手术医护人员职业暴露与防护.pdfVIP

中国护理管理 Hospital Acquired Infection 医源性感染 手术医护人员职业暴露与防护 ◆ 吴建文 [ 摘 要 ] 目的：了解手术医护人员职业暴露和自我防护情况，以便增强防护意识，采 表130 份，回收有效问卷123 份，回收 取防护措施。方法：采用问卷调查法,抽查手术医护人员12个月内职业暴露、防护等情况， 率94.6%。 进行调查分析。结果：123 名手术人员中,做过上岗前体检的占40.7%，做过定期体检的占 25.4%，接种过乙型肝炎疫苗的占48.0%；皮肤黏膜被患者血液或体液污染后能立即彻底清 2 结果 洁的占47.1%，预计接触患者血液或体液而戴手套的占30.5%；皮肤黏膜被患者血液、体液 2.1 职业暴露情况 污染过的占100%；发生过锐器损伤的占86.2%。结论：手术人员职业暴露普遍，防护意识 2.1.1 皮肤黏膜被患者血液、体液污染 和措施不足，应加强手术医护人员的职业防护教育，增强防护意识，建立和强化防护制度， 情况 做好标准预防，规范技术操作。 调查表明，123名手术人员全部发生 [ 关键词 ] 手术人员；职业暴露；防护 过皮肤黏膜被患者的血液或体液污染， Occupational exposure and protection of the operating theater personnel / WU Jian-wen 发生率为100%，常见污染事件见表1。 // The Operating Theater of the 4th Hospital of Jinan, Jinan city, Shandong province, 250031 China /// Chinese Nursing Management-2010,10(12):48-50 2.1.2 手术中锐器损伤情况 [Abstract] Objective: To evaluate the current situation of the occupational exposure 123 名手术医护人员中，有 106人 and protection of the operating theater personnel. Methods: The operating theater personnel 发生过锐器损伤，发生率为86.2%。累 were investigated about their occasions of occupational exposure and related protection measures within a 12-month period using questionnaire method. Results: Among 123 staff 计发生1次的有 31人（29.2%）；2～4 members, 40.7% had physical check-ups before working in the operating room, 25.4% had 次的 54人（50.1%）；5 ～ 9 次 的 14人 regular check-ups, and 48.0% received HBV vaccination; 47.1% had their skin thoroughly （13.2%）；≥10 次的 7人（6.6%），常见