摘要
目的进一步明确丽水市麻醉科医务人员职业安全防护措施的落实。方法选择温州地区麻醉师共131名,采用调查表以现场观察和问卷相结合的方法进行调查,调查内容为与麻醉师工作相关的物理、化学、生物以及心理性危害4个方面,并对麻醉师的手卫生、戴手套等方面的掌握情况逐一进行分析。结果被调查的麻醉师中有97.6%麻醉师曾经发生锐器伤;且99.8%是由于不按正规操作引起的,对锐器伤后有73.8%按正规方法处理;有7.2%曾发生过电损伤,在医疗辐射环境中工作时不采用防护措施的占66.4%,并有93.6%认为手术室内噪声对临床工作会产生影响;69.6%对麻醉机呼出气不采用外接装置;对医疗工作中化学消毒药品的合理应用率为95.2%;有88.8%对医疗垃圾进行分类处理,37.4%在急救气管插管时并不进行自我防护;临床操作中被患者分泌物污染的发生率为88.0%;擦手工具使用正确率最低为16.7%;有29.6%除无菌操作外并不会戴手套防护。结论发现麻醉医师在工作中职业安全防护意识欠缺,必须进一步加强对麻醉师职业安全防护教育及防护意识才能更好地提高职业安全。
OBJECTIVE To further understand occupational safety and protection measures of anesthesiological medical workers in local areas.METHODS A total of 131 anesthesiologists in the region were selected.Four aspects were surveyed relevant to anesthesiologists′ work： physical,chemical,biological and psychological hazards,and the anesthesiologist′s hand hygiene,gloves,etc.were analyzed by using the questionnaire combined with on-site observation and questionnaire survey.RESULTS 97.6% cases had been injured by sharp tools;and 99.8% cases admited that it was caused by irregular operation,and 73.77% cases would operate correctly after the injury.7.2% electrical damages have occurred,66.4% were working in the medical radiation environments without use of protective measures,and 93.6% of the anesthesiologists believed that the noise in operating room would have an impact on clinical work.While working on the anesthesia machine,69.6% of the anesthesiologists did not use an external device in exhaled breath;in the rational use rate of drugs of chemical disinfection in medical work was 95.2%.88.8% of the anesthetists would do classification work on the medical waste,37.4% of the anesthetists did not take self-protection measures in emergency endotracheal intubation;in patients with secretions was 88.0% were effected by patients′ secretions in clinical practice;92.8% of the anesthetists thought they were under great stress at work.96% of the correctly grasped the ＂six-step hand method＂,but only 16.67% used the correct tools when cleaning hands.In addition,29.6% of the anesthesiologists admitted they would not wear protective gloves except the aseptic operations.CONCLUSION The result shows that anesthesiologists at work do not have a strong occupational safety and self-protection awareness.Thus,in order to improve the occupational safety,it must further strengthen the anesthetists′ awareness of occupational safety and self-protection.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2011年第15期3201-3203,共3页
Chinese Journal of Nosocomiology
关键词
麻醉医师
职业
防护
调查
Anesthetist
Occupation
Protection
urvey
