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目的:探讨和研究妇产科医护人员血液传播疾病的职业暴露危险因素,并针对相关细节问题和因素提出可行的管理对策。方法:作者于2012年1月对德清县第三人民医院妇产科的50名医护人员进行了调查,并根据调查结果进行管理方案调整,并于2012年全年实施新方案,2013年1月再次进行相关调查。结果:2012年全年共分娩685例,全科50名医护人员均能正确说出标准预防的概念和发生暴露后的正确处理流程,88%的医护人员会在完成医疗操作后脱掉手套进行洗手,92%的医护人员会在处理新生儿时戴防护手套。结论:目前医护人员对于职业暴露的认知不足,仍存在一定的职业风险,要根据现存的问题提出针对性的管理对策,提高医护人员的防范意识,减少血液传播疾病造成的职业风险,保障医护人员的职业安全。
Objective: To explore and study occupational risk factors of occupational exposure to blood-borne diseases among obstetrics and gynecology staff, and to put forward feasible management strategies according to relevant details and problems. Methods: In January 2012, the author investigated 50 medical staff of obstetrics and gynecology department of Deqing Third People’s Hospital and adjusted the management plan according to the survey results. In 2012, the new plan was implemented throughout the year and January 2013 Conduct the relevant investigation again. Results: A total of 685 cases of childbirth were delivered in 2012. All 50 medical staffs in the department were able to accurately state the concept of standard prevention and the proper handling after exposure. 88% of health care workers took off their gloves after completing the medical procedure Wash hands, 92% of health care workers wear protective gloves when dealing with newborns. Conclusion: At present, there is still some occupational risk for health care workers to recognize occupational exposure. According to the existing problems, it is necessary to put forward specific management strategies to improve the prevention awareness of medical staff, reduce the occupational risks caused by blood-borne diseases and protect the health care Occupational safety of personnel.