Abstract:

Objective The purpose of this survey was to investigate the occupational protection status of the staff in the central sterile supply department of Shanghai hospitals,in order to provide references for strengthening the occupational safety of the staff in the central sterile supply departments. Methods A cross-sectional study was designed based on the questionnaire information collected on the staff from 46 hospitals in Shanghai between June 7,2021 to June 20,2021. The questionnaire content included basic information of the staff,types and protection of occupational exposure,frequency,time period,cause of occupational exposure and occupational protection training information etc. Results 588 staff members from 46 hospitals participated in the questionnaire and 207 staff members had occupational exposure with an incidence of 35.20%. Among them,the highest incidence of acute device injury was 26.36%,followed by hearing loss and muscle soft tissue injury or sprain,with 22.28% and 20.07%. 90.82% of occupational exposures occurred during busy working hours. The occurrence of hearing loss was positively correlated with working years. Nurses were significantly at high risk of muscle and soft tissue injury or sprain,compared with sterilizers and workers. A total of 548 staff members（93.20%） have received the occupational safety-related protection knowledge training. Conclusion The incidence of occupational exposure of central sterile supply departments in 46 hospitals in Shanghai is high. The management personnel should shift flexibly,standardize the operation process,strengthen occupational protection measures,and strengthen training to reduce the occurrence of occupational exposure.

Key words: Central Sterile Supply Department, Occupational Safety, Occupational Exposure, Cross-Sectional Research, Nurse

摘要：

目的 调查上海市医院消毒供应中心工作人员职业防护现状,为加强消毒供应中心工作人员的职业安全提供参考。 方法 2021年6月7日—20日,采用横断面调查研究,对上海市46所医院消毒供应中心的工作人员（护士、工人、消毒员）进行问卷调查。问卷内容包括一般资料、职业暴露情况、培训情况。 结果 来自46所医院的588名工作人员（护士、工人、消毒员）参与了问卷调查,发生过职业暴露的工作人员207名,发生率为35.20%。其中锐器伤发生率最高,为26.36%,其次为耳鸣/听力下降和肌肉/软组织损伤/扭伤,分别为22.28%和20.07%。90.82%的职业暴露发生在工作繁忙时刻;职业暴露发生原因由高到低依次为意外、应激状态下超负荷的工作、违反操作规程、职业防护不当等。接受职业安全相关防护知识培训的工作人员共548名（93.20%）。 结论 上海市46所医院消毒供应中心工作人员职业暴露发生率高,管理人员应弹性排班、规范操作流程、强化职业防护措施,并加强培训,降低职业暴露的发生。

关键词: 消毒供应中心, 职业防护, 职业暴露, 横断面调查, 护士