某院锐器伤的危险因素及对医护人员焦虑水平的影响

目的：探讨传染病医院医护人员锐器伤的危险因素及对心理焦虑水平的影响。方法收集某传染病专科医院2008-2012年临床医生、护士发生医疗锐器伤资料，分析锐器伤危险因素和对医护人员心理焦虑状态的影响。结果护士5年累积锐器伤暴露率为35．8％（43/120），高于医生组的12．7％（7/55），差异有统计学意义（χ2＝9．87，P＜0．01）；医生组SAS得分为（49．7±11．3）分，高于护士组的（45．2±9．3）分，差异有统计学意义（t＝12．39，P＜0．05）；导致锐器伤的利器主要为污染头皮针；操作中和操作后为高危操作环节。结论锐器伤导致医护人员心理焦虑，及时对暴露者实施针对性心理辅导，对医护人员职业防护意义重大。

Risk factors of the needstick injury and its impact on anxiety of medical staff

Objective To study the risk factors of the needlestick injury and its impact on anxiety state of the medical staff .Methods From 2008 to 2012 , we collected the data of sharp instrument wound of medical staff and surveyed the Self-Rating Anxiety Scale （ SAS） , to analyze the risk factors of needlestick injury and its impact on anxiety.Results The cumulative exposure rate of needlestick injury of the nurses （43/120, 35.8%） was higher than the doctors ’ （7/55, 12.7%）.The difference was statistically significant （χ2 =9.87,P ＆lt;0.01）.The SAS score of doctors was （49.7 ＆#177;11.3）, which was significantly higher than （45.2 ＆#177;9.3） of the nurses （t=12.39,P＆lt;0.05）.Polluted scalp needle was the most frequent source of needlestick injury .The risk link of needlestick injury was in and after the operation .Conclusions The high risk of sharp injuries can cause the psychological anxiety of medical staff .For medical staff , targeted psychological counseling is a useful measure for occupational protection .