中国感染控制杂志
中國感染控製雜誌
중국감염공제잡지
Chinese Journal of Infection Control
2015年
11期
749-752
,共4页
康虹%李旭英%高佳%唐四元
康虹%李旭英%高佳%唐四元
강홍%리욱영%고가%당사원
消毒供应中心%工人%职业暴露%职业防护%锐器伤%医院感染
消毒供應中心%工人%職業暴露%職業防護%銳器傷%醫院感染
소독공응중심%공인%직업폭로%직업방호%예기상%의원감염
central sterile supply department%worker%occupational exposure%occupational precaution%sharp injury%healthcare-associated infection
目的:分析集中供应模式下消毒供应中心(CSSD)工人锐器伤的发生现状及影响因素。方法2012年10—11月采用问卷调查法对湖南省16所医院 CSSD 的95名工人进行多中心横断面调查。结果89名(93.68%)工人自进入 CSSD 工作后发生了锐器伤,其中46名(48.42%)发生1~5次,22名(23.16%)发生6~10次,11名(11.58%)发生10次以上。81名(85.26%)工人在调查前1年内至少发生过1次锐器伤,52名(54.73%)工人被患者污染的针头或锐器所伤。logistic 回归分析结果显示,教育程度高是锐器伤发生的保护因素(OR 90%CI :0.05~0.87),睡眠情况差(OR 90%CI :1.03~17.94)、接触锐器频率高(OR 90%CI :1.11~12.15)、其他医务人员(手术室的医生、护士)对物品的归位不合理(OR 90%CI :1.23~16.98)是锐器伤发生的危险因素。结论CSSD工人锐器伤发生率高,与个人因素及环境因素有关,应引起有关部门的重视,加强个人相关知识培训,提高其防范意识。
目的:分析集中供應模式下消毒供應中心(CSSD)工人銳器傷的髮生現狀及影響因素。方法2012年10—11月採用問捲調查法對湖南省16所醫院 CSSD 的95名工人進行多中心橫斷麵調查。結果89名(93.68%)工人自進入 CSSD 工作後髮生瞭銳器傷,其中46名(48.42%)髮生1~5次,22名(23.16%)髮生6~10次,11名(11.58%)髮生10次以上。81名(85.26%)工人在調查前1年內至少髮生過1次銳器傷,52名(54.73%)工人被患者汙染的針頭或銳器所傷。logistic 迴歸分析結果顯示,教育程度高是銳器傷髮生的保護因素(OR 90%CI :0.05~0.87),睡眠情況差(OR 90%CI :1.03~17.94)、接觸銳器頻率高(OR 90%CI :1.11~12.15)、其他醫務人員(手術室的醫生、護士)對物品的歸位不閤理(OR 90%CI :1.23~16.98)是銳器傷髮生的危險因素。結論CSSD工人銳器傷髮生率高,與箇人因素及環境因素有關,應引起有關部門的重視,加彊箇人相關知識培訓,提高其防範意識。
목적:분석집중공응모식하소독공응중심(CSSD)공인예기상적발생현상급영향인소。방법2012년10—11월채용문권조사법대호남성16소의원 CSSD 적95명공인진행다중심횡단면조사。결과89명(93.68%)공인자진입 CSSD 공작후발생료예기상,기중46명(48.42%)발생1~5차,22명(23.16%)발생6~10차,11명(11.58%)발생10차이상。81명(85.26%)공인재조사전1년내지소발생과1차예기상,52명(54.73%)공인피환자오염적침두혹예기소상。logistic 회귀분석결과현시,교육정도고시예기상발생적보호인소(OR 90%CI :0.05~0.87),수면정황차(OR 90%CI :1.03~17.94)、접촉예기빈솔고(OR 90%CI :1.11~12.15)、기타의무인원(수술실적의생、호사)대물품적귀위불합리(OR 90%CI :1.23~16.98)시예기상발생적위험인소。결론CSSD공인예기상발생솔고,여개인인소급배경인소유관,응인기유관부문적중시,가강개인상관지식배훈,제고기방범의식。
Objective To investigate the incidence and influencing factors for sharp injuries occurred in workers in central sterile supply departments (CSSDs).Methods In October-November 2012,a multicenter cross-sectional survey was conducted,a total of 95 workers in CSSDs of 16 hospitals in Hunan Province were surveyed through questionnaires.Results A total of 89 workers (93.68%)in CSSDs sustained sharp injuries,46 (48.42%)of whom sustained 1 -5 times of sharp injuries,22(23.16%)sustained 6-10 times of sharp injuries,and 11 (11 .58%)sus-tained for at least 10 times of sharp injuries.81 workers (85.26%)sustained at least one time of sharp injuries one year before survey,52 (54.73%)of whom were injured by contaminated needles or other sharps.Logistic regression analysis revealed that higher educational background was protective factor for sharp injuries(OR 90%CI :0.05-0.87);while poor sleep quality(OR 90%CI :1 .03-17.94),frequent touching sharps(OR 90%CI :1 .11 -12.15),and irrational placing of objects by the other medical stuff (surgeons and nurses in operating rooms)(OR 90%CI :1 .23-16.98)were the risk factors for sharp injuries.Conclusion The incidence of sharp injuries among workers in CSSDs is high,which is related to personal factors and environmental factors.It is suggested to strengthen staff training to enhance their awareness of precaution.