頁籤選單縮合
題 名 | 南部地區護理人員針頭與銳物刺傷之調查=Needlestick and Sharps Injuries Among Nursing Personnel in Southern Taiwan |
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作 者 | 蕭淑銖; 洪美娟; 楊月嬌; 郭育良; | 書刊名 | 中華職業醫學雜誌 |
卷 期 | 4:2 1997.04[民86.04] |
頁 次 | 頁93-100 |
分類號 | 419 |
關鍵詞 | 護理人員; 針頭/銳物刺傷; Nurse; Needlestick injury; Medical sharp object injury; |
語 文 | 中文(Chinese) |
中文摘要 | 針頭或銳物刺傷是醫療工作人員最常見的職業傷害之一,此類意外的受害者中以 護理人員所佔的比率為最高。本研究的主要目的是在探討護理人員針頭與銳物刺傷的經驗與 刺傷後之處理情形,並提出預防的方法。我們調查了南部二家醫學中心及一家區域醫院,總 共完成問卷 1624 份。有 1301 位 (80.2 % ) 護理人員曾被針頭或銳物刺傷過;被刺傷的 地點以一般病房 (767 人,47.2 % ) 最多。針頭刺傷以一般注射用的針頭 (768 人,59.0 % ) 為多。 因回蓋而被針頭刺傷者有 299 人 (23 % );而開啟藥瓶時因瓶子破裂被刺傷 者為 104 人 (8.0 % )。 在刺傷護理人員的針頭中,60.6 %是使用過的。 被刺傷後約有 84.8 %的護理人員未向所屬單位報告, 原因包括不知需要報告或向誰報告 71 人 (5.5 % )、太忙或是存著僥倖的心理而忽略報告的重要性。共有 13.3 %的護理人員沒有 B 型肝炎 表面抗原和抗體或不知道自身是否有無,且其中的 9.0 %未接過 B 型肝炎疫苗。因此建議 醫院能於職前及在職訓練課程中加強宣導針刺傷害的嚴重性、針刺傷害通報作業流程與重要 性。對於 B 型肝炎表面抗原與抗體均為陰性者建議應強制其接種 B 型肝炎疫苗,以降低針 刺傷害對護理人員可能造成的傷害,並喚起護理人員對針刺意外防制的重視。 |
英文摘要 | Nurses are known to be at high risk of exposure to needle and sharps injuries. However, the prevalence and predisposing factors associated with these injuries are unknown in Taiwan. The purpose of this survey was to understand the experience of needle and sharps injuries in nurses as well as the management after these accidents. A questionnaire survey of 1799 nurses in two medical centers and one district hospital in Southern Taiwan was conducted. The life prevalence of ever having needlestick of sharps injuries in the hospital was as high as 76% in this group. Approximately 58% of the needlesticks were caused by an ordinary needle, usually in the patient room. Almost 60% of the needle had been used on patient. Approximately 47% of sharps sticks occurred while the nurses were opening the medication bottles. When they were asked whether they contracted infectious disease due to the injuries, 2.1% reported to be contracted with hepatitis B, and 0.2% with hepatitis C. Two-thirds of the nurses who were ever stuck stated that they did not report to their employers or the hospital. The use of protective equipment was relatively rare in these nurses. It was concluded that needlestick and sharps injuries in the nurses were high with potential hazards of transmitting infectious disease, such as hepatitis B or C. Precaution, education, and protective equipment will be warranted to reduce the needle and sharps injuries in the nurses in Taiwan. |
本系統中英文摘要資訊取自各篇刊載內容。