Protection Education towards Needle Stick Injuries among Nursing Students in China: A Meta-Analysis_Chinese Journal of Evidence-Based Medicine

Authors：

ZHANG Yanting ,  WANG Lesan

Department of Epidemiology and Health Statistics, Public Health School of Central South University, Changsha 410078, China;

Corresponding author：

WANG Lesan, Email: wlshncs@126.com

Keywords：

Students nursing; Needle stick injury; Occupational health; Meta-analysis; Systematic review

DOI：

10.7507/1672-2531.20130133

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective 　To systematically evaluate the effect of occupational protection education towards needle stick injuries among nursing students in China.
Methods 　A computerized literature searching was carried out from October 2002 to October 2012 in following databases: PubMed, CNKI, WanFang Data and VIP, so as to collect all controlled studies about the effects of preventing needle stick injuries between students who had occupational protection education and those who had not. Two reviewers independently screened the studies according to the inclusive and exclusive criteria, extracted the data, and assessed the quality. Then RevMan 5.0 software was used for meta-analysis.
Results 　A total of 10 studies involving 2 197 nursing students were included. Ten studies indicated that protection education could reduce the incidence of needle stick injuries by 33%; 3 studies indicated that protection education could increase the awareness rate of protective knowledge by 52%; and 4 studies indicated that protection education could increase the correct treatment rate after injuries by 61%.
Conclusion 　Occupational protection education before internship is effective to prevent needle stick injuries among nursing students. However, because of the limitation of this study, more high quality studies are needed to further confirm its effectiveness and to provide targeted advices for formulating preventive measures.

Citation： ZHANG Yanting,WANG Lesan. Protection Education towards Needle Stick Injuries among Nursing Students in China: A Meta-Analysis. Chinese Journal of Evidence-Based Medicine, 2013, 13(6): 754-759. doi: 10.7507/1672-2531.20130133 Copy

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9.	左凤林, 陈天芬. 实习护生针刺伤发生情况调查与思考. 中国护理管理, 2006, 6(5): 24-25.
10.	李幼平, 杨晓妍, 李鸿浩. 知证卫生决策工具附件——评估设计(改编自Cochrane干预措施系统评价手册) (文18附件2). 中国循证医学杂志, 2010, 10(6): 647.
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14.	Wang HH, Kristopher F, He GP, et al. A training programme for prevention of occupational exposure to bloodborne pathogens: impact on knowledge, behaviour and incidence of needle stick injuries among student nurses in Changsha, People’s Republic of China. J Adv Nurs, 2003, 41(2): 187-194.
15.	邬玲玲. 岗前标准预防教育对减少护生针刺伤的效果观察. 护理研究, 2006, 20(24): 2250-2251.
16.	郭飏, 王红红. 加强实习护生岗前职业防护教育效果的探讨. 中国护理管理, 2007, 7(7):52-53.
17.	王育珊. 实习护生职业防护知识与行为的调查研究. 护理研究, 2008, 22(12): 3298-3299.
18.	平菊梅. 实习前综合教育对护生实习质量的影响. 中国实用医药, 2008, 3(30): 208-209.
19.	王秀红, 郭慧知, 王丽君. 岗前预防教育对减少护生针刺伤的探讨. 中国实用医药, 2009, 4(18): 227-228.
20.	曹英, 杨小雨, 谢爱萍. 实习护生岗前针刺伤预防教育效果研究. 护理管理杂志, 2009, 9(6): 43-44.
21.	李春燕. 综合干预对实习护生针刺伤防护能力的影响. 浙江医学教育, 2009, 08(3): 32-34.
22.	李晓燕. 三结合教育预防护理实习生针刺伤效果观察. 上海预防医学, 2011, 23(12): 648-649.
23.	齐会玲, 周继刚. 职业防护教育对护生操作规范化的影响. 湖北中医药大学学报, 2011, 13(03): 80-81.
24.	Trossman S. Technology helps to reduce nurses’ risk to sharp injuries. Am Nurse, 2012, 44(5): 4.
25.	吴泰相, 刘关键, 李静. 影响系统评价质量的主要因素浅析. 中国循证医学杂志, 2005, 5(1) : 51-58.
26.	张茜, 薛茜. 浅谈系统评价常见的偏倚. 循证医学, 2006, 6(2):105-108.
27.	杨克虎. 干预性试验的系统评价. 见: 杨克虎, 主编. 系统评价指导手册. 第1版. 北京: 人民卫生出版社, 2010: 134-164.

1. 谢世发, 郑艳楠. 实习护生工作中针刺伤的危害与防护. 河南职工医学院学报, 2012, 24(1): 91-93.
2. Cho E, Lee H, Choi M, et al. Factors associated with needlestick and sharp injuries among hospital nurses: A cross-sectional questionnaire survey. Int J Nurs Stud, 2012.
3. Gabriel J. Reducing needlestick and sharps injuries among healthcare workers. Nurs Stand, 2009, 23(22): 41-44.
4. Willem JF, Johannes JK. The need for continuous education in the prevention of needlestick injuries. Contemporary Nurse, 2011, 39(2):194-205.
5. 吴丽军, 何仲. 护士血源性病原体职业暴露风险与预防研究进展. 中华护理杂志, 2005, 40(5): 386-388.
6. World Health Organization. The World Health Report. 2002. Available from: URL: http: //www.who.int/whr/2002/chapter4/en/index8.html(accessed 02.12.11).
7. Saia M, Hofmann F, Sharman J, et al. Needlestick injuries: incident and cost in the United States, United Kingdom, Germany, France, Italy, and Spain. Biomedicine International, 2010, 1: 41-49.
8. 周丽梅, 陈蒙, 王军青, 等. 实习护生面临的护理风险现况调查与分析. 中国循证医学杂志, 2011, 11(12): 1373-1376.
9. 左凤林, 陈天芬. 实习护生针刺伤发生情况调查与思考. 中国护理管理, 2006, 6(5): 24-25.
10. 李幼平, 杨晓妍, 李鸿浩. 知证卫生决策工具附件——评估设计(改编自Cochrane干预措施系统评价手册) (文18附件2). 中国循证医学杂志, 2010, 10(6): 647.
11. Green S, Higgins JPT, Alderson P, et al. Cochrane Handbook for Systematic Reviews of Intervention. Version 5.0.1. The Cochrane Collaboration, 2008.
12. 陈泽鑫, 刘慧, 潘益峰, 等. 试验性和观察性研究相关医学文献质量评价方法. 中国循证医学杂志, 2011, 11(11): 1229-1236.
13. 王丹, 翟俊霞, 牟振云, 等. Meta分析中的异质性及其处理方法. 中国循证医学杂志, 2009, 9(10): 1115-1118.
14. Wang HH, Kristopher F, He GP, et al. A training programme for prevention of occupational exposure to bloodborne pathogens: impact on knowledge, behaviour and incidence of needle stick injuries among student nurses in Changsha, People’s Republic of China. J Adv Nurs, 2003, 41(2): 187-194.
15. 邬玲玲. 岗前标准预防教育对减少护生针刺伤的效果观察. 护理研究, 2006, 20(24): 2250-2251.
16. 郭飏, 王红红. 加强实习护生岗前职业防护教育效果的探讨. 中国护理管理, 2007, 7(7):52-53.
17. 王育珊. 实习护生职业防护知识与行为的调查研究. 护理研究, 2008, 22(12): 3298-3299.
18. 平菊梅. 实习前综合教育对护生实习质量的影响. 中国实用医药, 2008, 3(30): 208-209.
19. 王秀红, 郭慧知, 王丽君. 岗前预防教育对减少护生针刺伤的探讨. 中国实用医药, 2009, 4(18): 227-228.
20. 曹英, 杨小雨, 谢爱萍. 实习护生岗前针刺伤预防教育效果研究. 护理管理杂志, 2009, 9(6): 43-44.
21. 李春燕. 综合干预对实习护生针刺伤防护能力的影响. 浙江医学教育, 2009, 08(3): 32-34.
22. 李晓燕. 三结合教育预防护理实习生针刺伤效果观察. 上海预防医学, 2011, 23(12): 648-649.
23. 齐会玲, 周继刚. 职业防护教育对护生操作规范化的影响. 湖北中医药大学学报, 2011, 13(03): 80-81.
24. Trossman S. Technology helps to reduce nurses’ risk to sharp injuries. Am Nurse, 2012, 44(5): 4.
25. 吴泰相, 刘关键, 李静. 影响系统评价质量的主要因素浅析. 中国循证医学杂志, 2005, 5(1) : 51-58.
26. 张茜, 薛茜. 浅谈系统评价常见的偏倚. 循证医学, 2006, 6(2):105-108.
27. 杨克虎. 干预性试验的系统评价. 见: 杨克虎, 主编. 系统评价指导手册. 第1版. 北京: 人民卫生出版社, 2010: 134-164.

Chinese Journal of Evidence-Based Medicine

Protection Education towards Needle Stick Injuries among Nursing Students in China: A Meta-Analysis

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