防范管理措施对手术室护士血源性职业暴露的影响

Effect Analysis of Preventive Management Measures on Bloodborne Occupational Exposure of Operation Room Nurses

目的探讨防范管理措施对手术室护士血源性职业暴露的影响。方法选取于2022年1月—2023年6月在本院工作的20名手术室护士作为研究对象,于2022年10月起施行相关防范管理措施,比较管理前后职业防护能力及血源性职业暴露发生情况。结果与管理前相比,管理后手术室护士在严格隔离、规范操作、防护用品使用、废弃物处置、职业暴露处理、乐观情绪等方面的防护能力评分均显著提升(P<0.05);与管理前相比,管理后手术室护士在手术缝合、术中血液喷溅、手术器械传递、标本采集、协助手术操作、医疗废物清理、医疗锐器伤等环节的职业暴露总发生率显著降低(P<0.05)。结论对手术室护士实施科学合理的防范管理措施,有助于提高其多方面的职业防护能力,改善其整体防护效果,成功降低血源性职业暴露的发生率。

Objective To explore effect of preventive management measures on blood borne occupational exposure of operation room nurses.Methods The paper chose 20 operation room nurses in our hospital from January 2022 to June 2023 as research subjects,treated with relevant prevention and management measures from October 2022.Occupational protection ability and incidence of blood borne occupational exposure before and after management was compared.Results Protective ability scores of operation room nurses in strict isolation,standardized operation,use of protective equipment,waste disposal,occupational exposure management,and optimistic emotions were significantly higher after management than before,(P<0.05).Overall occupational exposure rate of operation room nurses in surgical sutures,intraoperative blood splashing,surgical instrument transfer,specimen collection,assistance with surgical operations,medical waste cleaning,and medical sharp instrument injuries was significantly lower after management than before,(P<0.05).Conclusion Scientific and reasonable prevention and management measures can improve comprehensive occupational protection capabilities,enhance overall protection effectiveness,and reduce incidence of blood borne occupational exposure of operation room nurses successfully.