三级综合医院护士传染病职业暴露认知状态调查分析.docVIP

精品论文 参考文献 三级综合医院护士传染病职业暴露认知状态调查分析 徐州市中心医院 221000 【摘要】目的：评估三级综合医院护士传染病职业暴露认知现状，为全面降低护理人员传染病职业暴露风险措施的制定提供决策依据。方法：随机抽取三级综合医院医院护理人员240名，自愿填写调查问卷。调查问卷的设计主要针对3个问题：1）对感染性职业暴露处理常识的认知程度；2）对传染病，尤其是病毒性传染病的基本常识的了解程度；3）被调查对象对职业暴露的一般警惕性。结果：本次断面调查共收回有效问卷218份。218例被调查对象中，仅21.1%（46/218）的人无职业暴露史。接近半数（43.12%）的被调查对象不了解丙肝病毒感染没有有效疫苗可以接种的现实。而针对传染病职业暴露的防护中，仅58.72%（128/218）的被调查对象能够正确处理。32.57%（71/218）的护理人员为患者采血过程中基本不戴手套。而静脉输液过程中徒手操作的则更多，占被调查对象的58.72%（128/218）。结论：护理人员对职业暴露的警惕性低于一线城市综合医院的水平；对职业暴露的正确处理的认识还有一定的误区；增强传染病认知培训可能是对职业暴露防护迫切需要加强的环节之一。 【关键词】传染病，职业暴露，应急预案 Analysis of the acknowledgment status to occupational exposure: nurses of tertiary care hospital Abstract：Objectives: The present study was designed to evaluate the acknowledgment status of nurses in tertiary care hospital, in order to provide the information for intervention to reduce the occupational an exposure in nurses. Methods：Total 240 nurses were recruited at random from our hospital, and freely filled the questionnaire. The questionnaire mainly focus on three question, 1) the acknowledgment status to face of occupational exposure; 2) the elementary knowledge to virus infectious diseases; 3) the vigilance of subjects to occupational exposure. Results: Total 218 questionnaires were collected in this study. In all of subjects, only 46 cases(21.1%) were reported no medical history of occupational exposure. Nearly half of subjects(43.1%) didnt know that there is no effective vaccine to prevent hepatitis C virus infection at present. There is only 58.72%(128/218) cases can correctly treated the injury after occupational exposure. In all of subjects, 32.57%(71/218) nurses collected blood samples with naked hands, and 58.72%(128/218) subjects given patients intravenous infusions without gloveson. Conclusion: The vigilance of subjects to occupational exposure were weaker than those staff in hospitals of first - tier cities; Some misunderstandings needs to be corrected in treatments of occupational exposure;