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目的了解山东省某三甲医院医务人员艾滋病职业暴露防护知识、暴露行为及培训现况。方法 2013年7月,采用方便抽样的方法,对山东省某三甲医院296名医务人员进行艾滋病职业暴露及防护情况问卷调查。结果调查296人,7道艾滋病基础知识题目全部答对的占16.22%,各项艾滋病基础知识正确率为39.53%~96.28%,8道职业暴露相关知识全部答对的占0.34%,各项职业暴露知识正确率为15.54%~69.26%。有72.97%的人曾发生过职业暴露,其中18.24%的人明确知道自己曾经接触过HIV阳性病人。发生职业暴露时刺破(伤)皮肤的锐器主要是注射器针头、输液器针头和静脉采血针,占74.21%;职业暴露部位主要是手上破损皮肤和眼睛黏膜,占91.18%;职业暴露发生的环节主要是处置废物时、采血时和回套针帽时,占74.84%;41.22%的医务人员曾经接受过艾滋病职业暴露防护培训,97.97%的人希望得到相关培训。结论医务人员存在艾滋病职业暴露风险,防护知识缺乏,培训需求高。
Objective To understand the occupational exposure awareness, exposure behavior and training status of medical workers in a top three hospital in Shandong Province. Methods In July 2013, a questionnaire survey on occupational exposure and protection against AIDS among 296 medical workers in a top three hospital in Shandong Province was conducted by means of convenient sampling. Results The survey of 296 people and 7 AIDS-related basic knowledge answered 16.22% of the total, the correct rates of basic knowledge of AIDS were 39.53% ~ 96.28%, and 0.34% of all 8 occupational exposure-related knowledge answered correctly. The occupational exposure knowledge The correct rate was 15.54% ~ 69.26%. Occupational exposure occurred in 72.97% of the people, of whom 18.24% knew that they had been exposed to HIV-positive patients. Occur in occupational exposure puncture (injury) skin sharpness mainly syringe needle, infusion needle and vein lancet, accounting for 74.21%; occupational exposure site is mainly hand-damaged skin and eye mucosa, accounting for 91.18%; occupational exposure occurred 74.84% of the total waste disposal time, blood collection and reemployment needles, 41.22% of the medical staff had received training on occupational exposure to HIV / AIDS, and 97.97% wanted to receive relevant training. Conclusion There is a risk of occupational exposure to HIV among medical staff, lack of protection knowledge and high demand for training.