临床护士职业防护现状调查分析

目的 了解护士职业安全防护的现状.方法 采用问卷调查的方法,于2005年对广东省15所三级甲等综合医院的500名护士进行护士职业安全防护的现状调查.结果 针刺伤和安瓿割伤发生较频繁,几乎天天发生的比例分别达44.2%和49.0%.在接触患者体液、血液时有68.2%的护士戴手套,接触化疗药有55.3%的护士戴手套,抽血时有53.1%的护士戴手套,倒尿时有57.2%的护士戴手套.掰安瓿时52.1%的护士没有垫纱布保护.有61.3%的护士知道相关的防护法,18.2%的护士很清楚发生职业损伤后的处理流程;58.2%的科室制订有相关的防护措施或防护指引;43.1%的护士认为医院有必要出台更全面、更系统的职业防护指引.结论 护士职业防护意识薄弱,防护知识缺乏,需加强职业防护教育和培训.

Investigation and analysis for occupational prevention status of clinical nurses

Objective To understand the occupational prevention status of clinical nurses in Guangdong province.Methods We investigated 500 nurses in 15 class-three-grade-one hospitals in Guangdong province on occupational prevention status by questionnaires.Results The incidence of pricking wound and incised wound by ampule was frequent.The percent of everyday incidence reached 44.2% and 49.0%.There were 68.2% of nurses wore gloves when contacting the body fluid and blood of patients,55.3% of nurses wore gloves when contacting chemotherapeutic drugs,53.1% of nurses wore gloves during hemospasia,57.2% of them wore gloves when handling urine.There were 52.1% of nurses did not use gauze for protection when handling ampule.There were 61.3% nurses knew related protection law,18.2% of nurses knew the coping process after the incidence of occupational injury.58.2% of nurses established related preventive measure and instructions,43.1% of nurses thought it was necessry for hospitals to produce more comprehensive and systemic occupational prevention instructions.Conclusions The cognition of occupational prevention of nurses was weak and they lacked occupational prevention knowledge.It is necessary to strengthen the occupational prevention education and training.