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目的了解和分析医护人员在诊疗过程中的职业接触情况,以便制定新的方案和措施来减少医护人员感染。方法调查统计2004年1月至2008年6月我院发生的223例职业接触个案。结果223例职业接触中医生发生60例(26.91%),护士发生154例(69.06%),护工发生9例(4.04%),护理人员发生职业接触概率最高(P<0.001);术科病区发生率均高于非术科病区,其中手术室发生64例(28.70%),骨科病房发生49例(21.97%),内科病房发生36例(16.14%),急诊室发生23例(10.31%);职业接触原因:经皮拔针时发生61例(27.35%),手术中发生57例(25.56%);职业接触后服药率较低。结论医护人员发生职业接触概率很高,应加强医护人员的职业接触知识教育,增强职业接触防护意识,严格按各项操作要求,预防锐器伤和黏膜暴露,阻止血源性疾病的传播。
Objective To understand and analyze the occupational exposure of health care workers in the course of medical treatment so as to formulate new programs and measures to reduce the infection among medical staff. Methods The survey investigated 223 cases of occupational exposure in our hospital from January 2004 to June 2008. Results A total of 223 cases of occupational contact with Chinese medicine practitioners occurred in 60 cases (26.91%), 154 cases (69.06%) in nurses, 9 cases (4.04%) in nursing work, and the highest probability of occupational exposure in nursing staff (P <0.001) The incidence of operation room was higher than that of non - surgical ward, including 64 cases (28.70%) in operation room, 49 cases (21.97%) in orthopedics ward, 36 cases (16.14%) in medical ward and 23 cases (10.31%) in emergency room. Causes of occupational exposure: 61 cases (27.35%) occurred during transcatheter occlusion, 57 cases (25.56%) occurred during the operation, and the dosage was lower after occupational exposure. Conclusion There is a high probability of occupational exposure among medical staff. Occupational exposure knowledge education should be strengthened to enhance occupational exposure awareness. Serious injuries and mucosal exposures should be prevented strictly according to various operational requirements to prevent the spread of blood-borne diseases.