2016-2017年东莞市人民医院医务人员锐器伤职业暴露相关因素分析

Analysis on factors related to occupational exposure of sharp injury among medical staff in Dongguan People’s Hospital from 2016-2017

目的了解2016—2017年东莞市人民医院医务人员锐器伤职业暴露的相关影响因素。方法对2016年1月—2017年12月东莞市人民医院发生锐器职业暴露事件的163名医务人员的职业暴露发生情况进行分析。结果163例锐器伤医务人员职业暴露事件的暴露源血源性感染因素以乙型肝炎为主,占31.9%,其次是梅毒;锐器种类以输液针头为主,占20.25%,其次是注射针头等;暴露部位以手指为主,占83.44%,其次是手背;从职业上看,护士发生锐器伤职业暴露的概率更高,占53.37%;从科室上看,医技系统医务人员最容易发生锐器伤职业暴露,其次是外科系统;从年龄上看,年轻的医务人员发生锐器伤职业暴露的概率更高。结论2016—2017年东莞市人民医院医务人员发生锐器伤职业暴露事件的影响因素比较多,所以临床需要采取有针对性的防控措施进行干预,并且医务人员也应全面落实自身的防护工作,减少职业危害。

[Objective]To obtain the relevant influencing factors of occupational exposure to sharp injury among medical staff in Dongguan People's Hospital from 2016-2017.[Methods]The occupational exposure data of 163 medical workers with occupational exposure to sharp injury in Dongguan People's Hospital from January 2016 to December 2017 were analyzed. [Results]Among 163 medical workers with occupational exposure to sharp injury,the main blood-borne infection factor was hepatitis B,accounting for 31.9% ,followed by syphilis. The type of sharp instrument was mainly infusion needle,accounting for 20.25% ,followed by injection needle. The exposed areas were mainly fingers,accounting for 83.44% ,followed by the back of hand. In terms of occupation,nurses had a higher probability of occupational exposure,accounting for 53.37% . For the department,the medical technicians were the most vulnerable to acute occupational exposure,followed by surgical workers. Young medical workers are more likely to have acute occupational exposure at age.[Conclusion]There are many influencing factors of occupational exposure to sharp injury among medical staff in Dongguan People's Hospital from 2016-2017. Therefore,clinical departments should take targeted prevention and control measures,and medical personnel should also fully implement their own protection work to reduce occupational hazards.