护士对接触抗肿瘤药物自身防护认识的调查

Survey of Nurse's Recognition of Self-protection for Antitumor Drug Contacting

目的:了解市、县级医院护士接触抗肿瘤药物自身防护认识及防护配置。方法:采用自行设计量表形式,选择西南三省78家市、县级医院在四川大学华西医院进修及自考大专实习的护士共157名进行问卷调查。结果:73.9%的护士在工作中不同程度接触化疗药物,92.4%护士对化疗危害有认识,99.4%的护士认为需要加强自身防护,97%的护士需要化疗防护知识的培训;而护士对化疗防护操作规范的知晓率仅在3.8%~62.4%,单位相应防护配置率低,5.7%~62.4%;8.3%单位采取专人集中配制的管理模式。结论:护士职业接触抗肿瘤药物的机会更多更广,护士对职业接触抗肿瘤药物危害性有认识;但医疗单位提供的防护配置缺乏,化疗防护的管理体制不健全,护士接触抗肿瘤药物的防护操作不规范。期望建立科学、集中的化疗防护管理摸式;装备安全有效的防护设施,提供具有防护效力的用具;同时加强护士化疗防护知识和防护操作技能培训。在目前的条件下,医疗单位应根据具体情况,制定护士接触抗肿瘤药物的防护操作规程,采取将化疗药物相对集中专人配制的管理模式,尽量减少与化疗药物的接触,减少环境污染。

Objective:To comprehend the recognition of self-protection and protective allocation for contacting antitumor drug of nurses working in the hospitals in cities and counties.Methods:investigate 157 samples including the nurses advanced studying in West China Hospital,Sichuan University who come from 78 hospitals in the cities and counties of 3 provinces in southwest China and the practical nurses from universities by the measuring scale designed by ourselves.Results:73.9% nurses contact chemotherapeutic drug...