工作中出现皮肤破损时采取常规防护措施、为献血者采血时常规戴手套、不小心接触到化学溶液时及时洗手、血液成分制备及贴标签时戴手套、被采血针刺伤时严格填写《职业暴露个案登记表》,与干预模式建立初期比较,差异均无统计学意义(P＞0.05).结论 中心血站建立针对血源性职业暴露危害的系统干预模式是行之有效,可加强对血站护士职业危害的管理,是有效降低血站护士职业危害的重要保障性措施.
目的 探討中心血站建立針對血源性職業暴露危害的繫統榦預模式,降低血站護士職業危害的效果.方法 選擇湖北省孝感市中心血站血源性職業暴露危害繫統榦預模式建立初期、建立2年後的本血站所有在職護士共計17名為研究對象.對本血站建立的具體針對血站護士的血源性職業暴露危害繫統的榦預措施(11項),于榦預模式建立初期和建立2年後對榦預措施執行情況進行不定期調查,併對抽查結果進行統計學分析.結果 針對血站護士的血源性職業暴露危害繫統榦預模式,于榦預模式建立初期和建立2年後對榦預措施執行情況進行不定期調查結果顯示,11項措施中,血液製備或使用化學溶劑時戴手套、處理血製品時戴手套、為獻血者更換止血貼時戴手套、可能齣現血液飛濺時戴防護鏡、進齣血液檢驗室時更換衣服及鞋、採血前常規洗手的平均得分,顯著高于榦預模式建立初期,併且均差異有統計學意義(P＜0.05);然而,工作中齣現皮膚破損時採取常規防護措施、為獻血者採血時常規戴手套、不小心接觸到化學溶液時及時洗手、血液成分製備及貼標籤時戴手套、被採血針刺傷時嚴格填寫《職業暴露箇案登記錶》,與榦預模式建立初期比較,差異均無統計學意義(P＞0.05).結論 中心血站建立針對血源性職業暴露危害的繫統榦預模式是行之有效,可加彊對血站護士職業危害的管理,是有效降低血站護士職業危害的重要保障性措施.
목적 탐토중심혈참건립침대혈원성직업폭로위해적계통간예모식,강저혈참호사직업위해적효과.방법 선택호북성효감시중심혈참혈원성직업폭로위해계통간예모식건립초기、건립2년후적본혈참소유재직호사공계17명위연구대상.대본혈참건립적구체침대혈참호사적혈원성직업폭로위해계통적간예조시(11항),우간예모식건립초기화건립2년후대간예조시집행정황진행불정기조사,병대추사결과진행통계학분석.결과 침대혈참호사적혈원성직업폭로위해계통간예모식,우간예모식건립초기화건립2년후대간예조시집행정황진행불정기조사결과현시,11항조시중,혈액제비혹사용화학용제시대수투、처리혈제품시대수투、위헌혈자경환지혈첩시대수투、가능출현혈액비천시대방호경、진출혈액검험실시경환의복급혜、채혈전상규세수적평균득분,현저고우간예모식건립초기,병차균차이유통계학의의(P＜0.05);연이,공작중출현피부파손시채취상규방호조시、위헌혈자채혈시상규대수투、불소심접촉도화학용액시급시세수、혈액성분제비급첩표첨시대수투、피채혈침자상시엄격전사《직업폭로개안등기표》,여간예모식건립초기비교,차이균무통계학의의(P＞0.05).결론 중심혈참건립침대혈원성직업폭로위해적계통간예모식시행지유효,가가강대혈참호사직업위해적관리,시유효강저혈참호사직업위해적중요보장성조시.
Objective To explore the effects of using the blood-borne occupational exposure hazards system mode in reducing the occupational hazards of blood stations nurses in center blood stations.Methods A total of 17 nurses in Xiaogan Center Blood Station were chosen as research objects.All sample nurses work in the blood station pre-and two years post the system establishment.Irregular surveys which containing 11 items about blood borne occupational exposure hazards system mode in reducing the occupational hazards of blood stations nurses were conducted on the 17 nurses at pre-and two years post-the system establishment.And the survey results were statistically analyzed.Results In general,the scores of wearing gloves when preparing blood or using chemical solvents,wearing gloves when handling blood products,wearing gloves when replacing the bleeding stick for blood donors,wearing protective goggles when may occur blood splatter,changing clothes and shoes when passing in and out of the blood laboratory,and washing hands routinely before collecting blood were significantly improved two years after the intervention implement,and the differences were statistically significant (P＜0.05).While the scores of taking routine protective measures when having skin damage,wearing gloves routinely when collecting blood,washing hands timely when contacting with chemical solution,wearing gloves when preparing and labeling blood component,and filling in Occupational Exposure Case Registration Form strictly when occurring blood needle stick injury compared between pre-and two years post the system establishment,there were no significant differences (P＞0.05).Conclusions Adoption of the effective systematic intervention mode to strengthen the blood station nurse occupation hazard management,is important in reducing nurse occupation hazard in blood stations.
