80名医务人员职业暴露监测与危险因素分析
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摘要
目的探讨医务人员职业暴露现状,分析导致医务人员职业暴露的危险因素并制定相应预防措施。方法回顾分析洛阳市第六人民医院自2015年2月至2017年2月职业暴露的80名医务人员职业暴露的具体情况,分析其人群分布情况、类型分布情况以及导致医务人员职业暴露发生环节分布情况。结果医务人员职业暴露的地点包括病房、治疗室、手术室、ICU、产房、急诊科等,其中尤以病房和治疗室职业暴露情况最为严重;导致发生医务人员职业暴露的类型包括静脉针、留置针、注射器针头、血液接触、缝合针、特殊穿刺针等,但其中尤以静脉针、注射器针头最为常见;导致医务人员职业暴露发生环节的因素包括静脉拔针时、配药时割伤、手术缝合刺伤、手术刀片割伤、针头放回刺伤、处理锐器、检查与治疗时等,但尤以静脉拔针和针头放回最为常见(P<0.05)。结论临床医务人员职业暴露应着重注意在病房和治疗室静脉针和注射器针头的使用,在拔针和放回的时候更细心,只有规范各个环节的操作,才能最为有效的预防医务人员职业暴露事件的发生。
Objective To explore the present situation of occupational exposure of medical personnel,analyze the risk factors leading to occupational exposure of medical personnel and make corresponding preventive measures.Methods80 cases of occupational exposure in our hospital from February 2015 to February 2017 were analyzed retrospectively.The distribution of the population,the type and the link of occupational exposure of medical staff were analyzed.Results The occupational exposure sites of medical staff included ward,treatment room,operating room ICU,delivery room,emergency department,etc.The occupational exposure in wards and treatment rooms was the most serious.The types of occupational exposure of medical staff included intravenous needle,indwelling needle,syringe needle,blood contact,suture needle,special puncture needle and so on,but vein needle and syringe needle were the most common.The factors leading to the occupational exposure of medical staff include cutting injury when drawing needle in vein,lacerating when dispensing medicine,cutting wound of surgical suture,cutting injury of surgical blade,putting back stab wound of needle,dealing with sharp device,checking and treating,etc.But it was most common to put the needle and needle back into the vein(P <0.05).Conclusion The use of intravenous needle and syringe needle in ward and treatment room should be paid more attention to in the occupational exposure of clinical medical staff.Only by standardizing the operation of each link can the most effective prevention of occupational exposure of medical personnel occur.
Objective To explore the present situation of occupational exposure of medical personnel,analyze the risk factors leading to occupational exposure of medical personnel and make corresponding preventive measures.Methods80 cases of occupational exposure in our hospital from February 2015 to February 2017 were analyzed retrospectively.The distribution of the population,the type and the link of occupational exposure of medical staff were analyzed.Results The occupational exposure sites of medical staff included ward,treatment room,operating room ICU,delivery room,emergency department,etc.The occupational exposure in wards and treatment rooms was the most serious.The types of occupational exposure of medical staff included intravenous needle,indwelling needle,syringe needle,blood contact,suture needle,special puncture needle and so on,but vein needle and syringe needle were the most common.The factors leading to the occupational exposure of medical staff include cutting injury when drawing needle in vein,lacerating when dispensing medicine,cutting wound of surgical suture,cutting injury of surgical blade,putting back stab wound of needle,dealing with sharp device,checking and treating,etc.But it was most common to put the needle and needle back into the vein(P <0.05).Conclusion The use of intravenous needle and syringe needle in ward and treatment room should be paid more attention to in the occupational exposure of clinical medical staff.Only by standardizing the operation of each link can the most effective prevention of occupational exposure of medical personnel occur.
引文
[1]张志刚,魏秋霞,刘启玲,等.医务人员职业暴露监测与危险因素分析[J].实用预防医学,2017,24(9):1105-1107.
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[3]朱萍儿,黄晓明,蒋桂娟,等.95名医务人员职业暴露监测分析[J].中华医院感染学杂志,2013,23(2):397-399.
[4]余红,杨惠英,刘银梅,等.三级综合医院医务人员职业暴露监测[J].中国感染控制杂志,2015,14(6):421-423.
[5]王玲,王作艳,陈峰英,等.医务人员职业暴露监测分析及管理对策[J].基层医学论坛,2016,20(12):1676-1677.
[6]李辉,谢连.2010-2013年柳州市中医院医务人员职业暴露监测分析与防护对策[J].医药前沿,2015,5(26):386-387.
[7]周美儿,应月丹,周飞淦.某医院医务人员职业暴露监测分析[J].预防医学,2017,29(6):619-622.
[8]崔银娟.医务人员职业暴露监测与控制措施[J].中国卫生产业,2016,13(31):142-144.
[2]薛菊兰,李琳.270例医务人员职业暴露监测分析[J].中国消毒学杂志,2014,31(4):432-433.
[3]朱萍儿,黄晓明,蒋桂娟,等.95名医务人员职业暴露监测分析[J].中华医院感染学杂志,2013,23(2):397-399.
[4]余红,杨惠英,刘银梅,等.三级综合医院医务人员职业暴露监测[J].中国感染控制杂志,2015,14(6):421-423.
[5]王玲,王作艳,陈峰英,等.医务人员职业暴露监测分析及管理对策[J].基层医学论坛,2016,20(12):1676-1677.
[6]李辉,谢连.2010-2013年柳州市中医院医务人员职业暴露监测分析与防护对策[J].医药前沿,2015,5(26):386-387.
[7]周美儿,应月丹,周飞淦.某医院医务人员职业暴露监测分析[J].预防医学,2017,29(6):619-622.
[8]崔银娟.医务人员职业暴露监测与控制措施[J].中国卫生产业,2016,13(31):142-144.