护士工作中针刺伤现状及预防对策

目的　对临床护士针刺伤现状进行描述。　方法　采用问卷法对 44 1名临床护士进行现况调查 ,收集有关污染锐器处理情况、针刺伤发生率、与针刺伤有关的操作、针刺伤意外后的处理及心理反应。　结果　 82 %的护士在过去的 1年发生过针刺伤 ,与针刺伤有关的操作有套针帽、分离针头、处理针头等。护士在发生针刺伤后采取的主要措施是消毒伤口和挤压伤口 ,5 2 .4%的护士在发生针刺伤后感到害怕。　结论　临床护士针刺伤发生率高 ,污染锐器处理不安全。医院管理部门应加强医护人员职业防护培训 ,规范医疗废物的处理等方面减低医护人员针刺伤 ,保障职业安全

A Cross-sectional Survey on Needle Sticks during Nursing Practice among Clinical Nurses

Objective To describe the condition of needle sticks among clinical nurses Methods Cross-sectional survey was conducted to 441 nurses with a questionnaire. Data was collected in the aspects of handling of contaminated sharps, incidence of needle sticks, procedures associated with needle sticks, management of needle stick, and psychological responses after needle sticks. Result Eighty-two percent of the nurses suffered at least one needle stick in the past one year. Nurses got needle sticks when they recapped the needles, removed the needles from syringe or IV tubes, and handled the contaminated needles. The main methods nurse adopted after a needle stick were washing the wound with disinfectant and squeezing the wound. There was 52.4% of the nurse feeling fear after needle stick. Conclusion There was a high incidence of needle stick happened among the clinical nurses. Nurses demonstrated unsafe behaviors associated with handling contaminated medical sharps. Suggestions are put forward to the administrative department of the hospitals to reduce the number of needle stick and promote occupational safety, ex. providing occupational training on prevention of blood transmitted diseases and regulating the disposal of the medical wastes.