[1]易冬梅,张雪英,饶青菊,等.实习护士职业暴露原因分析及防控对策[J].医学信息,2018,31(09):177-179.[doi:10.3969/j.issn.1006-1959.2018.09.059]
　YI Dong-mei,ZHANG Xue-ying,RAO Qing-ju,et al.Cause Analysis and Prevention Countermeasures of Occupational Exposure for Practice Nurses[J].Journal of Medical Information,2018,31(09):177-179.[doi:10.3969/j.issn.1006-1959.2018.09.059]
点击复制

实习护士职业暴露原因分析及防控对策()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
31卷
期数:
2018年09期
页码:
177-179
栏目:
护理研究
出版日期:
2018-05-01

文章信息/Info

Title:
Cause Analysis and Prevention Countermeasures of Occupational Exposure for Practice Nurses
文章编号:
1006-1959（2018）09-0177-03
作者:
易冬梅; 张雪英; 饶青菊; 杨火梅
庐山市人民医院医院感染控制科，江西 庐山 332800
Author(s):
YI Dong-mei; ZHANG Xue-ying; RAO Qing-ju; YANG Huo-mei
Department of Nosocomial Infection Control,Lushan People's Hospital,Lushan 332800,Jiangxi,China
关键词:
实习护士; 职业暴露; 锐器伤; 防控对策
Keywords:
Key words：Practical nurses; Occupational exposure; Sharp instrument injury; Prevention countermeasures
分类号:
R47
DOI:
10.3969/j.issn.1006-1959.2018.09.059
文献标志码:
A
摘要:
目的 了解实习护士职业暴露特点，分析其发生原因，探讨防控对策，减少实习护士职业暴露的发生。方法 统计分析2014年4月~2016年12月46例实习护士职业暴露登记表，对其暴露地点、方式、时机、暴露源、局部处理及随访结果进行统计分析。结果 实习护士职业暴露高发于内科病房，占36.95%；损伤类别以锐器伤为主，占95.65%；拔针、清理废物是易发环节分别占65.21%、17.39%；乙型肝炎是高危暴露源占54.35%；暴露后及时正确处置率为95.65%；58.70%的实习护士自身没有乙肝抗体。结论 针对实习护士职业暴露高危因素，加强职业暴露防护培训，提高职业安全意识，正确实施标准预防，规范操作规程，合理使用防护用品，是切实有效降低职业暴露风险的重要环节。
Abstract:
Abstract：Objective To understand the occupational exposure characteristics of practical nurses,analyze their causes,discuss prevention and control strategies,and reduce the occurrence of occupational nurses' occupational exposure.Methods From April 2014 to December 2016,the occupational exposure registration forms of 46 intern nurses were statistically analyzed.The location,mode, timing,source,local treatment and follow-up results were analyzed.Results The occupational exposure of internship nurses was high in the internal medicine ward,accounting for 36.95%,the main injury category was sharp instrument injury,accounting for 95.65%,and 65.21% and 17.39% of the easy links were extracted and cleaned up,54.35% of the high-risk exposure sources were hepatitis B,and the correct treatment rate was 95.65% after exposure,and 58.70% of the practice nurses themselves did not have HBV antibody.Conclusion According to the occupational nurses' high risk factors of occupational exposure,strengthening occupational exposure protection training,raising awareness of occupational safety,correctly implementing standard prevention,standardizing operating procedures,and using protective equipment reasonably are important links for effectively reducing occupational exposure risk.

参考文献/References:

[1]王力红,朱士俊.医院感染学[M].北京:人民卫生出版社,2014:1030.
[2]Cho E,Lee H,Choi M,et al.Factirs associated with needlestick and sharp injuries among hospital nurses:a cross-sectional questionnaire survey[J].Int J Nurs Stud,2013,50(8):1025-1032.
[3]谈宜斌,孙代艳,宋世会,等.医务人员血源性职业暴露的风险及防控分析[J].中华医院感染学杂志,2017,27(1):221-223.
[4]杜秋焕,王江滨,吴怀兰,等.新护士职业防护认知状态调查与分析[J].中华医院感染学杂志,2010,20(22):3558-3559.
[5]张鸿,陈炜,刘玉馥,等.86例实习护士职业暴露原因分析及防护对策[J].循证护理,2017,3(3):271-274.
[6]李彥,李岩,陈同利,等.锐器伤专项微型培训在职业暴露风险中的应用[J].中华医院感染学杂志,2014,27(9):2148-2151.
[7]宋平,周建新,王艳娜.临床护士针刺伤事件监测与分析[J].中华医院感染学杂志,2011,21(14):3005-3007.

相似文献/References:

[1]曹 莉,刘华之.品管圈活动对降低医务人员职业暴露发生的效果研究[J].医学信息,2018,31(15):164.[doi:10.3969/j.issn.1006-1959.2018.15.054]
　CAO Li,LIU Hua-zhi.Study on the Effect of Quality Control Circle Activities on Reducing Occupational Exposure of Medical Staff[J].Journal of Medical Information,2018,31(09):164.[doi:10.3969/j.issn.1006-1959.2018.15.054]
[2]谢凌燕.汉川市第二人民医院工作人员职业暴露危险因素分析 及防护措施[J].医学信息,2018,31(15):173.[doi:10.3969/j.issn.1006-1959.2018.15.058]
　XIE Ling-yan.Analysis of Occupational Exposure Risk Factors and Protective Measures for Staff of the Second People's Hospital of Hanchuan City[J].Journal of Medical Information,2018,31(09):173.[doi:10.3969/j.issn.1006-1959.2018.15.058]
[3]王利华,钱亚利.某院2017年职业暴露情况分析与策略研究[J].医学信息,2018,31(21):129.[doi:10.3969/j.issn.1006-1959.2018.21.036]
　WANG Li-hua,QIAN Ya-li.Analysis and Strategy Study on Occupational Exposure in A Hospital in 2017[J].Journal of Medical Information,2018,31(09):129.[doi:10.3969/j.issn.1006-1959.2018.21.036]
[4]章 琦,郑雪梅,李宝珍,等.医务人员医院感染防控知信行现状及其培训需求调查分析[J].医学信息,2022,35(13):168.[doi:10.3969/j.issn.1006-1959.2022.13.042]
　ZHANG Qi,ZHENG Xue-mei,LI Bao-zhen,et al.Investigation and Analysis on KAP Status and Training Needs of Hospital Infection Prevention and Control Among Medical Staff[J].Journal of Medical Information,2022,35(09):168.[doi:10.3969/j.issn.1006-1959.2022.13.042]
[5]王文超,饶 颖,鲍翠玉.实习护士院外施救的意向及影响因素的调查[J].医学信息,2019,32(15):132.[doi:10.3969/j.issn.1006-1959.2019.15.043]
　WANG Wen-chao,RAO Ying,BAO Cui-yu.Investigation on the Intention and Influencing Factors of the Practice of Nursing Nurses outside the Hospital Rescue[J].Journal of Medical Information,2019,32(09):132.[doi:10.3969/j.issn.1006-1959.2019.15.043]
[6]陈宇婕,于 研,施 静.微信群联合问卷星在骨科实习护士培训考核中的应用效果[J].医学信息,2019,32(20):175.[doi:10.3969/j.issn.1006-1959.2019.20.056]
　CHEN Yu-jie,YU Yan,SHI Jing.Application Effect of WeChat Group Joint Questionnaire Star in Training Evaluation of Orthopedics Internship Nurses[J].Journal of Medical Information,2019,32(09):175.[doi:10.3969/j.issn.1006-1959.2019.20.056]
[7]田 娟,谢 辉,李 巧.某三级综合医院医务人员血源性职业暴露调查分析[J].医学信息,2019,32(24):127.[doi:10.3969/j.issn.1006-1959.2019.24.045]
　TIAN Juan,XIE Hui,LI Qiao.Investigation and Analysis of Blood-borne Occupational Exposure of Medical Staff in a Tertiary General Hospital[J].Journal of Medical Information,2019,32(09):127.[doi:10.3969/j.issn.1006-1959.2019.24.045]
[8]张梦瑶,尹安思,黄雅娴,等.泸州市医护人员艾滋病职业暴露和防护现况调查[J].医学信息,2021,34(19):139.[doi:10.3969/j.issn.1006-1959.2021.19.037]
　ZHANG Meng-yao,YIN An-si,HUANG Ya-xian,et al.Survey on Occupational Exposure and Protection of AIDS Among Medical Staff in Luzhou[J].Journal of Medical Information,2021,34(09):139.[doi:10.3969/j.issn.1006-1959.2021.19.037]

更新日期/Last Update: 2018-05-01