消毒供应室护士职业防护状况和职业暴露的Logistics回归分析
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摘要
目的调查消毒供应室护士职业暴露和防护知识行为现状,并探讨职业暴露的相关因素。方法采用方便抽样的方法,于2018年3月—2018年6月选取186名消毒供应室护士,采用一般资料问卷、防护知识和防护行为问卷及职业暴露问卷进行调查。结果 76.9%的护士职业暴露阳性,Logistics二元回归分析结果显示:年龄较低者(OR=14.167,P<0.01)、男性(OR=5.113,P<0.01)、工龄较短者(OR=6.250,P<0.01)是职业暴露的危险因素;防护知识评分较高者(OR=0.468,P<0.01)和防护行为评分较高者(OR=0.307,P<0.01)是出现职业暴露的保护因素。结论消毒供应室护士职业暴露发生率较高,通过临床干预提高护士防护知识和行为能力,可能是降低职业暴露发生风险的有效途径。
Objective To investigate the current status of occupational protection awareness and actual protection behavior as well as the prevalence of occupational exposure among nurses in sterile & supply center,and to explore the factors influencing occupational exposure. Methods A convenience samples of 186 nurses were selected from March to June 2018,which were assessed by a set of questionnaires about Social-demographic data,occupational protection awareness and behavior,as well as occupational exposure. Results Among 186 nurses76.9% of them experienced occupational exposure. Binary Logistic regression analysis showed younger(OR=14.167,P <0.01),male(OR =5.113,P <0.01),and shorter seniority(OR =6.250,P <0.01) were the risk predictors for experienced occupational exposure;occupational protection awareness(OR =0.468,P <0.01) and actual protection behavior(OR=0.307,P<0.01) were the protective predictors for experienced occupational exposure. Conclusions There is higher prevalence of occupational exposure among nurses in sterile supply center. It could be effective to implement intervention strategies for decrease the likehood of experiencing occupational exposure so as to enhance occupational protection awareness and actual protection behavior.
Objective To investigate the current status of occupational protection awareness and actual protection behavior as well as the prevalence of occupational exposure among nurses in sterile & supply center,and to explore the factors influencing occupational exposure. Methods A convenience samples of 186 nurses were selected from March to June 2018,which were assessed by a set of questionnaires about Social-demographic data,occupational protection awareness and behavior,as well as occupational exposure. Results Among 186 nurses76.9% of them experienced occupational exposure. Binary Logistic regression analysis showed younger(OR=14.167,P <0.01),male(OR =5.113,P <0.01),and shorter seniority(OR =6.250,P <0.01) were the risk predictors for experienced occupational exposure;occupational protection awareness(OR =0.468,P <0.01) and actual protection behavior(OR=0.307,P<0.01) were the protective predictors for experienced occupational exposure. Conclusions There is higher prevalence of occupational exposure among nurses in sterile supply center. It could be effective to implement intervention strategies for decrease the likehood of experiencing occupational exposure so as to enhance occupational protection awareness and actual protection behavior.
引文
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[12]丁颜,李宁,胡妍.淄博市消毒供应室人员发生锐器伤现状及相关因素分析[J].齐鲁护理杂志,2016,22(21):62-64.
[13] TONG SR,DANG GN. The current status of occupational exposure among clinical nurses[J]. Journal of Nursing Administration,2016,16(1):45-46.
[14]张霞.手术室护理人员发生职业暴露的原因分析与防范措施研究[J].中国卫生标准管理,2018,9(1):15-17.
[15]周秋明,尹丹萍,白凤佺,等.某三甲医院医务人员血源性职业暴露危险因素分析[J].中华医院感染学杂志,2017,27(18):4290-4293.
[16]段利宁,南宁.某医院2013-2016年医务人员血源性职业暴露及危险因素调查分析[J].解放军预防医学杂志,2017(10):1246-1248.
[17]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.
[18]张志刚,魏秋霞,杨致霈,等.医务人员职业暴露现状与防护对策研究[J].中国消毒学杂志,2017,34(3):254-256.
[2] DUMAS O,WILEY AS,QUINOT C,et al. Occupational exposure to disinfectants and asthma control in US nurses[J].European Respiratory Journal,2017,50(4):1700237.
[3]杨冰,张敏,李文捷,等. 2000-2016年护士锐器伤发生率及防控措施落实情况汇总分析[J].中国护理管理,2018,18(4):476-482.
[4]黄俊,胡成,傅保国.个性化护理干预对急诊护士职业暴露后负性情绪的影响[J].华西医学,2016(10):1735-1738.
[5]黄俊,周春苗.职业暴露护士心理状态的纵向性研究[J].长江大学学报(自然科学版),2015,12(24):87-89.
[6]李维瑜,刘静,余桂林,等.知信行理论模式在护理工作中的应用现状与展望[J].护理学杂志,2015,30(6):107-110.
[7]杨思英,张国英.应用知信行模式提高手术室护士手卫生依从性的效果[J].实用临床护理学电子杂志,2018,2(12):168-172.
[8]袁海燕,高金姣,黄瑜,等.应用知信行模式提高ICU护士对多重耐药菌感染防控的效果[J].护理与康复,2017,16(6):671-674.
[9]许浪,余小红.基于知信行模式下提升护士安全注射的护理实践[J].当代护士(下旬刊),2018,25(5):155-158.
[10]唐志红.江西省急救医疗服务体系从事急救相关工作人员的职业防护现况调查与分析[D].南昌:南昌大学,2018.
[11]王庆妍,康虹,肖霖,等.消毒供应中心锐器伤发生现状及影响因素[J].中华护理杂志,2013,48(5):432-435.
[12]丁颜,李宁,胡妍.淄博市消毒供应室人员发生锐器伤现状及相关因素分析[J].齐鲁护理杂志,2016,22(21):62-64.
[13] TONG SR,DANG GN. The current status of occupational exposure among clinical nurses[J]. Journal of Nursing Administration,2016,16(1):45-46.
[14]张霞.手术室护理人员发生职业暴露的原因分析与防范措施研究[J].中国卫生标准管理,2018,9(1):15-17.
[15]周秋明,尹丹萍,白凤佺,等.某三甲医院医务人员血源性职业暴露危险因素分析[J].中华医院感染学杂志,2017,27(18):4290-4293.
[16]段利宁,南宁.某医院2013-2016年医务人员血源性职业暴露及危险因素调查分析[J].解放军预防医学杂志,2017(10):1246-1248.
[17]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.
[18]张志刚,魏秋霞,杨致霈,等.医务人员职业暴露现状与防护对策研究[J].中国消毒学杂志,2017,34(3):254-256.