医院社区健康服务中心护士发生锐器伤的调查和对策

Sharp Wound's Investigate and Countermeasure for Nurse in Hospital Community Healthy Service Center

目的探讨护士预防锐器伤的对策,旨在提高社康护士的预防医院感染和职业防护的水平。方法采用对本院9处社康共77位护士的问卷调查,对其发生锐器伤的有关情况通过统计学进行处理和分析。结果被调查的72名护士有55人发生锐器伤,发生率76.4%,共发生223例次损伤,平均每人发生锐器伤3.1次,发生锐器伤的锐器主要是针头和玻璃。其中在注射、拔针、开安瓿、处理废弃物等环节容易发生。其中71.3%为针头所刺伤;22.9%为玻璃类所伤。操作后整理用物特别在处理使用过的锐器时刺伤率19.7%。结论应加强社康护士的职业安全教育,科室有正确的锐器伤处理原则和操作指引,使护士在面临锐器伤职业危险时,能积极正确采用防护工具,做到锐器伤后能正确处理,从而既有效预防也能正确处理锐器伤害,大大地提高社康护士的预防医院感染和职业防护水平。

Objective To explore prevention of the nurse from sharp wound＇s countermeasure, and to enhance cominunity healthy nurse＇s prevention for hospital infect and occupation protect＇s level. Methods Adopts to our courtyard 9 a community healthy altogether 77 nurse＇s questionnaire survey, to it take place sharp wound ＂s relevance situation by statistics proceed dispose and analysis. Results Cover 72 inquisitional nurses had 55 peoples experienced sharp wound with incidence of 76.4%, altogether totally had 223 times damages, averages everyone showed sharp wound 3.1 time, and sharp wound＇s sharp hoster if pinhead and glass. Among them at injection, pulls needle, opens safe, disposes junk wait for tache easily take placeo Among them 71.3% for pinhead stabs; 22.9% for glass kind wounds. Operates behind neaten use thing especial at dispose use ＂s sharp time stab rate 19.7%. Conclusion Should strength community healthy nurse＇s occupational safety education, administrative or technical offices have right sharp wound dispose principle and operation directive, makes nurse at face sharp wound occupation danger time, can active right adopt protective equipment, accomplishes sharp wound behind can right disposal, thus already effective prevents also can right dispose sharp hurt. Greatly enhance community healthy use ＂s prevent hospital infect and occupation protect level.