锐利器械传递器降低手术室锐器伤发生率的临床分析

The Clinical Analysis of Sharp Instrument Mediator in Reducing Occurrence Rate of Operating Room Sharp Injuries

目的:观察自行设计制作"锐利器械传递器"投入使用情况,以寻找降低手术室锐器伤发生率的最佳方法。方法:利用自行设计的"锐器伤伤害问卷"调查分析手术室工作人员锐器伤好发原因,针对好发因素设计制作锐利器械传递器,用于术中锐利器械传递,经为期1年的临床试用后,对医务人员进行"使用锐利器械传递器效果调查问卷"调查,对比分析锐利器械传递器使用前后的锐器伤发生率及医务人员满意度情况。结果:锐利器械传递过程中受锐器伤的几率最高(占68.82%),初级职称医务人员更易遭受锐器伤害(占93.5%);使用锐器械传递器后锐器伤发生率由82.6%降低至38.4%,使用前后锐器伤发生率比较差异有统计学意义(P<0.05)。医务人员满意度较投入使用之前明显提高,比较差异有统计学意义(P<0.05)。结论:锐利器械传递器可降低术中器械传递所致锐器伤的发生率,适宜推广使用。

Objective：To design and produce sharp instrument mediator to reduce occurrence rate of sharp injuries during transfer process of surgical instruments.Method：Self-designed sharp injury questionnaire was adopted to investigate and analyze frequent reasons of operating room sharp injuries. Sharp instrument mediator was designed and produced according to frequent reasons to be used in transfer process of surgical instruments. After one year of clinical trial,investigation questionnaire of effect of using sharp instrument mediator was answered by medical workers to compare and analyze occurrence rate of sharp injuries and satisfaction rate of medical workers before and after application of sharp instrument mediator.Result：According to the result of sharp injury questionnaire,the highest rate of sharp injuries（68.82%）was during the transfer process of sharp instruments. The primary level medical workers were more easily to be injured by sharp instruments（93.5%）. According to the result of investigation questionnaire of effect of using sharp instrument mediator,the occurrence rate of sharp injuries was dropped from 82.6%to 38.4%after application of sharp instrument mediator（P〈0.05）. Satisfaction rate of medical workers was also significantly improved（P〈0.05）.Conclusion：Sharp instrument mediator can reduce occurrence rate of sharp injuries during transfer process of sharp instruments and it is suitable to be popularized in application.