免用手技术传递手术锐器意愿性调查与分析

A survey on willingness of acceptance of hand free techniques to pass sharp surgical instruments

目的了解外科医师和手术室护士对免用手技术的接受、接纳程度。方法选择外科医师、手术室护士为调查对象,采用自行设计的问卷,调查手术室实施免用手技术传递锐器的意愿性,并了解不同意实施的具体原因。结果共发放199份问卷,回收153份,总回收率为76.9%;被调查者多为女性、工龄>5年、初级职称及医院工作人员,分别占调查人数的70.6%、47.7%、34.6%及44.4%;85.62%被调查者认为有必要在手术室实施免用手技术,护士比医师,初、中级职称比高级职称更容易接受(P<0.01);不同意实施的主要原因为影响手术进行,延长手术时间等。结论调查采用循证手段,根据调查结果实施相应干预,利于新技术的推广和应用,达到减少医院职业暴露、维护医务人员职业健康的目的。

OBJECTIVE To understand the surgeons and operating room nurses′ willingness of acceptance of hand free techniques.METHODS The surgeons and operating room nurses were selected as the study objects,the surgeons and operating room nurses′ willingness of implementation of hand free techniques was investigated by using a self-designed questionnaire,and the reasons to refuse the implementation were discussed.RESULTS A total of 199 questionnaires were distributed and 153 returned,the response rate was 76.9%;most participants were women（70.6%）,working for more than five years（47.7%）,the junior title staff（34.6%）and hospital regular staff（44.4%）;85.6% of the participants believed that it was necessary to implement HFT to pass sharp instruments in operating room,the nurses were more likely than the surgeons,the staff with junior,medium and senior titles to accept it（P〈0.01）;the impact on surgery operation and the extending of operation duration were the main reasons to refuse to implement.CONCLUSIONS Evidence-based survey and implementation of appropriate intervention according to the findings would promote the new techniques,reduce occupational exposure and maintain the occupational health of the medical staff.