实习护生职业危害现状研究
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摘要
目的调查实习护生发生职业危害的情况。方法选取某战区总医院的185名实习护生为研究对象,采用实习护生发生锐器伤情况调查表进行调查分析。结果实习护生锐器伤发生率为88.65%,平均锐器伤发生例次为2.81例次/人;实习护生锐器伤主动上报率为14.07%;锐器伤发生场所多在普通病房,占87.48%;发生时正进行的操作中,配置液体占65.90%,其次为处理医疗垃圾,占23.21%;发生部位均在手部。结论实习护生锐器伤发生率较高,应加强实习护生的职业防护教育,强化对实习护生主动报告锐器伤的教育与培训,积极构建主动上报锐器伤的安全文化氛围。
Objective To investigate the status of occupational hazards in nursing interns.Method Totally,185 nursing interns in a General Hospital of Theater Command were selected as the research subjects at random,and the survey was conducted by acute intrument injury questionnaire in nursing intems.Results The incidence of sharp instrument injury was 88.65%,and the average incidence of sharp instrument injury case was 2.81.The incidence of sharp instrument injury reported by nursing interns was 14.07%.Most sharp instrument injuries occurred in the common ward,accounting for 87.48%.As for the ongoing operation of those incidence,the configuration of the liquid accounted for 65.90%, followed by the treatment of medical waste,accounting for 23.21%,the site of the occurrence was in the hand.Conclusion Intern nurses have a higher incidente of sharp injuries,we should strengthen the occupational protection education of nursing interns.It is very necessary to construct the safety culture atmosphere of actively reporting the sharp instrument injury, and strengthen corresponding education and training.
Objective To investigate the status of occupational hazards in nursing interns.Method Totally,185 nursing interns in a General Hospital of Theater Command were selected as the research subjects at random,and the survey was conducted by acute intrument injury questionnaire in nursing intems.Results The incidence of sharp instrument injury was 88.65%,and the average incidence of sharp instrument injury case was 2.81.The incidence of sharp instrument injury reported by nursing interns was 14.07%.Most sharp instrument injuries occurred in the common ward,accounting for 87.48%.As for the ongoing operation of those incidence,the configuration of the liquid accounted for 65.90%, followed by the treatment of medical waste,accounting for 23.21%,the site of the occurrence was in the hand.Conclusion Intern nurses have a higher incidente of sharp injuries,we should strengthen the occupational protection education of nursing interns.It is very necessary to construct the safety culture atmosphere of actively reporting the sharp instrument injury, and strengthen corresponding education and training.
引文
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[2] 黄秀芹,林正燕,诸葛玮,等.实习护生职业安全的现状调查及对策分析[J].中国实用护理杂志,2010,26(7C):42-43.
[3] 崔晓娜.护士职业暴露状况及其相关因素、预防措施的研究进展[J].全科护理,2017,15(6):678-680.DOI:10.3969/j.issn.1674-4748.2017.06.013.
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[6] 黄琳俐.实习护生锐器伤的原因分析及干预对策研究进展[J].护理管理杂志,2014,14(7):482-484.
[7] DARREN M W,ALAN R W,KATHRYN A L .Needle stick injury among nursing student in China[J].Experimental Parasitology,2010,30(5):435-437.
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[11] PURO V,DECARLI G,PETROSILLO N,et al.Risk of exposure to bloodborne infection for Italian healthcare workers,by job category and work area[J].Infection Control of Hospital Epidemiology,2001,22(4):206-210.
[12] SMITH D R,LEGGAT P A.Needle stick and sharps injuries among nursing students[J].Journal Advanced Nursing,2005,51(5):449-455.
[13] 代雅琪,陈芳.一种安瓿开启器的设计与应用[J].护理研究,2015,29(6C):2305.DOI:10.3969/j.issn.1009-6493.2015.18.059.
[14] 罗红梅.安全型静脉留置针在能谱CT增强扫描中的应用[J].解放军护理杂志,2017,34(21):74-76.DOI:10.3969/j.issn.1008-9993.2017.21.020.
[15] 金莉雅,陈玉梅,潘甜甜,等.2002-2012年我国实习护生锐器伤发生率Meta分析[J].护理学报,2013,20(10A):36-39.
[16] 孙晓玲.山东省某三级综合医院医务人员锐器伤发生现状与防护对策研究[D].济南:山东大学,2015.
[17] 李云峰,邹凌燕,曹允芳.护士对护理差错事故认识和态度的调查分析[J].护理学杂志,2004,19(9):52-53.
[18] 黄慧嫦,蓝艳杏.实习生发生锐器伤调查与分析[J].全科护理,2013,11(9):853-854.DOI:10.3969/j.issn.1674-4748.2013.09.059.
[19] 尹建华,郝建春,杨欢,等.案例分析法在护理安全管理中的应用[J].护理管理杂志,2014,14(1):60-61.
[20] 昌子艳,刘红,戴莉,等.缺陷自报分析会在急诊护理安全管理中的应用[J].护理管理杂志,2011,11(10):735-736.
[2] 黄秀芹,林正燕,诸葛玮,等.实习护生职业安全的现状调查及对策分析[J].中国实用护理杂志,2010,26(7C):42-43.
[3] 崔晓娜.护士职业暴露状况及其相关因素、预防措施的研究进展[J].全科护理,2017,15(6):678-680.DOI:10.3969/j.issn.1674-4748.2017.06.013.
[4] 杨丽.实习护生职业暴露因素分析与防范[J].养生保健指南,2017(17):192.
[5] ALISON S C,SAUMIL M,KATHLEEN M,et al.How prepared are medical and nursing students to identify common hazards in the intensive care unit?[J].Annals of the American Thoracic Society,2017,14(4):543-549.
[6] 黄琳俐.实习护生锐器伤的原因分析及干预对策研究进展[J].护理管理杂志,2014,14(7):482-484.
[7] DARREN M W,ALAN R W,KATHRYN A L .Needle stick injury among nursing student in China[J].Experimental Parasitology,2010,30(5):435-437.
[8] 张金华,李秀敏,许丽莉.实习护生锐器伤防护意识的调查分析[J].护理研究,2005,19(10B):2093-2094.
[9] 孟发芬,田玉风,张霄艳.实习护生职业危害与防护知识的调查研究[J].护理研究,2009,23(1A):25-28.
[10] YASSI A,MCGILL M.Determinants of blood and body fluid exposure in a large teaching hospital:hazards of the intermittent intravenous procedure[J].American Journal of Infection Control,1991,19(3):129-135.
[11] PURO V,DECARLI G,PETROSILLO N,et al.Risk of exposure to bloodborne infection for Italian healthcare workers,by job category and work area[J].Infection Control of Hospital Epidemiology,2001,22(4):206-210.
[12] SMITH D R,LEGGAT P A.Needle stick and sharps injuries among nursing students[J].Journal Advanced Nursing,2005,51(5):449-455.
[13] 代雅琪,陈芳.一种安瓿开启器的设计与应用[J].护理研究,2015,29(6C):2305.DOI:10.3969/j.issn.1009-6493.2015.18.059.
[14] 罗红梅.安全型静脉留置针在能谱CT增强扫描中的应用[J].解放军护理杂志,2017,34(21):74-76.DOI:10.3969/j.issn.1008-9993.2017.21.020.
[15] 金莉雅,陈玉梅,潘甜甜,等.2002-2012年我国实习护生锐器伤发生率Meta分析[J].护理学报,2013,20(10A):36-39.
[16] 孙晓玲.山东省某三级综合医院医务人员锐器伤发生现状与防护对策研究[D].济南:山东大学,2015.
[17] 李云峰,邹凌燕,曹允芳.护士对护理差错事故认识和态度的调查分析[J].护理学杂志,2004,19(9):52-53.
[18] 黄慧嫦,蓝艳杏.实习生发生锐器伤调查与分析[J].全科护理,2013,11(9):853-854.DOI:10.3969/j.issn.1674-4748.2013.09.059.
[19] 尹建华,郝建春,杨欢,等.案例分析法在护理安全管理中的应用[J].护理管理杂志,2014,14(1):60-61.
[20] 昌子艳,刘红,戴莉,等.缺陷自报分析会在急诊护理安全管理中的应用[J].护理管理杂志,2011,11(10):735-736.
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