实施标准操作降低护士头皮针刺伤风险的研究

Implementation of standard operations to reduce risk of scalp acupuncture injuries in nurses

目的通过建立和实施静脉输液撤针标准操作规程,以降低护士污染头皮针刺伤发生率和感染风险。方法采用前、后对照方法,2009年临床护士105人,采用传统方法撤针,2010年临床护士115人,采用标准操作方法撤针,观察两组护士污染头皮针刺伤发生率的变化。结果采用传统方法撤针的护士污染头皮针刺伤发生率为11.43%,采用标准操作方法撤针的护士污染头皮针刺伤发生率为2.61%,差异有统计学意义(P<0.05)。结论在医疗服务过程中,建立各种污染利器处置标准操作规程并实施干预,可有效降低医务人员的利器伤害和感染风险。

OBJECTIVE To establish and implement the standard operation procedures of intravenous infusion to withdraw the needle,so as to reduce the incidence of the contaminated needlestick injuries and the risk of infections.METHODS By means of case-control study,totally 105 clinical nurses were withdrawn the needle in 2009 by using the conventional method,and 115 clinical nurses were withdrawn the needles by using the standard operation,the change of the incidence of contaminated scalp acupuncture injuries among the two groups of nurses was observed.RESULTS The incidence rate of the contaminated scalp acupuncture injuries was 11.43% of the nurses with being withdrawn the needle by the conventional method and was 2.61% in the nurses with being withdrawn the needle by the standard operations,the difference was statistically significant（P0.05）.CONCLUSION During the treatment service,it is effective to reduce the hazards of the sharp instruments and the risk of infections through the establishment of standard operations regulations for contaminated sharp instruments and the implementation of interventions.