中华护理杂志 ›› 2021, Vol. 56 ›› Issue (1): 7-13.DOI: 10.3761/j.issn.0254-1769.2021.01.001
收稿日期:
2020-05-29
出版日期:
2021-01-15
发布日期:
2021-01-15
通讯作者:
黄雪芳
作者简介:
李佳:女,硕士,主管护师,护土长,E-mail:基金资助:
LI Jia(),HUANG Xuefang(),LI Jiarui,WU Jianhui
Received:
2020-05-29
Online:
2021-01-15
Published:
2021-01-15
Contact:
Xuefang HUANG
摘要:
目的 运用证据构建护士针刺伤防护方案,并评价其应用效果。 方法 对已发布的循证证据进行审查,确定证据的可用性,分析障碍因素,构建护士针刺伤防护方案(SECURITY):SOP(Standard of practice,建立预防和处理流程);Unified(统一防护托盘,专利号201921164515X);Report(制订上报流程);Elearning(视频学习);IT(信息支持);Checklist(制订核查表);Yes or no(现场核查对与错)。2019年6月—11月在全院实施针刺伤防护方案,比较针刺伤防护方案实施前后针刺伤的发生例数、审查指标的执行率和护士针刺伤预防知识、信念、行为的得分。结果 针刺伤防护方案实施后,2019年6月—11月与2018年同期相比,护士针刺伤例数从26例降低到16例(护士总数不变),发生率降低38.5%;13项审查指标中的12项执行率显著提高(P<0.05),11项执行率超过80%;针刺伤防护知识得分(8.27±1.21)分,显著高于针刺伤防护方案实施前知识得分(7.57±1.43)分(t=-9.622,P<0.001);信念得分(43.09±2.86)分,显著高于针刺伤防护方案实施前信念得分(42.45±3.33)分(t=-3.774,P<0.001);行为得分(51.22±5.48)分显著高于针刺伤防护方案实施前行为得分(50.14±5.82)分(t=-3.058,P<0.001)。结论 科学构建针刺伤防护方案,可减少护士针刺伤的发生,改善护士针刺伤预防知识、信念和行为。
李佳,黄雪芳,李佳芮,吴剑辉. 针刺伤防护方案的临床应用研究[J]. 中华护理杂志, 2021, 56(1): 7-13.
LI Jia,HUANG Xuefang,LI Jiarui,WU Jianhui. Application and effect of needlestick injury protection network for nursing staff[J]. Chinese Journal of Nursing, 2021, 56(1): 7-13.
表4 针刺伤防护方案实施前后护士针刺伤预防的知信行得分(分,$\overline{x}±s$)
Knowledge,attitude and behavior of needlestick prevention for nurse before and after the project(score,$\overline{x}±s$)
表4 针刺伤防护方案实施前后护士针刺伤预防的知信行得分(分,$\overline{x}±s$)
Knowledge,attitude and behavior of needlestick prevention for nurse before and after the project(score,$\overline{x}±s$)
[1] |
Zhang XJ, Gu Y, Cui MJ, et al. Needlestick and sharps injuries among nurses at a teaching hospital in China[J]. Workplace Health Saf, 2015,63(5):219-225.
DOI URL PMID |
[2] | 郭金玉, 孙红, 刘颖青, 等. 北京市三级甲等医院急诊科护士职业暴露与防护行为的现状调查[J]. 中华护理杂志, 2020,55(1):107-112. |
Guo JY, Sun H, Liu YQ, et al. Investigation on occupational exposure and protective behaviors of nurses at emergency departments in tertiary hospitals in Beijing[J]. Chin J Nurs, 2020,55(1):107-112. | |
[3] | 杨冰, 张敏, 李文捷, 等. 2000—2016年护士锐器伤发生率及防控措施落实情况汇总分析[J]. 中国护理管理, 2018,18(4):476-482. |
Yang B, Zhang M, Li WJ, et al. A pooling analysis of the incidence of sharp injury on nurses and implementation of prevention and control measures between 2000 to 2016 in China[J]. Chin Nurs Manag, 2018,18(4):476-482. | |
[4] |
Rice BD, Tomkins SE, Ncube FM. Sharp truth:health care workers remain at risk of bloodborne infection[J]. Occup Med, 2015,65(3):210-214.
DOI URL |
[5] |
Mischke C, Verbeek JH, Saarto A, et al. Gloves,extra gloves or special types of gloves for preventing percutaneous exposure injuries in healthcare personnel[J]. Cochrane Database Syst Rev, 2014(3):CD009573.
DOI URL PMID |
[6] | 黄惠玲, 高晓东, 刘诗勤, 等. 全球医护人员针刺伤的疾病经济负担文献研究[J]. 中国感染控制杂志, 2017,16(7):610-615. |
黄惠玲, 高晓东, 刘诗勤, 等. 全球医护人员针刺伤的疾病经济负担文献研究[J]. 中国感染控制杂志, 2017,16(7):610-615. | |
Huang HL, Gao XD, Liu SQ, et al. Literature review of global economic burden of diseases due to needlestick injuries among health care workers[J]. Chin J Infect Control, 2017,16(7):610-615. | |
Huang HL, Gao XD, Liu SQ, et al. Literature review of global economic burden of diseases due to needlestick injuries among health care workers[J]. Chin J Infect Control, 2017,16(7):610-615. | |
[7] |
Zhao F, Zhang MX, Xuan JW, et al. Burden of insulin injection-related needlestick injuries in mainland China-prevalence,incidence,and healthcare costs[J]. Int J Nurs Stud, 2019,97:78-83.
DOI URL PMID |
Zhao F, Zhang MX, Xuan JW, et al. Burden of insulin injection-related needlestick injuries in mainland China-prevalence,incidence,and healthcare costs[J]. Int J Nurs Stud, 2019,97:78-83.
DOI URL PMID |
|
[8] | 郑一宁, 李映兰, 吴欣娟. 针刺伤防护的护理专家共识[J]. 中华护理杂志, 2018,53(12):1434-1438. |
郑一宁, 李映兰, 吴欣娟. 针刺伤防护的护理专家共识[J]. 中华护理杂志, 2018,53(12):1434-1438. | |
Zhen YN, Li YL, Wu XJ. Nursing expert consensus on needle stick injury protection[J]. Chin J nurs, 2018,53(12):1434-1438. | |
Zhen YN, Li YL, Wu XJ. Nursing expert consensus on needle stick injury protection[J]. Chin J nurs, 2018,53(12):1434-1438. | |
[9] | 邸红军, 施月仙, 臧红新, 等. 医务人员针刺伤预防策略的最佳证据总结[J]. 中华护理杂志, 2017,52(1):93-98. |
邸红军, 施月仙, 臧红新, 等. 医务人员针刺伤预防策略的最佳证据总结[J]. 中华护理杂志, 2017,52(1):93-98. | |
Di HJ, Shi YX, Zang HX, et al. Evidence summary for needlestick injuries among healthcare workers[J]. Chin J Nurs, 2017,52(1):93-98. | |
Di HJ, Shi YX, Zang HX, et al. Evidence summary for needlestick injuries among healthcare workers[J]. Chin J Nurs, 2017,52(1):93-98. | |
[10] |
Aziz AM. Do training and needle-safety devices prevent needlestick injuries? A systematised review of the literature[J]. Br J Nurs, 2018,27(16):944-952.
DOI URL PMID |
Aziz AM. Do training and needle-safety devices prevent needlestick injuries? A systematised review of the literature[J]. Br J Nurs, 2018,27(16):944-952.
DOI URL PMID |
|
[11] | 章梅云, 冯志仙, 邵乐文, 等. 循证护理团队培训方案的制订及应用效果评价[J]. 中华护理杂志, 2015,50(4):446-449. |
章梅云, 冯志仙, 邵乐文, 等. 循证护理团队培训方案的制订及应用效果评价[J]. 中华护理杂志, 2015,50(4):446-449. | |
Zhang MY, Feng ZX, Shao LW, et al. The development and outcomes of training program for members of evidence-based nursing team[J]. Chin J Nurs, 2015,50(4):446-449. | |
Zhang MY, Feng ZX, Shao LW, et al. The development and outcomes of training program for members of evidence-based nursing team[J]. Chin J Nurs, 2015,50(4):446-449. | |
[12] | 孙晓玲, 苏涛, 李奇峰, 等. 医务人员锐器伤相关因素调查与防护对策[J]. 中华医院感染学杂志, 2016,26(20):4752-4754. |
孙晓玲, 苏涛, 李奇峰, 等. 医务人员锐器伤相关因素调查与防护对策[J]. 中华医院感染学杂志, 2016,26(20):4752-4754. | |
Sun XL, Su T, Li QF, et al. Investigation of relevant factors of sharp instrument injuries in medical personnel and protection countermeasure[J]. Chin J Nosocomiol, 2016,26(20):4752-4754. | |
Sun XL, Su T, Li QF, et al. Investigation of relevant factors of sharp instrument injuries in medical personnel and protection countermeasure[J]. Chin J Nosocomiol, 2016,26(20):4752-4754. | |
[13] |
Katsevman GA, Braca JA 3rd, Sedney CL, et al. Needlestick injuries among healthcare professionals in training:using the surgical ‘time-out’ and hand-off protocols to deter high-risk needlesticks[J]. J Hosp Infect, 2017,95(1):103-104.
DOI URL PMID |
Katsevman GA, Braca JA 3rd, Sedney CL, et al. Needlestick injuries among healthcare professionals in training:using the surgical ‘time-out’ and hand-off protocols to deter high-risk needlesticks[J]. J Hosp Infect, 2017,95(1):103-104.
DOI URL PMID |
|
[14] | 吴旭丽, 吴喜丽, 李叶戌子, 等. 医疗机构护理人员针刺伤知信行现状及影响因素研究[J]. 护理与康复, 2018,17(11):16-20. |
吴旭丽, 吴喜丽, 李叶戌子, 等. 医疗机构护理人员针刺伤知信行现状及影响因素研究[J]. 护理与康复, 2018,17(11):16-20. | |
Wu XL, Wu XL, Li YRZ, et al. Study on present situation of knowledge,attitude and practice of needle stick injuries and its influencing factors for nursing staff in medical institutions[J]. Nurs Rehabilitation J, 2018,17(11):16-20. | |
Wu XL, Wu XL, Li YRZ, et al. Study on present situation of knowledge,attitude and practice of needle stick injuries and its influencing factors for nursing staff in medical institutions[J]. Nurs Rehabilitation J, 2018,17(11):16-20. | |
[15] |
Quan M, Wang X, Wu H, et al. Influencing factors on use of standard precautions against occupational exposures to blood and body fluids among nurses in China[J]. Int J Clin Exp Med, 2015,8(12):22450-22459.
URL PMID |
Quan M, Wang X, Wu H, et al. Influencing factors on use of standard precautions against occupational exposures to blood and body fluids among nurses in China[J]. Int J Clin Exp Med, 2015,8(12):22450-22459.
URL PMID |
|
[16] | 高慧敏, 田凌云, 粟亚男, 等. 针刺伤相关风险管理及防护理论的应用进展[J]. 中华护理杂志, 2020,55(6):937-942. |
高慧敏, 田凌云, 粟亚男, 等. 针刺伤相关风险管理及防护理论的应用进展[J]. 中华护理杂志, 2020,55(6):937-942. | |
Gao HM, Tian LY, Su YN, et al. Progress of application of risk management and protection theory of needlestick injury[J]. Chin J Nurs, 2020,55(6):937-942. | |
Gao HM, Tian LY, Su YN, et al. Progress of application of risk management and protection theory of needlestick injury[J]. Chin J Nurs, 2020,55(6):937-942. |
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