1320名医务人员锐器伤现状调查分析

目的 对医务人员锐器伤情况进行回顾性调查,以期对锐器伤的预防和处理提供指导.方法 采用复旦大学附属中山医院设计的调查问卷,对1320名医务人员在2011年8月1 -31日的锐器伤发生情况进行调查.结果 共发放1320份问卷,均为有效问卷；27名医务人员发生锐器伤,其中护士22人,占81.48％,为锐器伤发生的主要人群,锐器伤发生场地主要在普通病房,占45.71％,造成锐器伤发生的医疗器械主要是一次性注射器,占54.29％,造成锐器伤的发生时机主要为补液配置,占51.43％；有68.86％的被调查者参加过培训,仅有8.57％的伤者报告了锐器伤.结论护士是锐器伤发生的高危人群,应加强重点部门锐器伤的防护培训；锐器伤的发生率较高,但是上报率较低；发布与宣传血源性职业暴露的防护指南十分关键.

Investigation of current status of sharp instrument injuries in 1320 medical staff

OBJECTIVE To survey the current situation of the sharp instrument injuries in clinical staff,and to provide scientific evidence for the prevention and treatment of sharp instrument injuries.METHODS A total of 1320 medical staff were surveyed during 1st Aug to 31st Aug,2011 on sharp injuries with the questionnaires designed by Zhongshan Hospital Affiliated to Fudan University.RESULTS All the 1320 distributed questionnaires were valid;there 27 medical staff who suffered the sharp instrument injuries,including 22 nurses(81.48%);injured;and the general ward was ranked as the highest risk department for sharp injuries(45.71%);the disposable syringes(54.29%) were the major medical equipments which caused sharp injuries.Drug reconstitution(51.43%) was the key link where the sharp injuries occurred.There were 68.86% of the respondents who had ever attended the related training,and only 8.57% of the injured respondents reported their sharp injuries.CONCLUSIONS The nurses are the population at high risk of sharp injuries;the training about the prevention of sharp injuries in key departments should be strengthened;the incidence rate of the sharp injuries is high,yet the report rate is low;it is crucial to issue and promote the guidelines for prevention and control of bloodborne occupational exposure.