泌尿外科实习生职业暴露调查及预防对策.docVIP

泌尿外科实习生职业暴露调查及预防对策【摘要】目的 探讨泌尿外科实习生职业暴露的危险因素及防护对策。方法 对2009年7月―2010年3月轮转到泌尿外科实习生108人进行有关职业暴露相关知识的问卷调查。 结果 大专以上学历实习生较中专学历护生职业暴露相关意识强；护理组发生职业暴露的事件较医疗组高；职业暴露种类分别为：锐器伤42.6%，体液污染34.4%，紫外线、电离辐射23%。结论 泌尿外科实习生为高危险性感染人群，职业暴露发生率高，重视实习生职业暴露教育，加强职业安全管理，提高实习生职业暴露防护意识及防护方法，是减少职业暴露的重要措施。 【关键词】泌尿外科 实习生 职业暴露 防护 中图分类号：R472文献标识码：A文章编号：1005-0515（2011）3-040-02 The research about the interns occupational exposure in urinarysurgery section and protection YUNLing ZHAO Wenfang LIU Min （Second People’s Hospital of Guangyuan） 【Abstract】Objective To investigate the risks of urinarysurgery interns occupational exposure and the protective measures to the risks. Methods A questionnair on the knowledge of the relevant occupational exposure among108 students who had rotately experienced the neurosurgical practice nursing at Guangyuan City Second People’s Hospital Urinarysurgery from 2009 to March. 2010. Results Compared with those from vocational schools, interns from colleges and universities have stronger senses of occupational exposure-related risks; Care Unit have the high incidence of occupational exposure occurance; Found occupational exposure categories are as follows: 42.6% of sharp injuries, 34.4% contaminated body fluids, UV and ionizing radiation, 23%. Conclusion Urinarysurgery interns are among the people easily facing risks of occupational exposure infections. Possible solutions to the occupational exposure withurinarysurgery interns are following: Emphasis on intern education, strengthening of occupational safety management and improve the trainee occupational exposure protection awareness and prevention methods. 【Keywords】urinarysurgery interns occupational exposure Protection 近年来随着医疗事业的发展，实习生的职业防护越来越得到重视，而泌尿外科手术病人逐年增多，各类病原菌的密度相对较高，实习生因职业的特殊性，每天不得不暴露于各种的高危因素之中，如频繁接触患者的血液、体液、分泌排泄物等，这些易感染的高危因素，对实习生的健康和安全造成一定的威胁。因此了解职业暴露的根源建立标准的防护管理，是提高实习生自我防护能力的关键。 1 对象与方法 1.1 对 象2009年7月―2010年3月轮转到泌尿外科实习生108人，其中女78人，男30人，年龄17～22岁；文化程度中专21人，大专57人，本科30人；专业分类医学专业45人，护理专业63人。