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題名 | 某醫院員工之醫療尖銳物品扎傷事件分析=Analysis of Sharpened Medical Vehicle Injury of Health Care Workers in a Medical Center |
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作者 | 陳瑛瑛; 王永衛; 楊冠洋; 劉正義; Chen, Yin-yin; Wang, Wing-wai; Yang, Guang-yang; Liu, Cheng-yi; |
期刊 | 院內感染控制雜誌 |
出版日期 | 19970200 |
卷期 | 7:1 1997.02[民86.02] |
頁次 | 頁1-9 |
分類號 | 419.38 |
語文 | chi |
關鍵詞 | 醫院員工; 醫療尖銳物品; 扎傷; Health care workers; HCWs; Sharpened medical vehicle; Stick injury; |
中文摘要 | 醫療人員因職業暴露於污染的血液或體液,尤其是針頭類札傷,可能感染到經血流傳播的致病微生物,包括人類免疫缺乏病毒、B型肝炎病毒及C型肝炎病毒等。本研究目的為瞭解醫院員工醫療尖銳物品札傷之危險群、發生札傷危險動作、札傷物品種類及札傷地點等分佈。以某醫學中心醫療尖銳物品札傷報告之所有工作人員為研究對象;進行百分比、平均值、標準差和卡方檢定等進行資料分析。結果:在21個月期間所有工作期間所有工作人員的醫療尖銳物品札傷共183件;以護理人員札傷人次最多(3.0次╱100人年)、技術人員次之(1.2次╱100人年)再次為醫師(1.0次╱100人年)、工級人員最少(0.7次╱100人年);護理人員與非護理人員的札傷件數在統計學上顯著差異(p<0.01);札傷人員的單位分佈前五位依序為內科(28.4%)、外科(18.0%)、醫學檢驗部(13.7%)、開刀房(6.6%)、加護中心(6.0%);最常發生札傷之地點為病人單位103(56.3%)人次;札傷物品以針頭類佔最高(86.9%);札傷常發生在套回針頭蓋子(38.8%)及整理或清洗物品(14.2%);173(94.5%)人次是被血液或體液污染的尖銳物品札傷。結論:醫療尖銳物品札傷是醫療人員常見的職業傷害之一,為避免札傷事件的發生,應確實遵守安全的操作程序及適當的使用防護裝備及措施。 |
英文摘要 | Hazards of blood-borne disease transmission due to contaminated medical equipment in health care workers (HCWs) require special concern. These infectious agents include HBV, HCV and HIV. The purpose of this study is to ascertain the following: risk groups among HCWs prone to stick injury by sharpened-vehicles, procedures that cause the stick injury, types of medical vehicles and places of injury. From July 1, 1994 till March 31,1996, all HCWs in a medical center suffered from stick injury were recruited and analysed using questionnaires. With in 21months study period, there were 183 episodes reported from 4,799 employees. There was statistically significant difference (p<0.01) in the incidence between nurse staff and non-nurse staff. Of all HCWs, nurse (100 episodes) and medical intern (26 episodes) were the highest risk gro ups. Among the injured persons, 52 were in the department of medicine, 33 in surgery, 25 in clinical laboratory, 12 in operating room, and 11 in int ensive care units. One hundred and three episodes (56.3%) happened at be dside. Needles were the most common stick vehicles (86.9%). Stick injury happened when HCWs were recapping the neeles (38.8%) and cleaning medical vehicles (14.2%). One hundred and seventy-three (94.5%) episodes were related to devices contaminated by blood or body fluid. We conclude tha t the risk of being injured by sharp device is common among HCWs. Strict ad herence to safety procedures and the use of proper precautionary equipment is essential in reducing the hazards of transmitting blood-borne diseases at work place. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。