护理人员锐器伤漏报分析及对策.docVIP

护理人员锐器伤漏报分析及对策 　　【摘要】 目的：分析遵义市护理人员锐器伤的漏报原因，为制定区域性锐器伤防护策略提供参考依据。方法：通过自行设计医务人员锐器伤调查问卷表，采用分层随机抽样和便利抽样法，对遵义市14所医院871名工作满1年的临床护士锐器伤高危人群的漏报情况进行问卷调查。结果：调查显示，漏报多分布在低工龄、低职称人群；未上报的主要原因是锐器未接触患者、患者血液检查结果正常、上报后得不到及时对待、时间紧、上报程序复杂，分别占23.7%、22.6%、15.4%、9.7%、8.7%，累计百分比高达80.1%。结论：护理人员锐器伤频繁发生，应针对性加强职业防护培训，提高其上报率。发布与宣传血源性职业暴露的防护指南十分关键，能够减少医务人员职业暴露的发生。 　　【关键词】 护理人员； 职业暴露； 锐器伤； 漏报 　　【Abstract】 Objective：To analyze the cause of omission of sharp instrument injury of nursing stuff during work in Zunyi and provide a reference basis for regional sharp injury protection strategies.Method：Self-designed questionnaire concerning medical staff with sharp injury was employed.871 nurses with one year experience who worked in 14 different hospitals in ZunYi were selected to conduct questionnaire survey and the results were subjected to statistical analysis with stratified random sampling and convenient sampling method.Result：The research showed that the omission mostly occurred in nurses with low working positions and less experiences，the main reason of the omission included：sharp tools didn’t contact patients，results of patients’ blood examinations were normal，not been dealt with promptly after reported，the complex procedure of reporting individually，accounted for 23.7%，22.6%，15.4%，9.7%，8.7% respectively，the total rate was 80.1%.Conclusion：As sharp injuries frequently happens among nurses，the training of occupational protection should be enhanced.In the mean time，for reducing the occurence of medical staff occupational exposure，it is crucial to announce and broadcast the companion of blood-borne occupational exposure. 　　【Key words】 Nursing staff； Occupational exposure； Sharp instrument injury； Omission 　　First-author’s address：Zunyi Medical College，Zunyi 563000，China 　　doi：10.3969/j.issn.1674-4985.2014.25.032 　　锐器伤所致血液性职业暴露问题是医务人员工作中最常见的职业性危害之一。有研究发现，81.37%的护士过去1年中至少发生1次锐器伤，可见，护士是最常发生锐器伤的高危群体之一[1]。国内相关研究显示，王静[2]和许莹等[3]报道的护理人员锐器伤漏报率75.9%、77.3%，均略低于刘晓容[4]报道的89.55%。为了解遵义地区护理人员锐器伤漏报现状，分析区域锐器