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目的:探讨分娩室助产士职业暴露的危险因素及防护措施。方法:以在慈溪市人民医院产科工作的38名助产士的临床工作资料为研究对象,分析分娩室助产士职业暴露的危险因素,并对危险因素的预防做出相应措施,以达到降低助产士发生危险事件的发生率的目的。结果:分娩室助产士职业暴露的危险因素主要包括:针头刺伤、羊水污染、血液污染、体液等其他污染,分别占比35.90%、25.64%、12.82%、25.64%;工作年限在5年以下、5~10年、10年以上的助产士发生职业暴露危险率分别为85.71%、14.29%、0.00%;副主任护师、主管护师、护士及其他职位的助产士发生职业暴露危险率分别为0.00%、14.29%、85.71%,说明发生职业暴露危险与助产士的工作年限、工作职位有关,且工作年限越长、职位越高的助产士发生危险率越低,差异具有统计学意义(P<0.05)。结论:助产士职业暴露危险因素较多,需要全面提高助产士的自身防护意识,完善必要的防护措,保证助产士的人身安全是至关重要的。
Objective: To explore the risk factors and protective measures of midwife occupational exposure in delivery room. Methods: Based on the clinical work data of 38 midwives working in obstetrics department of Cixi People's Hospital, the risk factors of occupational exposure to midwife in delivery room were analyzed and corresponding measures were taken to prevent the risk factors in order to reduce the risk of midwife The purpose of the incidence. Results: The risk factors of occupational exposure to midwife in delivery room mainly included: needle puncture, amniotic fluid contamination, blood pollution and body fluid, accounting for 35.90%, 25.64%, 12.82% and 25.64% respectively; working years were less than 5 years, The risk of occupational exposure to midwives of 5 to 10 years and over 10 years was 85.71%, 14.29% and 0.00% respectively. The occupational risk of occupational exposure to nurse-in-chief, nurse-in-charge, nurse and other positions was 0.00% , 14.29% and 85.71%, respectively, indicating that the risk of occupational exposure is related to the working life of the midwife and the job title, and the longer the working life, the lower the risk of the midwife having the higher position, the difference was statistically significant (P <0.05). Conclusion: There are many risk factors for occupational exposure to midwife. It is necessary to improve midwife's awareness of self-protection, improve the necessary protective measures and ensure the personal safety of midwives.