Needlestick and Sharp Injury and Its Related Factors among Nursing Students_West China Medical Journal

Authors：

YUAN Zhenfei ¹ , GAO Yongli ¹ ,  NING Ning. ²

1. Department of Emergency; 2. Nursing Department; West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

NING Ning., Email: yuanzhenfei1982@163.com

Keywords：

锐器伤; 实习护士; 影响因素

DOI：

10.7507/1002-0179.20130425

Video：

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目的　探讨实习护士锐器伤发生情况及影响因素，为制订降低实习护士锐器伤政策提供依据。方法　 2012年3月，针对333名临床实习护士进行问卷调查；采用SPSS软件对锐器伤年发生率进行单因素和多因素logistic回归分析。结果　共322名实习护士完成调查，锐器伤年发生率50.0%，发生频率为1.3次/人年。最近一次发生锐器伤时，仅6.5%上报登记。单因素分析显示，本科生、学校课程未针对预防锐器伤进行培训，临床实习带教老师未进行预防锐器伤培训的实习护士，其锐器伤发生率更高。在临床实习可能接触患者血液和体液的操作中，带手套的频率越高，锐器伤发生率越低；注射完成后，回套针帽的频率越高，锐器伤发生率越高。多因素分析表明，本科实习护士发生锐器伤的风险高于中专或大专实习护士[OR=4.603，95%CI（2.241，9.443）]；注射完成后，回套针帽频率增加，发生锐器伤的风险增加[OR=1.672，95%CI（1.032，2.729）]。结论　在教学和临床实践过程中，针对实习护士，尤其是本科实习护士，应进一步加强培训，杜绝回套针帽现象；并进一步健全现有锐器伤上报登记制度。

Citation： YUAN Zhenfei,GAO Yongli,NING Ning.. Needlestick and Sharp Injury and Its Related Factors among Nursing Students. West China Medical Journal, 2013, 28(9): 1354-1357. doi: 10.7507/1002-0179.20130425 Copy

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5.	Talas MS. Occupational exposure to blood and body fluids among Turkish nursing students during clinical practice training: frequency of needlestick/sharp injuries and hepatitis B immunization[J]. J Clin Nurs, 2009, 18(10): 1394-1403.
6.	Zaidi AM, Griffiths R, Beshyah SA, et al. Blood and body fluid exposure related knowledge, attitude, and practice of hospital based health care providers in United Arab Emirates[J]. Saf Health Work, 2012, 3(3): 209-215.
7.	毛秀英, 吴欣娟, 于荔梅, 等. 部分临床护士发生针刺伤情况的调查[J]. 中华护理杂志, 2003, 38(6): 422-425.
8.	Smith DR, Leggat PA. Needlestick and sharps injuries among nursing students[J]. J Adv Nurs, 2005, 51(5): 449-455.
9.	Yao WX, Yang B, Yao C, et al. Needlestick injuries among nursing students in China[J]. Nurse Educ Today, 2010, 30(5): 435-437.
10.	王豪, 刘一, 陈平, 等. 医务人员血源性职业暴露监测分析与防护对策[J]. 重庆医学, 2010, 39(24): 3329-3330.
11.	孔令茹, 孔令俊, 李冰. 医务人员职业暴露现状分析及防护措施[J]. 中华医院感染学杂志, 2011, 21(7): 1393-1394.
12.	张学军. 皮肤性病学[M]. 北京: 人民卫生出版社, 2002: 200-204.
13.	李雁凌, 张占杰, 吴宁, 等. 医务人员艾滋病职业暴露防护现状的调查分析及对策[J]. 护士进修杂志, 2012, 27(6): 504-507.
14.	Cheng HC, Su CY, Yen AM, et al. Factors affecting occupational exposure to needlestick and sharps injuries among dentists in Taiwan: a nationwide survey[J]. PLoS One, 2012, 7(4): e34911.

1. 　中华人民共和国卫生部, 联合国艾滋病规划署, 世界卫生组织. 2011年中国艾滋病疫情估计[J]. 中国艾滋病性病, 2012, 18(1): 1-5.
2. 　康湘怡, 张海萍. 我国妊娠梅毒的现状与诊治[J]. 中国计划生育学杂志, 2013, 21(6): 427-429.
3. 　樊盼英, 孙定勇, 王哲. 丙型肝炎流行病学研究进展[J]. 中华流行病学杂志, 2012, 33(8): 867-869.
4. 　朱会英, 王艳, 沈阿丹, 等. 医务人员血源性职业暴率监测分析与防护对策[J]. 中华医院感染学杂志, 2009, 19(21): 2933-2935.
5. 　Talas MS. Occupational exposure to blood and body fluids among Turkish nursing students during clinical practice training: frequency of needlestick/sharp injuries and hepatitis B immunization[J]. J Clin Nurs, 2009, 18(10): 1394-1403.
6. 　Zaidi AM, Griffiths R, Beshyah SA, et al. Blood and body fluid exposure related knowledge, attitude, and practice of hospital based health care providers in United Arab Emirates[J]. Saf Health Work, 2012, 3(3): 209-215.
7. 　毛秀英, 吴欣娟, 于荔梅, 等. 部分临床护士发生针刺伤情况的调查[J]. 中华护理杂志, 2003, 38(6): 422-425.
8. 　Smith DR, Leggat PA. Needlestick and sharps injuries among nursing students[J]. J Adv Nurs, 2005, 51(5): 449-455.
9. 　Yao WX, Yang B, Yao C, et al. Needlestick injuries among nursing students in China[J]. Nurse Educ Today, 2010, 30(5): 435-437.
10. 　王豪, 刘一, 陈平, 等. 医务人员血源性职业暴露监测分析与防护对策[J]. 重庆医学, 2010, 39(24): 3329-3330.
11. 　孔令茹, 孔令俊, 李冰. 医务人员职业暴露现状分析及防护措施[J]. 中华医院感染学杂志, 2011, 21(7): 1393-1394.
12. 　张学军. 皮肤性病学[M]. 北京: 人民卫生出版社, 2002: 200-204.
13. 　李雁凌, 张占杰, 吴宁, 等. 医务人员艾滋病职业暴露防护现状的调查分析及对策[J]. 护士进修杂志, 2012, 27(6): 504-507.
14. 　Cheng HC, Su CY, Yen AM, et al. Factors affecting occupational exposure to needlestick and sharps injuries among dentists in Taiwan: a nationwide survey[J]. PLoS One, 2012, 7(4): e34911.

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