頁籤選單縮合
題 名 | 南部某醫學中心針頭與銳物刺傷之調查研究=The Prevalence of Needle-Stick and Sharp Object Injuries at a Medical Center in Taiwan |
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作 者 | 蕭淑銖; 莊銀清; 柯文謙; 黃崑巖; 郭育良; | 書刊名 | 院內感染控制雜誌 |
卷 期 | 7:4 1997.08[民86.08] |
頁 次 | 頁203-214 |
分類號 | 419.38 |
關鍵詞 | 醫療工作人員; 針頭刺傷; 銳物刺傷; Health care worker; Needle-stick injury; Sharp object injury; |
語 文 | 中文(Chinese) |
中文摘要 | 醫療工作人員因工作而有較高的機會發生針頭與銳物刺傷的意外,然而此類職業性傷害之導因與實際可預防其發生的策略仍有待進一步地探討。本研究的主要目的為瞭解引起醫療工作人員針頭與銳物刺傷事件的盛行率及其相關的危險因子,並藉此進一步地探討其預防之道。我們共完成931位任職於南部某醫學中心醫療工作人員的問卷調查。結果顯示高達76.5%(712人)的工作者曾發生過一次以上的針頭或銳物刺傷的意外。其中45.2%(322人)是發生在一般的病房單位。 在所有的刺傷事件中,遭一般注射針頭刺傷的比率最高,共佔51.4%(366人)。回蓋針頭套是造成針頭刺傷的最主要因素(23%,125人);至於最常發生銳物刺傷意外的時間則是在治療或手術過程中為最高(31%,52人)。所有的被調查者中,僅46%(432人)在進入此醫院後曾接受過針刺傷害預防的職業訓練課程。然而,1995年9月到1996年9月平均每年每人被針頭刺傷的機會是1.03次;被銳物刺傷的機會則是平均每年每人1.08次。值得注意的是,我們的調查中高達68.1%(634人)的被調查者須要經常執行抽血或靜脈注射的工作,但是他們使用各類防護用具,尤其是口罩、手套等的比率卻相當低。我們因此呼籲所有的醫療相關之工作人員提高自身工作安全的警覺性,能在執行每一項工作,尤其是某些可能會接觸到病患的體液或血液的工作時,除了確實運用安全的工作方法與動作外,也儘可能的使用各類可供利用的防護設備及用具以為保護。我們同時也建議院方能擴大職業衛生教育的課程至所有階層的工作人員,以加強員工職業上自我保護的能力。 |
英文摘要 | Needle-stiek and sharp instrument injures sustained by health care workers account for the most hospital-related injuries, yet not much information is available on their prevalence and risk factors in Taiwan. The purpose of this study was to obtain such data at a tertiary referral medical center in southern Taiwan. We completed a questionnaire survey of 931 health care workers involving doctors, nurses, technologists, and housekeeping, central supply and other patient-attending workers. The result indicates that 76.5% of those surveyed have been injured at least once; of those 45.2% occured at the ward. Needle-stick consisted of 51.4% of the injuries, and recapping of the used needle was the major cause. Sharp object injuries took place mostly during therapeutic or surgical procedures. The chance of sustaining a needle-stick injury for a person over the past one year was 1.03 times, and that for a sharp object injury was 1.08. Only 46% of the workers have received a course in the prevention of these injuries. As high as 68.1% of the surveyed were required to draw blood or to inject medications. However, relatively few people wore protective gloves. Educational programs in the prevention of hospital-related injuries need to be intensified. |
本系統中英文摘要資訊取自各篇刊載內容。