A Study on the Effects of Training of Prevention of Occupational Exposure to Blood-borne Pathogens for Medical Staff in High-risk Areas of AIDS_West China Medical Journal

Authors：

XU Shilan ¹ , LI Ying ² , ZOU Mei ² , XIAO Weijun ² , WANG Yantong ¹

1. Hospital Infection Control Department, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China; 2. Hospital Infection Control Department, the First People’s Hospital of Liangshan, Liangshan, Sichuan 615000, P. R. China;

Corresponding author：

Keywords：

医务人员; 艾滋病; 血源防护; 标准预防; 问卷调查

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目的　了解艾滋病高发区医务人员血源防护情况以及培训所取得的效果。方法　采用自行设计的问卷，对凉山州某医院参加培训的职工进行培训前后调查。结果　培训前89人参加调查，培训后93人参加调查；女性、护士和初级职称者占绝大多数；培训前调查参加者中84.3%接受过预防锐器伤培训，79.8%工作中被锐器刺伤，38.2%报告过职业暴露，95.5%接种过乙肝疫苗；6道知识考核题培训后答对率比培训前均有不同程度的提高，其中4道比较具有统计学上的意义（P＜0.05）。结论　该院医务人员已具备一定职业防护意识，对一些知识点掌握较好，但培训强化可提高职业暴露报告依从性和预防治疗及时性，更好维护艾滋病高发区医务人员的职业健康。

Citation： XU Shilan,LI Ying,ZOU Mei,XIAO Weijun,WANG Yantong. A Study on the Effects of Training of Prevention of Occupational Exposure to Blood-borne Pathogens for Medical Staff in High-risk Areas of AIDS. West China Medical Journal, 2012, 27(3): 396-398. doi: Copy

1.	Wang H, Fennie K, He G, et al. A training programme for the prevention of ccupational exposure to blood-borne pathogens: impact on knowledge, behaviour and incidence of needle stick injuries among student nurses in Changsa, People’s Republic of Chima[J]. J Advanc Nurs, 2003, 41(2): 187-194.
2.	刘童童, 李英华, 李雨波, 等. 四川省凉山彝族自治州农村地区AIDS健康教育现状调查及策略建议[J]. 中国健康教育, 2010, 26(5): 334-337.
3.	陆远和, 黄新涛. 凉山州实施全球基金结核病控制项目效果分析[J]. 华西医学, 2008, 23(1): 51-52.
4.	张炜, 陈小虎. 少数民族大学生中开展预防艾滋病健康教育模式探索[J]. 西昌学院学报(自然科学版), 2010, 24(4): 138-140.
5.	姚辉鸣, 李新旭, 阮玉华, 等. 四川省西昌市静脉吸毒人群丙型肝炎病毒感染情况研究[J]. 中国药物滥用防治杂志, 2007, 13(2): 67-69.
6.	徐世兰, 吴西亿, 饶莉, 等. 840例医务人员锐器伤现状调查[J]. 中国循证医学杂志, 2011, 11(6): 636-639.
7.	徐世兰. 教学医院血源性病原体职业接触防护管理探讨[J]. 中华医院感染学杂志, 2010, 20(12): 1748-1749.
8.	Gershon RR, Vlahov D, Felknor SA, et al. Compliance with universalprecautions among health care workers at three regional hospitals[J]. Am J Infect Control, 1995, 23(4): 225-236.
9.	Stringer B, Infante-Rivard C, Hanley J. Quantifying and reducing the risk of bloodborne pathogen exposure[J]. AORN J, 2001, 73(6): 1135-1140, 1142-1143, 1145-1146; quiz 1147-1148, 1151-1154.
10.	Wright JG, McGeer AJ, Chyatte D, et al. Mechanisms of glove tears and sharp injuries among surgical personnel[J]. JAMA, 1991, 266(12): 1668-1672.
11.	中华人民共和国卫生部. GBZ/T 213-2008血源性病原体职业接触防护导则[S]. 2009.
12.	Lee JM, Botteman MF, Xanthakos N, et al. Needlestick injuries in the United States. Epidemiologic, economic, and quality of life issues[J]. AAOHN J, 2005, 53(3): 117-133.
13.	杨成彬, 罗雪文. 12例HIV职业暴露情况分析[J]. 中国艾滋病性病, 2009, 15(3): 315.

1. 　Wang H, Fennie K, He G, et al. A training programme for the prevention of ccupational exposure to blood-borne pathogens: impact on knowledge, behaviour and incidence of needle stick injuries among student nurses in Changsa, People’s Republic of Chima[J]. J Advanc Nurs, 2003, 41(2): 187-194.
2. 　刘童童, 李英华, 李雨波, 等. 四川省凉山彝族自治州农村地区AIDS健康教育现状调查及策略建议[J]. 中国健康教育, 2010, 26(5): 334-337.
3. 　陆远和, 黄新涛. 凉山州实施全球基金结核病控制项目效果分析[J]. 华西医学, 2008, 23(1): 51-52.
4. 　张炜, 陈小虎. 少数民族大学生中开展预防艾滋病健康教育模式探索[J]. 西昌学院学报(自然科学版), 2010, 24(4): 138-140.
5. 　姚辉鸣, 李新旭, 阮玉华, 等. 四川省西昌市静脉吸毒人群丙型肝炎病毒感染情况研究[J]. 中国药物滥用防治杂志, 2007, 13(2): 67-69.
6. 　徐世兰, 吴西亿, 饶莉, 等. 840例医务人员锐器伤现状调查[J]. 中国循证医学杂志, 2011, 11(6): 636-639.
7. 　徐世兰. 教学医院血源性病原体职业接触防护管理探讨[J]. 中华医院感染学杂志, 2010, 20(12): 1748-1749.
8. 　Gershon RR, Vlahov D, Felknor SA, et al. Compliance with universalprecautions among health care workers at three regional hospitals[J]. Am J Infect Control, 1995, 23(4): 225-236.
9. 　Stringer B, Infante-Rivard C, Hanley J. Quantifying and reducing the risk of bloodborne pathogen exposure[J]. AORN J, 2001, 73(6): 1135-1140, 1142-1143, 1145-1146; quiz 1147-1148, 1151-1154.
10. 　Wright JG, McGeer AJ, Chyatte D, et al. Mechanisms of glove tears and sharp injuries among surgical personnel[J]. JAMA, 1991, 266(12): 1668-1672.
11. 　中华人民共和国卫生部. GBZ/T 213-2008血源性病原体职业接触防护导则[S]. 2009.
12. 　Lee JM, Botteman MF, Xanthakos N, et al. Needlestick injuries in the United States. Epidemiologic, economic, and quality of life issues[J]. AAOHN J, 2005, 53(3): 117-133.
13. 　杨成彬, 罗雪文. 12例HIV职业暴露情况分析[J]. 中国艾滋病性病, 2009, 15(3): 315.

West China Medical Journal

A Study on the Effects of Training of Prevention of Occupational Exposure to Blood-borne Pathogens for Medical Staff in High-risk Areas of AIDS

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