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目的:了解武汉市院前急救医护人员锐器伤发生现况,探讨影响锐器伤发生的危险因素,为制定有效的预防干预措施提供理论依据。方法:采用一般情况问卷、锐器伤情况调查表和锐器伤KAP问卷对武汉市123名院前急救医护人员进行调查及回顾性统计分析。结果:123名医护人员发生锐器伤者72名,锐器伤发生率为58.54%(72/123),年发生率为112.20%(138/123),发生密度为1.91(138/72)。单因素显示不同岗位、工作年限、文化程度、用工性质、睡眠质量、对锐器伤态度、防护行为以及是否使用安全留置针的医护人员锐器伤发生率差异均有统计学意义(P<0.05)。Logistic回归分析显示未使用安全留置针、较低的防护行为、工作年限≤5年和医护人员为非在编人员是锐器伤发生的危险因素。结论:武汉市院前急救医护人员锐器伤发生率较高,医护人员自身和工作环境因素均可能预测锐器伤的发生,应加强锐器伤可预测因素的研究,采取综合干预措施,减少伤害发生。
OBJECTIVE: To understand the current situation of sharp injury of paramedics in prehospital emergency hospital in Wuhan, and to explore the risk factors affecting the occurrence of sharp injury in order to provide a theoretical basis for the development of effective preventive interventions. Methods: A total of 123 pre-hospital emergency medical staff in Wuhan City were surveyed and retrospectively analyzed by questionnaire of common situation, questionnaire of sharp injury and KAP questionnaire of sharp injury. Results: A total of 72 medical staff were injured in sharp weapon. The incidence of sharp injury was 58.54% (72/123). The annual incidence was 112.20% (138/123) and the density was 1.91 (138/72). The single factor showed that there were significant differences in the incidence of sharps injuries among different positions, working years, educational level, nature of work, quality of sleep, sharpness of injuries, protective behavior and whether to use safety indwelling needles (P <0.05 ). Logistic regression analysis showed that no safety indwelling needles were used, lower protection behavior, less than 5 years of working life, and medical staff were not the risk factors for the occurrence of sharp injuries. Conclusion: The incidence rate of sharp injuries of paramedical staff in pre-hospital emergency services in Wuhan is relatively high. Both the medical staff themselves and working environment factors may predict the occurrence of sharp injuries. The predictable factors of sharp injuries should be strengthened. Comprehensive interventions should be taken to reduce Hurt happened.