Research on the Causes and Management of Occupational Injuries by Sharp Instruments among Nurses of Oncology_West China Medical Journal

Authors：

FU Yan ,  LI Junying , YU Chunhua

Tumor Conter of West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P.R.China;

Corresponding author：

LI Junying, Email: qiaofu_2005@yahoo.cn

Keywords：

锐器伤; 护士; 监测; 管理

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【摘要】　目的　探讨肿瘤科护士锐器伤发生原因及预防管理对策。　方法　 2006年6月-2008年5月，采用医疗锐器伤登记表收集护士锐器伤情况，并对相关数据资料进行统计分析。　结果　 24名护士（5.71人次/100张床）发生锐器伤，主要发生于护龄≤1年的护士（66.67%）；发生时间多集中在上午8:30～11:00之间（41.67%）；地点多为病房床旁（70.83%）；锐器伤集中发生在操作后处理废弃物过程中（50.00%）；而伤害发生率最高的器具为输液器头皮针（59.26%）；通过追踪调查，发现所有锐器伤人员经处理后均未发生血源性感染。　结论　加强防范知训培训，提高护士自我防护意识；规范护理操作行为和废弃锐器的处理等是预防或降低护士工作时段被感染的重要措施与方法。
【Abstract】　Objective　 To discuss the causes and preventive measures of sharp instrument injuries among oncology nurses.　Methods　 Sharp Instrument injuries were collected with the guide of Roll Call of Sharp Instrument Injuries in Medicine from June 2006 to May 2008. Related data were statistically analyzed.　Results　 Sharp instrument injuries occurred to 24 nurses (5.71 per 100 beds), most of whom had just been in the post for less than one year (66.67%). Most injuries happened at 8:30 am-11:00 am during the morning (41.67%) and at, the bed side (70.83%). A half of the injuries occurred during medical waste disposal and most injuries were caused by scalp acupuncture (59.26%). No hematogenous infection occurred after proper treatment of the injuries.　Conclusion　 Strengthening the knowledge of self-protection, stipulating and monitoring procedures of operating and disposing of sharp instruments are the most important measures to prevent the nurses from being injured during their working.

Citation： FU Yan,LI Junying,YU Chunhua. Research on the Causes and Management of Occupational Injuries by Sharp Instruments among Nurses of Oncology. West China Medical Journal, 2011, 26(2): 260-262. doi: Copy

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7.	任小英, 刘义兰. 易发生针刺伤操作环节的调查分析[J]. 护理研究, 2003, 17(3): 267-268.
8.	王红红, 杨教, 何国平, 等. 护士工作中针刺伤现状及预防对策[J]. 实用预防医学, 2002, 9(6): 666-668.
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10.	Yassi A, Mcgill M, Khokhar J, et al. Efficacy and cost-effectiveness of a needleless intravenous access system[J]. AJIC, 1995, 23(2): 57-63.
11.	Susan T. Nurses advocate for nurses[J]. American Nurse , 2003, 35(5): 1-3.
12.	Fahey BJ, Koziol DE, Banks SM, et al. Frequency of non-parental occupational exposures to blood and body fluids before and after universal precautions training[J]. AM J Med, 1991, 90(2): 145-153.
13.	Puro V, Carli GD, Petrosillo N, et al. Risk of exposure to bloodborne infection for Italian healthcare workers, by job category and work area[J]. Infect Control Hosp Epidemiol, 2001, 22(4): 206-210.

1. 　Aiken LH, Sloane DM, Klocinski JL. Hospital nurses ’ occupational exposure to blood: prospective, retrospective, and institutional report[J]. Am J Public Health, 1997, 87(1): 103-107.
2. 　张培芳, 赵明锐, 张秀丽, 等. 护士被针刺伤后压力源与应对方式的调查研究[J]. 护理研究, 2005, 19(7): 1161-1163.
3. 　Lee J, Botteman M, Nicklasson L. A systematic review of the economic and humanistic burden of needlestick injury in the United States[J]. Am J Infect Control, 2004, 32(3): 43.
4. 　李希兰, 王云琼, 周刚. 新医护人员锐器伤调查及预防措施[J]. 中国感染控制杂志, 2005, 4(3): 240-241.
5. 　苏银利. 注重《基础护理学》教学中护生自我防护意识的培养[J]. 护理研究, 2001, 15 (4): 239.
6. 　Lymer UB, Schutz AA, Isaksson B. Adescriptive study of blood exposure incidents among healthcare workers in a university hospital in Sweden[J]. J Hosp Infect, 1997, 35(3): 223-235.
7. 　任小英, 刘义兰. 易发生针刺伤操作环节的调查分析[J]. 护理研究, 2003, 17(3): 267-268.
8. 　王红红, 杨教, 何国平, 等. 护士工作中针刺伤现状及预防对策[J]. 实用预防医学, 2002, 9(6): 666-668.
9. 　Tan L. Report of the council on scientific affairs: Preventing needlestick in juries in health care settings[J]. Arch Internal Med, 2001, 16(7): 929-930.
10. 　Yassi A, Mcgill M, Khokhar J, et al. Efficacy and cost-effectiveness of a needleless intravenous access system[J]. AJIC, 1995, 23(2): 57-63.
11. 　Susan T. Nurses advocate for nurses[J]. American Nurse , 2003, 35(5): 1-3.
12. 　Fahey BJ, Koziol DE, Banks SM, et al. Frequency of non-parental occupational exposures to blood and body fluids before and after universal precautions training[J]. AM J Med, 1991, 90(2): 145-153.
13. 　Puro V, Carli GD, Petrosillo N, et al. Risk of exposure to bloodborne infection for Italian healthcare workers, by job category and work area[J]. Infect Control Hosp Epidemiol, 2001, 22(4): 206-210.

West China Medical Journal

Research on the Causes and Management of Occupational Injuries by Sharp Instruments among Nurses of Oncology

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