中国不同地区12所三甲综合医院护士静脉采血职业防护现状
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李映兰

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R197.323

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Status of occupational protection during venous blood sampling among nurses in 12 tertiary firstclass comprehensive hospitals in different regions of China
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    摘要:

    目的了解护理人员静脉采血时自我防护现状,比较具体职业防护行为有无地区差异。方法按中国六大地理分区(华东、华南、华西、华北、东北、华中)进行分层,对中国不同地区12所三甲综合医院护理人员的静脉采血职业防护的组织管理、具体行为执行及采血后拔针按压情况等进行问卷调查,统计其调查结果,并比较各地区之间的差异。结果调查12所医院89个科室,共计护理人员3 176名。护士每月人均静脉采血次数最多为华南地区,为299.88次;最少为华北地区,为102.03次。99.42%(2 910/2 927)的护理人员知晓医院针刺伤应急预案;采血时佩戴手套者仅65.71%(1 901/2 893),其中最高为华西地区(98.03%,398/406),最低为华北地区(25.00%,115/460),不同地区间比较差异有统计学意义(χ2=617.32,P<0.01);单手直接丢弃废弃针头执行率为49.47%(1 445/2 921),最高为东北地区(66.16%,217/328),最低为华东地区(40.83%,167/409),不同地区间比较差异有统计学意义(χ2=70.28,P<0.01)。嘱患者按压穿刺点上方血管刺入点为65.42%(1 831/2 799),最高为华中地区(74.95%,380/507),最低为东北地区(48.73%,154/316),不同地区间指导患者按压部位正确情况比较,差异有统计学意义(χ2=93.84,P<0.01)。结论中国护理人员静脉采血职业防护意识有待提高,需针对不同地区开展系统化的安全防护培训和规范静脉采血职业防护行为,以减少血源性病原体职业暴露,促进护理人员职业安全。

    Abstract:

    ObjectiveTo investigate the current status of nurses’ occupational protection during venous blood sampling, and compare whether there are differences in specific occupational protective behaviors among different regions. MethodsAccording to stratification of six major geographical regions of China (East China, South China, West China, North China, Northeast China, Central China), nurses in 12 tertiary firstclass comprehensive hospitals in different regions of China were investigated, a questionnaire survey was performed on organization and management of occupational protection during venous blood sampling, implementation of specific behaviors, and pressing after pulling needles of blood sampling, surveyed results were statistically analyzed, difference among different regions was compared. ResultsA total of 3 176 nurses in 89 departments of 12 hospitals were surveyed. The average number of venous blood sampling by nurses was most in South China(299.88 times), and least in North China (102.03 times). 99.42% (2 910/2 927) of nurses knew the emergency countermeasures for needle stick injuries; only 65.71%(1 901/2 893)of nurses wore gloves while collecting blood, the highest was in West China (98.03%, 398/406), the lowest was in North China(25.00%,115/460), difference among different regions was statistically significant (χ2=617.32,P<0.01); 49.47% (1 445/2 921) of nurses discarded the used needle with one hand, the highest was in Northeast China (66.16%,217/328),the lowest was in East China(40.83%,167/409),difference among different regions was statistically significant(χ2=70.28,P<0.01). 65.42%(1 831/2 799)of nurses guided patients to press blood vessel puncture point, the highest was in Central China(74.95%,380/507), the lowest was in Northeast China(48.73%,154/316), difference in correct guiding rate of pressing point among different regions was statistically significant (χ2=93.84,P<0.01). ConclusionIt is necessary to improve the occupational safety awareness of Chinese nurses during venous blood sampling, implement systematic safety precaution training and standardize occupational protection behaviors, so as to reduce bloodborne pathogen occupational exposure and promote safety of nurses.

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袁乾,袁素娥,等.中国不同地区12所三甲综合医院护士静脉采血职业防护现状[J]. 中国感染控制杂志,2018,17(6):474-479. DOI:10.3969/j. issn.1671-9638.2018.06.003.
YUAN Qian, YUAN Sue, et al. Status of occupational protection during venous blood sampling among nurses in 12 tertiary firstclass comprehensive hospitals in different regions of China[J]. Chin J Infect Control, 2018,17(6):474-479. DOI:10.3969/j. issn.1671-9638.2018.06.003.

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  • 收稿日期:2017-12-05
  • 最后修改日期:2018-01-12
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  • 在线发布日期: 2018-06-28
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