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目的了解本市口腔科医生职业安全防护行为现状,分析其影响因素。方法根据本市口腔医疗机构资源配置情况,对市区内76家医疗机构的474名口腔科医生进行问卷调查,记录接受职业防护知识情况、职业防护措施的认知和执行情况,根据6项职业防护措施执行情况进行赋值,完全做到记为2分、部分做到记为1分、未做到记为0分,分析影响因素。结果口腔专科医院、口腔门诊部的口腔科医生获取职业防护知识的主要途径是临床实习;综合医院口腔科、口腔诊所获取职业防护知识的主要途径是医学院校课程与教材。各类口腔科医生对职业防护培训方式接受程度最高的为继续教育培训班,在职业防护教材和网络课程的选择上略有差异,选择自学和其他培训的口腔科医生较少。口腔科医生采取职业防护措施知晓率最高的为乙肝疫苗注射后免疫有效期,其次为六步洗手法内容和职业暴露后处理方法;对标准预防内容、防护口罩使用时间、使用和处理锐器方法的知晓率较低。口腔科医生职业防护措施执行率最高的为连续使用防护口罩<4 h,其次为每年定期检查乙肝抗体;从事喷溅可能性工作时戴面罩、用六步洗手法洗手、戴手套前后洗手的执行不够规范;单手回套针帽的执行率偏低。不同单位类别、工龄、职称、教育程度的口腔科医生职业防护措施执行情况之间差异均有统计学意义(均P<0.05)。结论本市口腔专科医院医生职业安全防护措施执行情况较佳,其他口腔医疗机构有待于进一步改进;应重视对工龄<10年、非高级职称、大专及以下学历的口腔科医生职业安全防护方面的教育。
Objective To understand the status quo of occupational safety and protection behavior of dentists in our city and analyze its influencing factors. Methods Based on the resource allocation of dental clinics in the city, 474 dentists in 76 medical institutions in the urban area were surveyed, and the cognition and enforcement of occupational protection and occupational protection were recorded. According to 6 occupations, Protective measures for the implementation of the assignment, fully done for the 2 points recorded as part of the record as 1 points, not recorded as 0 points, analysis of the impact of factors. Results The main ways to get the knowledge of occupational protection for the dentists in oral specialty hospitals and dental clinics are clinical practice; the main ways to get occupational protection knowledge in general hospital stomatology and dental clinics are medical college curricula and teaching materials. All kinds of dental doctors have the highest degree of acceptance of vocational training methods for continuing education training courses. There is a slight difference in the selection of vocational training materials and online courses. There are fewer dentists who choose to study in self-study and other trainings. The highest awareness of occupational protection by dentists is the immunization period after hepatitis B vaccine injection, followed by six-step handwashing and post-occupational exposure treatment methods; the standard precautionary content, protective mask use time, use and disposal of sharps methods Low awareness. The highest rate of occupational prevention and treatment of dentists is the continuous use of protective masks <4 h, followed by regular annual inspection of hepatitis B antibodies; the possibility of splashing wearing a mask while working, washing hands with six steps and wearing hand washing before and after wearing gloves Not enough norms; one-handed back trocar implementation rate is low. There were significant differences in the implementation of occupational protection among dentists with different types of units, length of service, job title and educational attainment (all P <0.05). Conclusion The implementation of occupational safety precaution measures of the oral specialists in this Municipality is better and other oral medical institutions need to be further improved. The occupational safety and protection of dentists who have less than 10 years of senior professional titles, education.