840例医务人员锐器伤现状调查_《中国循证医学杂志》

作者：

 徐世兰 ¹ , 吴西亿 ² , 饶莉 ¹ , 谭成 ¹ , 乔甫 ¹ , 蒲丹 ¹ , 尹维佳 ¹ , 舒明蓉 ¹

1. 四川大学华西医院医院感染管理科（成都?610041）；2. 四川大学口腔医院外科（成都?610041）;

关键词：

医院感染控制锐器伤职业防护调查

DOI：

10.7507/1672-2531.20110111

视频：

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摘要 全文 图表 视频 参考文献 施引文献 补充材料

目的　通过调查医务人员锐器伤发生情况，为制定锐器伤防护措施提供科学依据。
方法　采用上海复旦大学中山医院设计的锐器伤调查问卷，按工作类别抽取四川大学华西医院各科室相关人群的10%进行调查。问卷内容包括被调查者的基本情况，锐器伤后的报告情况，以及培训参与和过去1年锐器伤涉及的暴露源、操作、场所和器具。
结果　共发放调查问卷840份，回收840份，有效回收率100%。840名被调查者中，男性占23%，女性占72%，50.24%发生过锐器伤；工作年限 lt;10年者占锐器伤总数的75%，护士、保洁员、医师锐器伤率处于前3位，手术室为锐器伤发生的第一高危科室；已知血源性暴露源为乙肝69例、梅毒19例、丙肝6例和HIV 3例；62%的被调查者参加过培训，但仅有11.61%被刺伤者报告过锐器伤。
结论　该院医务人员锐器伤发生率较高，但报告率较低。手术室为锐器伤发生高危科室，护士、保洁员、医师为锐器伤发生高危人群。应加强重点科室、重点人群锐器伤防护和培训。

引用本文： 徐世兰,吴西亿,饶莉,谭成,乔甫,蒲丹,尹维佳,舒明蓉. 840例医务人员锐器伤现状调查. 中国循证医学杂志, 2011, 11(6): 636-639. doi: 10.7507/1672-2531.20110111 复制

1.	3 Gershon RR, Vlahov D, Felknor SA, et al . Compliance with universal precautions among health care workers at three regional hospitals. Am J Infect Control , 1995, 23(4): 225-236.
2.	4 Stringer B, Infante-Rivard C, Hanley J. Quantifying and reducing the risk of bloodborne pathogen exposure. AORN J , 2001, 73(6):1135-40, 1142-3, 1145-6; quiz 1147-8, 1151-4.
3.	8 Allen G. Needle-stick injuries; coronary artery bypass; dressings; retained objects. American Journal of Infection Control , 2003, 77(6):1260, 1262.
4.	10 Shen C, Jagger J, Pearson RD. Risk of needle stick and sharp object injuries among medical students. Am J Infect Control , 1999, 27(5): 435-437.
5.	11 Knight VM, Bodsworth NJ. Perceptions and practice of universal blood and body fluid precautions by registered nurses at a major Sydney teaching hospital. J Adv Nurs , 1998, 27(4): 746-751.
6.	12 Lee JM, Botteman MF, Xanthakos N, et al . Needlestick injuries in the United States. Epidemiologic, economic, and quality of life issues. AAOHN J , 2005, 53(3): 117-133.
7.	14 Wang H, Fennie K, He G, et al . A training programme for prevention of occupational exposure to bloodborne pathogens: impact on knowledge, behaviour and incidence of needle stick injuries among student nurses in Changsha, People's Republic of China. J Adv Nurs , 2003, 41(2): 187-194.
8.	Gupta P. Needle Stick Injury–Consequences and Prevention. Health management, Issue dtd. June 2006. Available at: http://www.expresshealthcaremgmt.com/200606/insight01.shtml.
9.	CDC. Exposure to blood: What healthcare personnel need to know, 2006. Available at: http://www.cdc.gov/ncidod/dhqp/pdf/blood-borne pathogens/Exp_to_Blood.pdf.
10.	曹明霞. 血源性传播疾病医务人员的职业防护. 护士进修杂志, 1999, 14(1): 51-52.
11.	殷大奎. 认清形势加强预防控制艾滋病. 中华预防杂志, 2000, 1(1): 35-38.
12.	WHO. Protection of the Human Environment, Sharps injuries: Assessing the burden of disease from sharps injuries to health-care workers at national and local levels, Environmental Burden of Disease Series, 2005, No.11.
13.	胡必杰, 郭燕红, 高光明, 等主编. 医院感染预防与控制标准操作规程（参考版）. 第1版. 上海: 上海科学技术出版社, 2010: 120.
14.	袁丽, 蒋红 .高职护生职业防护现状调查及对策. 中华护理杂志, 2004, 39(10): 795-796.
15.	Joanna CT. Raising awareness and reducing the risk of needlestick injuries (online). Clinical skill trainer, University hospital Birmingham NHS trust, 2007. Available at http://www.nursingtimes.net/nursing-practice-clinical-research/raising-awareness-and-reducing-the-risk-of-needlestick-injuries/199784.article.

1. 3 Gershon RR, Vlahov D, Felknor SA, et al . Compliance with universal precautions among health care workers at three regional hospitals. Am J Infect Control , 1995, 23(4): 225-236.
2. 4 Stringer B, Infante-Rivard C, Hanley J. Quantifying and reducing the risk of bloodborne pathogen exposure. AORN J , 2001, 73(6):1135-40, 1142-3, 1145-6; quiz 1147-8, 1151-4.
3. 8 Allen G. Needle-stick injuries; coronary artery bypass; dressings; retained objects. American Journal of Infection Control , 2003, 77(6):1260, 1262.
4. 10 Shen C, Jagger J, Pearson RD. Risk of needle stick and sharp object injuries among medical students. Am J Infect Control , 1999, 27(5): 435-437.
5. 11 Knight VM, Bodsworth NJ. Perceptions and practice of universal blood and body fluid precautions by registered nurses at a major Sydney teaching hospital. J Adv Nurs , 1998, 27(4): 746-751.
6. 12 Lee JM, Botteman MF, Xanthakos N, et al . Needlestick injuries in the United States. Epidemiologic, economic, and quality of life issues. AAOHN J , 2005, 53(3): 117-133.
7. 14 Wang H, Fennie K, He G, et al . A training programme for prevention of occupational exposure to bloodborne pathogens: impact on knowledge, behaviour and incidence of needle stick injuries among student nurses in Changsha, People's Republic of China. J Adv Nurs , 2003, 41(2): 187-194.
8. Gupta P. Needle Stick Injury–Consequences and Prevention. Health management, Issue dtd. June 2006. Available at: http://www.expresshealthcaremgmt.com/200606/insight01.shtml.
9. CDC. Exposure to blood: What healthcare personnel need to know, 2006. Available at: http://www.cdc.gov/ncidod/dhqp/pdf/blood-borne pathogens/Exp_to_Blood.pdf.
10. 曹明霞. 血源性传播疾病医务人员的职业防护. 护士进修杂志, 1999, 14(1): 51-52.
11. 殷大奎. 认清形势加强预防控制艾滋病. 中华预防杂志, 2000, 1(1): 35-38.
12. WHO. Protection of the Human Environment, Sharps injuries: Assessing the burden of disease from sharps injuries to health-care workers at national and local levels, Environmental Burden of Disease Series, 2005, No.11.
13. 胡必杰, 郭燕红, 高光明, 等主编. 医院感染预防与控制标准操作规程（参考版）. 第1版. 上海: 上海科学技术出版社, 2010: 120.
14. 袁丽, 蒋红 .高职护生职业防护现状调查及对策. 中华护理杂志, 2004, 39(10): 795-796.
15. Joanna CT. Raising awareness and reducing the risk of needlestick injuries (online). Clinical skill trainer, University hospital Birmingham NHS trust, 2007. Available at http://www.nursingtimes.net/nursing-practice-clinical-research/raising-awareness-and-reducing-the-risk-of-needlestick-injuries/199784.article.

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《中国循证医学杂志》

840例医务人员锐器伤现状调查

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《中国循证医学杂志》

840例医务人员锐器伤现状调查

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