医院消毒供应中心工人锐器伤影响因素多中心横断面调查

A multicenter cross-sectional survey on influencing factors for sharp injuries among workers in central sterile supply departments

目的：分析集中供应模式下消毒供应中心（CSSD）工人锐器伤的发生现状及影响因素。方法2012年10—11月采用问卷调查法对湖南省16所医院 CSSD 的95名工人进行多中心横断面调查。结果89名（93．68％）工人自进入 CSSD 工作后发生了锐器伤，其中46名（48．42％）发生1～5次，22名（23．16％）发生6～10次，11名（11．58％）发生10次以上。81名（85．26％）工人在调查前1年内至少发生过1次锐器伤，52名（54．73％）工人被患者污染的针头或锐器所伤。logistic 回归分析结果显示，教育程度高是锐器伤发生的保护因素（OR 90％CI ：0．05～0．87），睡眠情况差（OR 90％CI ：1．03～17．94）、接触锐器频率高（OR 90％CI ：1．11～12．15）、其他医务人员（手术室的医生、护士）对物品的归位不合理（OR 90％CI ：1．23～16．98）是锐器伤发生的危险因素。结论CSSD工人锐器伤发生率高，与个人因素及环境因素有关，应引起有关部门的重视，加强个人相关知识培训，提高其防范意识。

Objective To investigate the incidence and influencing factors for sharp injuries occurred in workers in central sterile supply departments （CSSDs）.Methods In October-November 2012,a multicenter cross-sectional survey was conducted,a total of 95 workers in CSSDs of 16 hospitals in Hunan Province were surveyed through questionnaires.Results A total of 89 workers （93.68%）in CSSDs sustained sharp injuries,46 （48.42%）of whom sustained 1 -5 times of sharp injuries,22（23.16%）sustained 6-10 times of sharp injuries,and 11 （11 .58%）sus-tained for at least 10 times of sharp injuries.81 workers （85.26%）sustained at least one time of sharp injuries one year before survey,52 （54.73%）of whom were injured by contaminated needles or other sharps.Logistic regression analysis revealed that higher educational background was protective factor for sharp injuries（OR 90%CI ：0.05-0.87）;while poor sleep quality（OR 90%CI ：1 .03-17.94）,frequent touching sharps（OR 90%CI ：1 .11 -12.15）,and irrational placing of objects by the other medical stuff （surgeons and nurses in operating rooms）（OR 90%CI ：1 .23-16.98）were the risk factors for sharp injuries.Conclusion The incidence of sharp injuries among workers in CSSDs is high,which is related to personal factors and environmental factors.It is suggested to strengthen staff training to enhance their awareness of precaution.