安徽省医务人员血源性职业暴露上报情况及影响因素分析

目的 了解安徽省医务人员发生血源性职业暴露后的上报情况,分析上报的影响因素,为提高医务人员职业暴露正确处置率提供参考依据.方法 2019年4月1日至30日以安徽省医疗机构医务人员作为调查对象,采用问卷调查的方法,收集一般人口学特征、暴露发生的经历以及相关影响因素等信息,以是否上报为因变量进行多因素logistic回归分析.结果 共发放调查问卷33185份,回收有效问卷33156份.锐器伤和血/体液暴露后的上报率分别为27.41％和24.43％.单因素分析结果显示,不同年龄、医院级别、文化程度、职称水平、职业、是否遵循标准预防、操作前查看患者免疫十项报告、培训次数职业暴露上报率比较,差异有统计学意义(P<0.05).多因素logistic回归分析显示,职业暴露后影响上报率的因素为职业、医院级别、文化程度、是否遵循标准预防、操作前查看患者免疫十项报告及培训次数(P<0.05).结论 安徽省医务人员职业暴露发生后上报率较低.应加强对医务人员职业暴露正确处置知识专项培训,提高医务人员职业暴露预防和上报意识.

Influencing factors of medical personnel occupational exposure report in Anhui province

Objective To investigate the rate of report and its associated factors after occupational exposure in Anhui province, so as to provide medical personnel for taking proper measures after occupational exposure.Methods Questionnaire was distributed to secondary and above medical institutions in Anhui province. General demographic characteristics, experiences of sharp injuries and blood/body fluid exposure as well as relevant influencing factors of occupational exposure were collected. Multivariate Logistic regression analysis was conducted to find the factor that influenced the report rate. Results A total of 33 185 questionnaires wereissued and 33 156 valid questionnaires recovered. The report rateaftersharp injuries and blood/fluid exposure was 3 338 (27.41%) and 1 983 (24.43%), respectively. Multivariate Logistic regression analysis showed that occupation, hospital level, education level, whether to follow standard prevention during operation, check the patients'' immune reports and the number of training were influencing factors in sharp injuries and blood/body fluid exposure(P<0.05).Conclusions The report rate of medical workers in Anhui Province is low after occupational exposure. Medical institution should strengthen the knowledge of occupational exposure and raise the awareness of standard prevention and treatment.