护士锐器伤暴露后的处理与影响因素分析

Treatment and influencing factors for sharp instrument injuries exposed to nurses

目的描述护士锐器伤暴露后处理的现况并分析其影响因素,为制定干预措施提供依据。方法对2013年9月-2014年8月南通市某三级甲等综合医院护士的锐器伤暴露后处理执行情况进行回顾性调查;采用SPSS 20.0软件进行统计分析。结果 541名护士共发生锐器伤157人次,发生率23.7%,人次率29.0%;有305人占56.3%曾发生过锐器伤,完成全程暴露后处理的护士仅60人占19.7%;通过logistic回归分析,致伤锐器源患者状态是锐器伤报告的影响因素。结论护士锐器伤发生率高,但全程暴露后处理执行率低,源患者情况是影响锐器伤报告的因素,应加强相关职业培训,提高护士对锐器伤的风险感知意识,提高暴露后处理的执行率。

OBJECTIVE To investigate the prevalence of sharp instrument injuries exposed to nurses and analyze the influencing factors so as to put forward the intervention measures.METHODS From Sep 2013 to Aug 2014,a retrospective survey was conducted for the status of treatment of the sharp instrument injuries exposed in nurses of a three-A general hospital in Nantong,and the statistical analysis was performed with the use of SPSS 20.0software.RESULTS Of the 541 nurses,157person-times had the sharp instrument injuries,with the incidence rate23.7%,the person-time rate 29.0%;totally 305（56.3%）nurses had suffered from the sharp instrument injuries,and only 60（19.7%）nurses had finished the whole process of treatment of the sharp instrument injuries after exposure.The logistic regression analysis showed that the state of source patients resulting in the sharp instrument injuries was the influencing factor for the report of the sharp instrument injuries.CONCLUSION The incidence of sharp instrument injuries is high in the nurses,however,the implementation rate of whole process treatment is low after the exposure,and the state of source patients is the influencing factor for the report of sharp instrument injuries.It is necessary to strengthen the related occupational training,improve the nurses′awareness of risk of the sharp instrument injuries,and raise the implementation rate of treatment after the exposure.