某医院医务人员职业危害暴露情况

Analysis of occupational hazard exposure of medical staffs in a hospital

目的调查北京市东城区某院医务人员职业危害暴露情况,探讨职业暴露发生的原因及预防对策。方法对东城区某院538名医务人员进行回顾性问卷调查,并对结果进行统计分析。结果共调查医务人员538名,163名医务人员在最近一年内发生过职业暴露,发生率为30.30%。受伤原因最主要是回套针头、针帽。从性别、年龄、婚姻状况、教育程度等11种因素进行logistic回归分析,工作年限及工作喜欢程度两个因素有统计学意义(P<0.05)。结论东城区某院医务人员职业暴露率比较高,工作年限是发生职业暴露的保护性因素,职业危害暴露主要跟工作经验和自身工作状态有关系。应加大培训力度,让有经验的医务人员言传身教,同时加强对反感工作人群的心理疏导,从而减少医务人员的职业暴露水平。

Objective To investigate the occupational hazard exposure of medical staffs in a hospital in Dongcheng district,and to explore the causes of occupational exposure as well as the preventive measures. Methods A retrospective questionnaire survey was conducted among 538 medical staffs in a hospital in Dongcheng district. The result were analyzed with statistical method. Results A total of 538 medical staff were investigated. There were 163 medical staffs who encountered occupational exposures in the last year and the incidence rate was 30. 30%. The main cause of the occupation exposure was recapping of needles. Logistic regression analysis were made for 11 factors,including gender,age,marital status education level and so on. Two factors,working life and perference of the job,showed statistically significant difference（ P〈0. 05）.Conclusion The occupational exposure rate among medical staffs in the hospital in Dongcheng district was relatively high.Working life are the protective factors of occupational exposure. Occupational exposure related to working experience and their own status. Professional training should be enhanced with personnel examples by experienced medical workers, while psychological counseling should be applied to the medical staff who were tired of the job,so as to reduce the level of occupational exposure of medical staff.