妇科护士对配制化疗药物的自我防护知识及行为情况调查分析

目的了解妇科护士配制化疗药物的自我防护知识及行为情况。方法采用自行设计调查问卷对接触化疗药物的32名护士进行问卷调查及药物配制操作流程现场考核。结果 100.0的护士未接受过规范化疗相关知识培训;在实际操作中,90.6的护士配制化疗药物时未做到戴双层手套,84.4的护士在配制化疗药物时未做到戴眼罩和穿防护衣,81.2的护士未在独立配药台或集中配药;93.7的护士未用无菌纱布包裹安瓿颈部打开安瓿及未把针头埋在无菌纱布中排气,84.4的护士配制化疗药物后未及时处理周围环境,93.7的护士对化疗药物未独立存放、未密封运送。结论妇科护士缺乏对配制化疗药物的自我防护知识培训,防护意识薄弱,配置化疗药时操作不规范。应引起管理者重视,可制订护士防护知识培训教育计划,规范配置化疗药物流程,建立防护制度及指引,以减少护士发生职业暴露。

Objective To investigate the awareness of self protection and practical conditions of nurses of gynecologic department when nursing patients treated with chemotherapeutic drugs.Method The survey was done among 32 nurses using a self-designed questionnaire and an on-the-spot examination was done to them in terms of drug-preparing flow sheet.Results 100% nurses had not received any training associated with chemotherapy.90.6% nurses were not doubly gloved.84.4% nurses hadn＇t worn spectacles and protective clothes before preparations.81.2% nurses hadn＇t conducted preparations at separate dispensing table or by central dispensing.93.7% nurses had neither wrapped the neck of the ampoule with aseptic gauze when opening the ampoule nor expelled gases with the syringe needle buried in the gauze.93.7% nurses hadn＇t stored chemotherapeutic drugs separately and sealed during transportation.84.4% hadn＇t treated the environment after preparation.Conclusions By the questionnaire survey and the on-the-spot examination,the nurses in our department have weak awareness of self protection when dealing with chemotherapy,lack chemotherapy associated training and protocols for preparing chemotherapeutic drugs.Nurses of the entire department need education on self-protection knowledge.The protocols for preparing chemotherapeutic drugs need standardizing and systems,and guidelines of protection need establishing so as to reduce the occurrence of occupational hazard.