消毒供应室人员锐器伤调查研究及职业防护对策.doc

消毒供应室人员锐器伤调查研究及职业防护对策[摘要]目的 调查分析锐器伤的原因和对策,探讨提高职业安全防护水平的途径。方法 先进行问卷调查,然后针对性追踪访问,再综合对比分析研究确定对策,并在实践中完善提高。结果7家医院消毒供应室工作人员2008年、2009年锐器伤发生率达100%和70.2%,缝针伤、刀片刀具伤、针头伤三类伤之和分别占2008年、2009年锐器伤总次数的78.9%和80%,两年发生血源性感染5例。结论 护理人员面临锐器损伤的职业危险,应采取多种对策措施,预防和控制锐器损伤。 [关键词] 消毒供应室;锐器伤;血源性疾病;职业防护 [中图分类号] R197.323[文献标识码] A [文章编号] The Investigation Analysis for Workers Wounded by Sharp-appliance in the Room for Disinfection and Purvey XIANG Qiong-ying,WU Shu-ming. The Center Hospital of Suining City, Sichuan,629000,China. [Abstract]objectiveto find the causes and solutions to Sharp-appliance wounds of workers and discuss the methods of improving the standardsof vocational protection. Methodsfirstly, make a questionnaire Investigation about it ; secondly, try to do the visit tracking purposely ; thirdly, compare and summarize all the information then decide the better solutions and develop them practically at the same time ;resultsIn 2008 , 100 % of thequestioned workers in the Room for Disinfection and Purvey from 7 hospitals were wounded by sharp-appliances and 70.2 % in 2009 . The accidents caused by sewing, blade and syringeneedle are especially obvious .The total proportion in 2008and 2009 is 78.9% and 80% .Conclusion Nursing workers are facing the vocational dangers which are caused by sharp-appliances . Hospitals and government should take more measures to change the situation ,preventing and reducing these accidents effectively. [Key words] The Room for disinfection and purvey; Sharp-appliance wound ; serological malady; vocational disease defence 医院消毒供应室担负着临床科室医疗用品的回收、清点、清洗、消毒、包装灭菌及发放工作,其工作性质决定工作人员经常接触含各种病原微生物的污染物品,医护人员常常暴露于多种职业性危险因素之中,调查研究表明,锐器损伤是血源性疾病传播的重要途径,锐器损伤及其相关的侵害已成为医护人员一个严重的职业性健康问题[1]。为进一步了解供应室人员锐器损伤发生状况,有效避免和减少锐器损伤发生,提高职业安全防护水平而进行了本研究。 1对象与方法 1.1 对象资料我市共有二级以上医院7家,其中三级甲等1家,三级乙等1家、二级甲等4家、二级乙等1家,将7家医院消毒供应室2008年1月至2009年12月发生锐器损伤的57例供应室工作人员作为研究对象。包括男性6人,女性51人,年龄20～54岁,其中护理人员40人,护工17人。学历: 本科5人,大专25人,中专8人,高中5人,初中及以下14人。职称职级:副主任护师3人,主管护师22人,护师13人,护士2人