【摘要】 目的 探討腫瘤科護(hù)士銳器傷發(fā)生原因及預(yù)防管理對策。 方法 2006年6月-2008年5月，采用醫(yī)療銳器傷登記表收集護(hù)士銳器傷情況，并對相關(guān)數(shù)據(jù)資料進(jìn)行統(tǒng)計(jì)分析。 結(jié)果 24名護(hù)士（5.71人次/100張床）發(fā)生銳器傷，主要發(fā)生于護(hù)齡≤1年的護(hù)士（66.67%）；發(fā)生時(shí)間多集中在上午8:30～11:00之間（41.67%）；地點(diǎn)多為病房床旁（70.83%）；銳器傷集中發(fā)生在操作后處理廢棄物過程中（50.00%）；而傷害發(fā)生率最高的器具為輸液器頭皮針（59.26%）；通過追蹤調(diào)查，發(fā)現(xiàn)所有銳器傷人員經(jīng)處理后均未發(fā)生血源性感染。 結(jié)論 加強(qiáng)防范知訓(xùn)培訓(xùn)，提高護(hù)士自我防護(hù)意識；規(guī)范護(hù)理操作行為和廢棄銳器的處理等是預(yù)防或降低護(hù)士工作時(shí)段被感染的重要措施與方法。
【Abstract】 Objective To discuss the causes and preventive measures of sharp instrument injuries among oncology nurses. Methods Sharp Instrument injuries were collected with the guide of Roll Call of Sharp Instrument Injuries in Medicine from June 2006 to May 2008. Related data were statistically analyzed. Results Sharp instrument injuries occurred to 24 nurses (5.71 per 100 beds), most of whom had just been in the post for less than one year (66.67%). Most injuries happened at 8:30 am-11:00 am during the morning (41.67%) and at, the bed side (70.83%). A half of the injuries occurred during medical waste disposal and most injuries were caused by scalp acupuncture (59.26%). No hematogenous infection occurred after proper treatment of the injuries. Conclusion Strengthening the knowledge of self-protection, stipulating and monitoring procedures of operating and disposing of sharp instruments are the most important measures to prevent the nurses from being injured during their working.
引用本文： 符琰,李俊英,余春華. 腫瘤科護(hù)士銳器傷發(fā)生原因及預(yù)防對策. 華西醫(yī)學(xué), 2011, 26(2): 260-262. doi: 復(fù)制
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| 11. | Susan T. Nurses advocate for nurses[J]. American Nurse , 2003, 35(5): 1-3. |
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- 1. Aiken LH, Sloane DM, Klocinski JL. Hospital nurses ’ occupational exposure to blood: prospective, retrospective, and institutional report[J]. Am J Public Health, 1997, 87(1): 103-107.
- 2. 張培芳, 趙明銳, 張秀麗, 等. 護(hù)士被針刺傷后壓力源與應(yīng)對方式的調(diào)查研究[J]. 護(hù)理研究, 2005, 19(7): 1161-1163.
- 3. Lee J, Botteman M, Nicklasson L. A systematic review of the economic and humanistic burden of needlestick injury in the United States[J]. Am J Infect Control, 2004, 32(3): 43.
- 4. 李希蘭, 王云瓊, 周剛. 新醫(yī)護(hù)人員銳器傷調(diào)查及預(yù)防措施[J]. 中國感染控制雜志, 2005, 4(3): 240-241.
- 5. 蘇銀利. 注重《基礎(chǔ)護(hù)理學(xué)》教學(xué)中護(hù)生自我防護(hù)意識的培養(yǎng)[J]. 護(hù)理研究, 2001, 15 (4): 239.
- 6. Lymer UB, Schutz AA, Isaksson B. Adescriptive study of blood exposure incidents among healthcare workers in a university hospital in Sweden[J]. J Hosp Infect, 1997, 35(3): 223-235.
- 7. 任小英, 劉義蘭. 易發(fā)生針刺傷操作環(huán)節(jié)的調(diào)查分析[J]. 護(hù)理研究, 2003, 17(3): 267-268.
- 8. 王紅紅, 楊教, 何國平, 等. 護(hù)士工作中針刺傷現(xiàn)狀及預(yù)防對策[J]. 實(shí)用預(yù)防醫(yī)學(xué), 2002, 9(6): 666-668.
- 9. Tan L. Report of the council on scientific affairs: Preventing needlestick in juries in health care settings[J]. Arch Internal Med, 2001, 16(7): 929-930.
- 10. Yassi A, Mcgill M, Khokhar J, et al. Efficacy and cost-effectiveness of a needleless intravenous access system[J]. AJIC, 1995, 23(2): 57-63.
- 11. Susan T. Nurses advocate for nurses[J]. American Nurse , 2003, 35(5): 1-3.
- 12. Fahey BJ, Koziol DE, Banks SM, et al. Frequency of non-parental occupational exposures to blood and body fluids before and after universal precautions training[J]. AM J Med, 1991, 90(2): 145-153.
- 13. Puro V, Carli GD, Petrosillo N, et al. Risk of exposure to bloodborne infection for Italian healthcare workers, by job category and work area[J]. Infect Control Hosp Epidemiol, 2001, 22(4): 206-210.