医务人员职业暴露原因分析及防控对策.docVIP

医务人员职业暴露原因分析及防控对策 李艳梅邓艳 （中铁二局集团中心医院四川成都610031） 【摘要】目的：调查医务人员职业暴露的原因、特点，提出防控对策。方 法：回顾性调查成都市某医院2008年7月一2014年6月上报的86例职业暴露 登记表，分析暴露源、暴露途径、暴露人员构成及科室分布。结果：①86例暴 露源中乙型肝炎、梅毒、HIV （包含合并疾病）为49例，占56.98%。②暴露途 径中锐器损伤占94.19%。③86例职业暴露人员科室分布主要为内、外、妇产科、 急诊科，占80.23%。④暴露人员中护士占75.58%,临床医师占24.42%。⑤工作 5年以下暴露人员有68人，占70.07%。⑥医务人员出现失眠焦虑超过50%。结 论：加强医务人员职业安全管理及培训，确定重点科室、重点人群、暴露环节与 原因，制定并严格执行干预措施，是有效防控职业暴露风险的当务之急。 【关键词】医务人员；职业暴露；防控对策；心理干预 【中图分类号】R135 【文献标识码】A 【文章编号】2095-1752 （2015） 20-0355-03 Medical personnel occupation exposure?causes analysis and?prevention and control countermeasures Li Yanmei Deng Yan Railway Group, the Second Board of the Central Hospital,Chengdu,610031, China 【Abstract】 Objective To investigate the cause of ?the medical staff occupational exposure characteristics, prevention and control measures have been put forward. Methods Retrospective survey of Chengdu hospital in July 2008 - June 2014 reported 86 cases of occupational exposure , analyze sources of exposure, exposure pathways, exposure to personnel composition and department distribution. Results:①86 cases of hepatitis B, syphilis, HIV (including merger disease) in 49 cases, accounting for 56.98%.②Sharps injuries accounted for 94.19% ?in exposed way. (3) 86 cases of occupational exposure to personnel departments mainly distributed in Internal medicine, surgery, obstetrics and gynecology, emergency department, accounting for 80.23%.④Nurses accounted for 75.58%, clinicians accounted for 24.42% in the exposed staff.⑤There are 68 people less than 5 years work, accounting for 70.07% in the exposed staff? Medical staff appear insomnia, anxiety is more than 50%. Conclusion To strengthen the medical staff? occupational safety management and training, Identify the key departments, focus groups, exposed and reason, Formulate and strictly carry out intervention measures are urgent affairs to prevention and control of exposure risk effectively. 【Key words】 Medical personnel; Occupational exposure; Prevention and control measur