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目的通过了解宜昌地区麻醉医师职业危害的暴露现状及对职业危害的认知状况,为制定麻醉医师职业的暴露防护对策提供科学依据。方法采用横断面研究设计,在同一时间截点(2013年9月至2013年12月),选择宜昌市三峡大学仁和医院等10所二级及以上医院的麻醉科医师(121人)作为研究对象,以问卷形式进行职业危害暴露现状及认知状况调查。结果麻醉医师职业危害行为总体发生率为67.80%,锐器刺伤行为的发生率最高(26.3%),其次为血液、体液、唾液污染眼睛或口腔(19.5%)。防护用具配备率最高的是防护服(98.3%),其次为口罩(92.4%);使用率最高防护用具是口罩,使用率也仅为51.1%;其他防护用具使用率均在30%以下。影响临床实验室人员血源性职业暴露相关知识得分的因素按其影响程度的大小依次为:医院对职业防护的重视程度、职业防护教育培训情况、医院级别和麻醉医师的文化程度。结论麻醉医师的职业安全防护应得到医院的重视,应从加强职业安全教育、规范操作等多方面开展工作,提高麻醉医师的安全防护意识,提示防护用具的使用率急需提高。
Objective To understand the current status of occupational hazards of anesthesiologists in Yichang and their cognition of occupational hazards, and to provide a scientific basis for formulating the occupational exposure protection strategies of anesthesiologists. METHODS: A cross-sectional study design was used. At the same time point (September 2013 to December 2013), anesthesiologists (121) from 10 secondary or higher hospitals, including Renhe Hospital of Yichang City, were selected as research subjects , To investigate the status quo and cognitive status of occupational hazards exposure by questionnaire. Results The overall incidence of occupational hazards among anesthesiologists was 67.80%. The incidence of stab wounds was the highest (26.3%), followed by blood, body fluids and saliva contaminated eyes or mouth (19.5%). Protective equipment with the highest rate of protective clothing (98.3%), followed by a mask (92.4%); the highest utilization rate of protective equipment masks, the utilization rate was only 51.1%; other protective equipment usage rates were below 30%. The influencing factors of knowledge related to blood-based occupational exposure in clinical laboratory staff are as follows: the importance of hospital on occupational protection, the training of occupational protection education, the level of hospital and the degree of anesthesiologist’s education. Conclusion The anesthesiologist’s occupational safety and protection should receive the attention of the hospital. From the aspect of strengthening occupational safety education and standardizing operation, work should be carried out to raise the awareness of anesthesiologists and suggest that the occupancy rate of protective equipment urgently needs improvement.