目的了解临床医师血源性职业暴露的认知、心理状态,为实施有效的预防模式及心理干预提供科学依据。方法采取自行设计的开放式问卷调查表,调查2009年7月-2011年6月医院临床医师发生血源性职业暴露情况,以及暴露后的认知、心理状态。结果有51名医师发生63次血源性职业暴露,其中血液/体液喷溅12次,锐器伤51次;46.0%的暴露源为乙型肝炎表面抗原(HBsAg)阳性;63.8%的医师认为职业暴露后最可怕的结果是感染艾滋病;60.3%的医师认为职业暴露后感染的概率很大;29.3%的医师认为职业暴露尤其是针刺伤不可避免;49.0%的医师职业暴露后表现为惧怕心理。结论临床医师血源性职业暴露后表现为一定的心理反应,应进一步加强职业防护及心理干预,完善医院支持系统,以减轻暴露者暴露后的负性心理。 Objective To understand the cognition and psychological status of clinicians in blood-derived occupational exposure and to provide a scientific basis for the implementation of effective prevention models and psychological interventions. Methods A self-designed open questionnaire was used to investigate the blood-related occupational exposure of hospital clinicians from July 2009 to June 2011 and the cognitive and psychological status after exposure. Results Fifty-one physicians experienced 63 blood-related occupational exposures, including 12 blood / body fluid spills and 51 sharp injuries. 46.0% of the exposure sources were positive for hepatitis B surface antigen (HBsAg); 63.8% The most terrible result after occupational exposure was AIDS; 60.3% of doctors considered the probability of infection after occupational exposure was very high; 29.3% of physicians thought that occupational exposure, especially acupuncture, was inevitable; 49.0% of doctors showed fear after occupational exposure psychological. Conclusion Clinicians showed some psychological reaction after blood-based occupational exposure. Occupational protection and psychological intervention should be further strengthened to improve the hospital support system to reduce the negative psychology after exposure.