实习护生针刺伤发生情况调查与思考

An investigation on puncture injuries happening among intern nursing students and its countermeasures

目的:了解某校2002级实习护生实习期间针刺伤及发生情况,为制定实习护生职业防护培训计划提供依据。方法:对2002级184名实习护生采用自行设计问卷进行回顾性调查。结果:实习护生中82.6%曾被针刺伤,发生两次以上的占64.5%,共受伤324人次,被污染针头刺伤的占71.0%,被安瓿割伤的占65.8%;发生针刺伤后正确处理者占5.3%;认为针刺伤可感染HIV、HBV、HCV者占6.5%;防护知识来源于临床带教老师的占72.2%;接触患者血液、体液、排泄物、分泌物时不戴手套的占44.5%,49.5%未接种乙肝疫苗。结论:实习护生针刺伤发生率高,防护意识淡薄,应对护生加强职业防护知识培训。

Objective： To explore the puncture injuries happening among intern nursing students who entered the school in 2002 and to provide evidence for developing an intern nursing student occupational protection training plan. Methods： One hundred and eighty-font nursing students were investigated retrospectively by a self-designed questionnaire. Results： Eighty-two point six percent of the students had been injured and 64.5 percent of them had been injured twice： Among the 324 injuries, 71 percent of them were polluted-needle injuries, 65.8 percent of them were ampoule injuries, Only 5.3 percent of them were handled correctly. Six point five percent of the students believed who injured by polluted-needles could infect HIV, HBV and HCV. Seventy.two point two percent of them got the protection knowledge from clinical nurse teachers. Forty-four point fiveof them didn＇t have gloves when contacting the blood, body fluid, excrement, and secretion of patient. Forty-nine point five percent of them didn＇t inoculate the HBV vaccine. Conclusion Rate of puncture injury is high among intern nursing students and their self-protection consciousness is poor. Occupational protection knowledge training should be given to them.