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院前急救医护人员锐器伤发生危险因素分析
引用本文:焦昆. 院前急救医护人员锐器伤发生危险因素分析[J]. 中国护理管理, 2014, 0(1): 80-83
作者姓名:焦昆
作者单位:武汉市急救中心,430022
摘    要:目的:了解武汉市院前急救医护人员锐器伤发生现况,探讨影响锐器伤发生的危险因素,为制定有效的预防干预措施提供理论依据。方法:采用一般情况问卷、锐器伤情况调查表和锐器伤KAP问卷对武汉市123名院前急救医护人员进行调查及回顾性统计分析。结果:123名医护人员发生锐器伤者72名,锐器伤发生率为58.54%(72/123),年发生率为112.20%(138/123),发生密度为1.91(138/72)。单因素显示不同岗位、工作年限、文化程度、用工性质、睡眠质量、对锐器伤态度、防护行为以及是否使用安全留置针的医护人员锐器伤发生率差异均有统计学意义(P〈O.05)。Logistic回归分析显示未使用安全留置针、较低的防护行为、工作年限≤5年和医护人员为非在编人员是锐器伤发生的危险因素。结论:武汉市院前急救医护人员锐器伤发生率较高,医护人员自身和工作环境因素均可能预测锐器伤的发生,应加强锐器伤可预测因素的研究,采取综合干预措施,减少伤害发生。

关 键 词:院前急救  锐器伤  医护人员  危险因素

Logistic regression analysis of sharp injuries and their risk factors among pre-hospital emergency medical personnel
JIAO Kun. Logistic regression analysis of sharp injuries and their risk factors among pre-hospital emergency medical personnel[J]. Chinese Nursing Management, 2014, 0(1): 80-83
Authors:JIAO Kun
Affiliation:JIAO Kun(Wuhan Medical Emergency Center, Hubei province, 430022 China)
Abstract:Objective: To investigate the epidemiological features, the influencing factors of the sharp injuries ofpre-hospital emergency medical personnel who in Wuhan City. Methods: Retrospectively statistical analysis was performed in this study. The status questionnaire of sharp injuries and sharp injury KAP questionnaire were used to investigate 123 pre-hospital emergency medical staff in Wuhan city. Results: A total of 72 sharp injury events were reported among them. The overall incidence rate of sharp injuries was 58.54% (72/123). The annual incidence was 112.20% (138/123), density was 1.91 (138/72). Objects with different post, working years, educational level, employment status, sleep quality, attitude on sharp injury, protective behavior, whether using security needle or not had different incidence of sharp injury (P〈0.05). Logistic regression analysis showed that not using security needle, Lower levels of protective behavior, working years less than 5 years and contract personnel in prehospital emergency medical staff were risk factors of sharp injuries. Conclusion: The unintentional injury rate of pre-hospital emergency medical personnel was in a high level. The factors of medical personnel themselves and the work environment may predict sharp injury occurrence. Comprehensive intervention measures should be taken to reduce sharp injuries.
Keywords:pre-hospital care  sharp injuries  medical care personnel  risk factors
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