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目的:了解标准预防措施在急诊科护士中的执行现状,分析存在的问题,为以后的管理提供依据。方法:选取急诊科145名护理人员为研究对象,采用问卷调查,内容包括基线资料、预防知识、执行状况及影响标准预防措施执行的因素四部分,分析调查结果。结果:37.3%的护士不了解标准预防的概念,59.9%的护士经常用手分离针头和注射器;在易出现液体泼溅的情况下主动戴防护镜的仅占3.5%,主动穿隔离衣的占13.3%;护具使用不便是影响执行的主要因素,占64.8%,其次为没有时间,占50.7%;第三为无防护用具,占50.0%。结论:目前急诊科护士对标准预防措施的掌握程度偏低,对标准预防措施的执行程度不理想,影响因素包括用具使用不便、没有时间和无防护用具,建议在加强相关培训的同时,建立合理的管理制度,改善工作环境,补充防护器具,提高急诊科护士的标准预防措施依从性。
Objective: To understand the implementation of standard precautions in emergency department nurses, analyze the existing problems and provide basis for future management. Methods: A total of 145 nurses from the emergency department were selected as the research subjects. The questionnaires were used to analyze the results of the investigation including the baseline data, prevention knowledge, implementation status and the factors affecting the implementation of the standard precautionary measures. Results: 37.3% of the nurses did not understand the concept of standard prophylaxis. 59.9% of the nurses frequently used needles and syringes to separate their hands. Only 3.5% of them took active protective goggles in case of liquid splashes. 13.3%; inconvenient use of protective gear is the main factor affecting the implementation, accounting for 64.8%, followed by no time, accounting for 50.7%; third non-protective equipment, accounting for 50.0%. Conclusion: At present, emergency department nurses have a low level of mastery of standard preventive measures and unsatisfactory performance of standard precautionary measures. Influencing factors include the inconvenience of using the appliance, lack of time and no protective appliance, and it is suggested that reasonable training should be established at the same time Management system to improve the working environment, add protective equipment, improve emergency department nurses standard preventive measures compliance.