辖区内一级医院安全注射现状调查与干预对策

Investigation on the current situation of safety injection and intervention measures in first-level hospitals in administrative area

目的为掌握辖区内一级医院安全注射现状,落实职业暴露与医院感染预防控制措施。方法选取2016年3~8月辖区内的22所一级医院的在岗护士作为研究对象,对其安全注射现状及护士相关知识进行调查并干预,比较干预前后的结果。结果干预后的安全注射相关知识回答正确率、皮试针管一人一用一更换合格率、加药针管不重复使用的合格率、不双手回套针帽的合格率、不徒手分离注射器的合格率显著高于干预前,差异有统计学意义(P<0.01)。结论辖区内22所一级医院安全注射现状不容乐观,建立健全的规章制度、配置安全注射用品、规范护士操作行为、加强对护士进行安全注射知识培训并检查督导等是减少不安全注射因素、医院感染隐患和改善该现状的有效策略。

Objective To get known the status quo of safe injection in the first-level hospitals in the administrative area,and to implement the occupational exposure and prevention and control measures of hospital infection.Methods The nurses on guard in 22 first-level hospitals from March to August 2016 in the administrative area were selected as research objects.The status quo of safe injection and nurse-related knowledge were investigated and intervened.The outcome before and after intervention were compared.Results After intervention,the correct rate of answering safety injection related knowledge,the passing rate of skin test needle using and exchanging for everyone,the passing rate of non-reusing needle on adding new drugs,the passing rate of re-sheathing needle cap without double hands,and the passing rate of separating syringe without bare-hand,were much higher in comparison with those before intervention,which were displayed statistical differences（P〈0.01）.Conclusion The safety injection of 22 hospitals in the area is not optimistic.Effective measures including establishing and improving the rules and regulations,configuring the safe injection supplies,normalizing the nurses′ operation behavior,strengthening the nurses′ knowledge training on safe injection as well as check and supervision can reduce the unsafe injection factors,risk of hospital infection,and improve the current situation.