在院医学研究生职业暴露情况调查及分析

Survey and analysis of status of occupation exposure of medical postgraduate in the hospital

目的了解在院医学研究生职业暴露危险因素,从根本上改变医学生职业防护不良现状,减少职业暴露可能性。方法利用自行设计的调查问卷,对500名研究生按年级划分,分别调查在院医学研究生基本情况、防护情况、手卫生、预防措施使用情况、职业暴露情况及对带教老师职业防护评价及防护教育情况,通过调查,统计、整理数据,分析在院医学研究生职业暴露的原因,并给予相应的对策。结果 3个不同年级在院医学研究生认为自己防护意识低占42.8%,认为自己不了解职业防护知识占20.43%,并有5.59%人发生过职业暴露。暴露人数中65.38%的人认为主要原因是疏于防护且多数人职业暴露发生在手术室。在职业防护教育调查时,发现有40.65%的人参加过职业防护培训,对带教老师防护意识评价中,有14.41%的医学生认为带教老师自我防护意识不高,改善职业防护现状刻不容缓。结论加强职业安全教育,规范各种诊疗操作,提高医学生及带教老师防护意识可有效地降低职业暴露发生的可能性,更有效地保护医学生的身体健康。

ObjectiveTo understand the risk factors for exposing the occupation of medical graduate students and change the bad status of poor occupational protection among medical students fundamentally to reduce the possibility of occupational exposure.Method500 graduate students were divided by grade,and self-designed questionnairewas used to investigate the basic situation,protective case,hand hygiene,prevention measures service condition,occupational exposure of medical postgraduate and the evaluation of occupational protection and protective education of the leading teacher,respectively.In this article,the reason of the occupational exposure of medical graduate students in the hospital wasanalyzedand gave the corresponding countermeasures.ResultsMedical graduate students in the hospital from three different grades said that their protection awareness was lower than 42.8%.20.43%of them thought that they didn′t understand the knowledge of occupational protection and 5.59%had occupational exposure.65.38%of the people who experienced the occupational exposure consider that the main reason was the failure protection and many occupational exposures were happened in the operating room.In occupational protective education investigation,we found that 40.65%had participated in the training of occupational protection.For the evaluation of leading teacher,14.41%of medical students thought that they had poor self-protection awareness.Therefore,it is urgent to improve the present situation of occupational protection.ConclusionOccupational safety education should be strengthen,the standard operation of various diagnoses and treatments should be specified,and the protection consciousness of medical students and leading teacher should be improved.It′s a wayto effectively reduce the possibility of occupational exposure and protect the health of medical students more effectively.