某三级甲等医院医务人员血源性锐器伤报告现状研究

目的: 了解医务人员血源性锐器伤报告现状及存在问题,分析其原因并提出相应改进措施。方法: 通过自行设计的锐器伤调查表对全院医护人员锐器伤发生和报告情况进行问卷调查,比较不同工作类别、性别、科室等锐器伤发生后报告情况。结果: 全院共发放1 000份问卷,回收有效问卷901份,发生血源性锐器伤130人次,发生率为14.4%,其中44人进行了血源性锐器伤报告,报告率33.8%。血源性锐器伤未报告主要原因依次为:自感受伤程度较轻(30.23%),自身有抗体(27.91%),存侥幸心理(16.28%)等。不同科室、暴露源和受伤程度血源性锐器伤报告率差异均有统计学意义(P<0.01)。结论: 应加强对医务人员职业防护知识的培训,提高对锐器伤造成的职业暴露的认识,以提高血源性锐器伤报告水平。

Investigation of the blood-borne sharp injury status among medical staff in a tertiary hospital

Objective: To investigate the blood-borne sharp injury status among medical staff in a tertiary hospital,analyze its reasons,and provide its improvement measures.Methods: The blood-borne sharp injury status among medical staff in a tertiary hospital were investigated using the self-making questionnaire,the different professional types of work,gender and units of whose were compared.Results: The blood-borne sharp injuries in 130 people from 901 questionnaires were found,the incidence rate of which was 14.4%.Forty-four cases were reported,the report rate of which was 33.8%.The perceived light injury(30.23%),oneself antibody(27.91%) and fluke mind(16.28%) were the main unreported reasons of injury.The differences of the report rate in different medical units,sources of exposure and degree of injury were statistically significant(P<0.01).Conclusions: Strengthening the occupational protection training and awareness of occupational exposure among medical staff can improve the report level of the blood-borne sharp injury.