泌尿外科膀胱灌注化疗操作护理人员职业防护知识及行为调查

Survey of urology nurses on occupation protection from intravesical chemotherapy

目的 了解泌尿外科护理人员膀胱灌注化疗操作时的自我防护知识的知晓情况及行为.方法 采用自行设计调查问卷对接触化疗药物的42名泌尿外科护士和48名化疗科护士进行问卷调查及药物配制操作流程现场考核,并对结果进行比较分析.结果 化疗科护士均接受过化疗药物相关知识培训,只有83.3％的泌尿外科护士接受过培训,培训率明显低于化疗科护士（100％）,差异有统计学意义（P＜0.05）;化疗科护士和泌尿外科护士5项调查的配制化疗药物防护相关知识全部知晓率分别为64.6％和40.5％,泌尿外科护士明显低于化疗科护士,差异有统计学意义（P＜0.05）.在现场考核中,化疗科和泌尿外科护士7项操作完全正确的分别占50％和21.4％,差异有统计学意义（P＜0.05）.结论 泌尿外科护士对膀胱灌注配制药物防护知识缺乏,防护意识薄弱,配制化疗药物时操作不规范.应制定护士防护知识培训教育计划,规范配制化疗药物流程,建立防护制度.

Objective To investigate the awareness of self protection and practice of nurses from urology department when giving intravesical chemotherapy to patients with urinary bladder cancer.Methods One survey via a self-designed questionnaire and an on-the-spot examination of anticancer drugs preparing were done and compared among 42 nurses from urology department and 48 nurses from oncology department.Results All nurses from oncology department were trained with anticancer drugs-associated knowledge and 83.3% nurses from urology department had received some training （P〈0.05）.Over 64.6% nurses from department of medical oncology were familiar with all the five parts of chemotherapy drugs protection protocol,while only 40.5% nurses from department of urology were aware of them.During the on-the-spot examination,50.0% and 21.4% nurses respectively from oncology department and urology department could complete seven anticancer drugs preparation procedure correctly （P〈0.05）.Conclusions The nurses from urology department had weak awareness of self protection and were lack of chemotherapy associated training and standard practice when giving intravesical chemotherapy.It is imperative to work out a protection plan to educate the nurses and establish the protocols for preparing anticancer drugs to reduce the occurrence of occupational hazard.