| 吴素兰,季彬.手术室护士皮肤及黏膜受损原因及其预防干预对策[J].上海护理,2016,16(8): |
| 手术室护士皮肤及黏膜受损原因及其预防干预对策 |
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| DOI： |
| 中文关键词: 手术室护士 皮肤及黏膜受损原因 预防干预 |
| 英文关键词:The operating room nursing staff The skin and mucous membrane damage causes Prevention interventions |
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| 中文摘要: |
| 【】目的：探讨手术室护理人员皮肤及黏膜受损原因及其预防干预对策。方法：选取2013年09月至2015年09月于我院在手术室工作的发生皮肤及黏膜损伤的护理人员165例为研究对象。采用调查问卷法,自制调查问卷表,针对手术室护理人员工龄、损伤责任者、损伤原因、防护用具使用情况、职业暴露有关皮肤及黏膜防护知识情况进行调查。结果：72.50%的发生皮肤及黏膜损伤的护理人员工龄不到10年,11年~20年工龄及20年以上工龄的护理人员发生皮肤及黏膜损伤的只有17例、5例,发生皮肤及黏膜损伤的护理人员工龄较短。发生皮肤及黏膜损伤主要责任者是其他医务人员、自己还有病人,分别占35.00%、23.75%、18.75%。主要原因是消毒液损伤、锐器意外损伤,其次是血液体液意外喷溅、破损皮肤直接接触血液或污染物、化学制剂或药物腐蚀。90.00%的护理人员佩戴口罩或手套,86.25%护理人员佩戴帽子,而佩戴防护目镜或防护服的护理人员比例较少。护理人员职业暴露有关皮肤及黏膜防护知识整体情况不乐观,仅有60.00%的医院在不同程度上开展了职业防护有关皮肤及黏膜知识宣教,仅有51.25%的护理人员参加职业防护有关皮肤及黏膜知识宣教,护理人员防护意识和防护知识掌握情况不好。结论：消毒液损伤、锐器意外损伤、血液体液意外喷溅、破损皮肤直接接触血液或污染物、化学制剂或药物腐蚀是手术室护理人员皮肤及黏膜损伤的主要原因,应当从规范操作、知识宣教、心理调节等多角度加强预防和干预,提升护理人员自身保护意识,减少皮肤及黏膜损伤发生。 |
| 英文摘要: |
| 【】 Objective: To explore the reasons and intervention measures of operating room nursing skin and mucous membrane damage causes. Methods:165 nurses from September 2013 and September 2015 in our hospital work of skin and mucosa damage in the operating room nursing staff were selected as the research object. Then adopted questionnaireand self-made questionnaire according to the operating room nursing staff working and responsible of injury, injury reason, protective equipment usage, occupational exposure on skin and mucous membrane protection knowledge situation investigation. Results: 72.50% of skin and mucosa damage occurred in the nursing staff of length of service is less than 10 years, 11 years to 20 years length of service and more than 20 years length of service of the nursing staff to skin and mucous membrane injuries only 17 cases, 5 cases. Skin and mucosa damage paramedics were short in work experience. The skin and mucosa damage themselves, other medical staff and patients, were the main responsibility for skin and mucosa damage, accounted for 35.00%, 23.75% and 35.00% respectively. Main reason were damage disinfectant, sharps accidental damage,next were blood fluid spillage accident, damage the skin direct contact with blood or pollutants, corrosion chemicals or drugs. 90.00% of the nursing staff wear face mask or gloves, 90.00% nurses wear hat, wear protective goggles or protective clothing less proportion of nursing staff. Nurses' occupational exposure in the skin and mucous membrane protection knowledge overall situation was not optimistic, only 60.00% of the hospitals carried out occupational protection knowledge education, only 51.25% of the nursing staff ever participate protection knowledge education, nursing personnel protective consciousness and protective knowledge well. Conclusion: Disinfectant injury, sharps accident, blood fluid spillage accident, damage the skin direct contact with blood or pollutants, chemical agents or drugs corrosion are the main reason for the operating room nurses' skin and mucosa damage,we should standardized operation, knowledge education, psychological adjustment and other angle strengthening the prevention and intervention, and improve protection consciousness,to reduce the skin and mucous membrane injury. |
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