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目的:了解某地区医院临床护士锐器伤现状,为制定职业防护措施、预防职业暴露后感染提供依据。方法采用问卷调查方法对本地区三所医院532名护士锐器伤进行调查分析,应用EpiData3.1双人录入数据,Excel进行数据统计处理。结果:32.3%的护士有过锐器伤的经历,其中82.16%是被污染的锐器伤的;241例次锐器伤38.17%发生在病房,32.37%发生在处置间;其中操作环节主要集中在拔出动(静)脉针、锐器丢弃前的处理、针头或器械传递及双手回套针帽过程中;主要的锐器为输液器针头、真空采血针及注射器针头。结论临床治疗过程中,护理人员锐器伤发生率较高,采取多种教育形式对护理人员进行职业安全教育,改变其错误观念和行为,规范各种流程,实施标准防护是减少锐器伤的重点。
Objective: To understand the status quo of clinical nurses sharp injuries in a hospital in the region, to provide evidence for the development of occupational protective measures and prevention of occupational exposure. Methods A questionnaire survey was conducted on 532 nurses in three hospitals in the region. Data were collected using EpiData 3.1 data entry and Excel data. Results: 32.3% of the nurses had experienced sharp injury, of which 82.16% were contaminated sharp injuries; 241 cases of secondary sharp injuries 38.17% occurred in the ward, 32.37% occurred in the disposal of the room; where the main focus of the operation In the removal of moving (static) pulse, sharps disposal before disposal, needle or instrument transfer and hands back trocar during the process; main sharps infusion needle, vacuum lancet and syringe needle. Conclusions During the clinical treatment, the nursing staff had a high incidence of sharp injuries. They adopted various forms of education to educate nursing staff on occupational safety, change their mistaken ideas and behaviors, standardize various procedures and implement standard precautions to reduce sharp injuries Focus.