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目的:探讨细节管理在肝病科护士职业暴露风险防控中的应用效果,保证护理人员的身心健康。方法:结合细节管理与风险管理,降低肝病科护士职业暴露风险。加强重点环节的质控,加强护理人员的职业风险教育,健全细节管理制度,严格操作规程。比较实施前后护理人员职业暴露发生率及护理人员对职业风险相关知识的知晓率。结果:将细节管理运用到科室职业风险控制中后,职业暴露风险发生率为7.69%,显著低于实施前66.67%,差异具有统计学意义(P<0.05);实施前护理人员主要职业暴露风险为血液排泄物污染、针刺伤及物理化学因素;而实施后,主要暴露风险为针刺伤。实施后科室护理人员对职业风险相关知识的知晓率显著高于实施前(P<0.05)。结论:将细节管理运用到肝病科护士职业暴露风险的防控中,有利于完善职业防护的管理,减少了护士职业暴露的发生,确保护理人员的身心健康。
Objective: To explore the application effect of detail management in the prevention and control of occupational exposure risk of hepatology nurses and to ensure the physical and mental health of nurses. Methods: Combined with detail management and risk management, reduce the occupational exposure risk of hepatology nurses. Strengthen the quality control of key links, strengthen nursing staff’s occupational risk education, improve the details of management system, strict operating procedures. Compare the occupational exposure of nursing staff before and after the implementation and the nursing staff’s awareness of occupational risk-related knowledge. Results: After applying the detail management to occupational risk control in the department, the occupational exposure risk was 7.69%, which was significantly lower than that before implementation (66.67%), the difference was statistically significant (P <0.05). The major occupational exposure risk of nurses before implementation For the blood fecal contamination, needle stick injury and physico-chemical factors; and implementation, the main risk of exposure is needle stick injury. After the implementation of the department nurses on occupational risk-related knowledge awareness was significantly higher than before implementation (P <0.05). Conclusion: Applying detail management to the prevention and control of occupational exposure risk of hepatology nurses is beneficial to improving the management of occupational protection, reducing the occupational exposure of nurses and ensuring the physical and mental health of nurses.