医务人员锐器伤相关因素调查及规范化管理模式探讨

Factors Related to Sharp Injuries among Medical Staff and Standardized Management

目的了解医务人员锐器伤的相关因素,探讨规范化职业安全管理模式。方法根据近4年登记上报的暴露源为血源传染病患者的66例锐器伤案例的发生情况,进行回顾性调查分析,分析其相关因素。结果锐器伤发生的次数因科室、时间、人员的差别而存在差异,手术室发生率为36.4%,输液室为9.1%;早上治疗时段发生率高,为45.5%;实习生及低年资医护人员发生率高,为60.6%,缺乏职业安全防范意识及标准防范措施。结论需注重医务人员锐器伤职业安全规范化管理,以促进医疗职业安全。

OBJECTIVE To investigate the factors related to sharp injuries of medical staff and explore the standardized occupational safety management model. METHODS According to the recent 4-year registration of 66 cases of medical staff suffered from exposure to sources of blood-transmitted diseases because of sharp injury, a retrospective investigation was taken and the relevant factors were analyzed. RESULTS Operating room and transfusion room had a high incidence of sharp injury, 36.4% and 9.1%, respectively. It occurred frequently in treatment of the morning hours （45. 5%）. As lack of occupational safety prevention and awareness of the standardized preventive measures, there was a high incidence in lower stage clinical medical staff and interns （60.6%）. CONCLUSIONS It is necessary to pay attention to the occupational safety standardized management of sharp injuries for medical staff in order to promote medical professional safety.