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目的调查门诊输液室血源性传染病的危险因素,探讨有效的防护措施。方法回顾性调查分析2010年本院门诊输液室78名护士的职业接触情况。结果门诊输液室护士血源性传染病的危险因素主要有接触患者血液、安瓿割伤和针刺伤等,其中以接触患者血液和安瓿割伤最多见,分别占55.23%和41.18%。本组护士在过去1年内血源性传染病危险因素发生率为100%,有93.59%的人接触过患者血液;有78.21%的人被安瓿割伤过;针刺伤发生率为23.08%,发生针刺伤后仅44.12%上报医院,其余上报率为零加强对门诊输液室护士职业防护知识培训,增强个人防护意识,合理调配人力资源,是减少护士职业接触的关键。
Objective To investigate the risk factors of blood-borne infectious diseases in outpatient infusion room and to explore effective protective measures. Methods A retrospective survey was conducted to analyze the occupational exposure of 78 nurses in outpatient infusion room in our hospital in 2010. Results Outpatient infusion room nurses the main risk factors for blood-borne diseases were contact with patients with blood, ampoules and acupuncture wounds, etc., of which contact with patients with blood and ampoules cut the most common, accounting for 55.23% and 41.18%. The nurses in this group within the past year the risk of bloodborne infectious disease incidence was 100%, 93.59% of the people had been exposed to the patient’s blood; 78.21% were amputated; needle acupuncture was 23.08% Only 44.12% of them were reported to the hospital after acupuncture injury, and the remaining rate was zero. Training on occupational protection of outpatient infusion room nurses was strengthened. The awareness of personal protection and rational deployment of human resources were the keys to reducing occupational exposure of nurses.