某院2017年职业暴露情况分析与策略研究

Analysis and Strategy Study on Occupational Exposure in A Hospital in 2017

目的通过调查我院2017年度医务人员职业暴露发生情况,为职业暴露管理提供依据。方法采用随机抽样的方法对550名医务工作者进行2017年度职业暴露情况问卷调查。结果回收有效问卷530份,以护士为主,年龄集中在21～25岁,学历为本科居多。2017年共发生职业暴露61例次,主要发生在急诊科,以护理人员为主,职业暴露病原体主要为乙肝15人(24.59%)。医务工作者对职业暴露认知有差别,13.58%的医务工作者认为院方不重视职业暴露培训。结论医务工作者职业暴露危险性大,院方应合理配置人力资源,建立系统可行的培训体系,加大对高危人群的培训力度,加强职能科室管理、监测和随访工作。

Objective To investigate the occupational exposure of medical staff in our hospital in 2017 and to provide basis for occupational exposure management.Methods A questionnaire survey on occupational exposure in 2017 was conducted among 550 medical workers by random sampling.Results 530 effective questionnaires were collected, mainly nurses, aged from 21 to 25 years old, Bachelor＇s degree is the maJority.There were 61 occupational exposures in 2017, mainly in the emergency department, mainly among nurses.The main pathogens of occupational exposure are hepatitis B,which were 15 cases （24.59%）.The cognition of occupational exposure was different among medical workers, and 13.58% of medical workers thought that hospitals did not attach importance to occupational exposure training.Conclusion There is a great risk of occupational exposure for medical workers. The hospital should allocate human resources reasonably and establish a systematic and feasible training system.Strengthen the training of high-risk groups,strengthen the management of functional departments,monitoring and follow-up work.