消毒供应室护士锐器致伤相关危险因素调查

Investigation of Risk Factors of Nurse Sharps Injury in the Department of Sterile Supply

目的:探讨消毒供应室护士锐器致伤原因及相关因素,为制定合理的职业暴露防护措施提供依据。方法:对都江堰市3家综合医院消毒供应室人员进行锐器致伤问卷调查,评估消毒供应室锐器致伤发生率及其致伤原因。结果:调查共发放问卷36份,收回有效问卷33份,回收率为91.67%。33份有效问卷中共发生锐器致伤事件88例次,平均发生2.7例次/人,其中28人至少发生过1次锐器伤。锐器致伤的主要原因前3位为缝针(31.82%)、手术刀片(22.73%)、剪刀(20.45%)。接受过职业暴露防护培训人员锐器致伤发生例次明显低于未培训人员;低年资人员锐器致伤发生率显著高于高年资人员,与工作时间呈负相关。结论:消毒供应室锐器伤发生率较高,应加强消毒供应室护士锐器损伤防护知识学习,降低职业暴露风险。

Objective：To evaluate the incidence and reason of sharps injury in the department of sterile supply. Methods：36 nurses in the department of sterile in 3 hospitals were investigated with status survey sheet,and evaluated the incidence and reason of sharps injury. Results： 36 survey questionnaires were distributed and 33 valid questionnaires were obtained; the respond rate was 91. 67%. A total of 88 injury case was found in the 33 questionnaires with an average of 2. 7 times each person. 28 nurses had at least one or more sharp instrument injury. The three major Sharps injuries were： the stitches（31. 82%）,surgical blades（22.73%）,scissors（20. 45%）. The nurses with occupational exposure protection of training had lower sharp instrument injury incidence than that without training; The incidence of sharps injuries in low qualification nurses had a significantly higher than that in high qualification nurses,and that negatively related to the working time. Conclusion： Higher incidence of sharps injuries was found in the department of disinfection supply room,and strengthen of protection knowledge for the nurses should be taken and which may reduce the risk of occupational exposure.