Gershon R R, Flanagan P A, Karkashian C, Grimes M, Wilburn S, Frerotte J, Guidera J, Pugliese G
Department of Environmental Health Sciences, the Johns Hopkins University School of Public Health, Baltimore, MD, USA.
Am J Infect Control. 2000 Dec;28(6):421-8. doi: 10.1067/mic.2000.109907.
This descriptive study of health care workers enrolled in a postexposure bloodborne pathogen management program had 3 goals: (1) to characterize their exposure incidents, (2) to assess health care workers' experience with the program, and (3) to identify strategies to improve the management of exposure incidents.
A confidential, self-administered, 5-page survey was mailed to 150 hospital employees who were recently evaluated in the employee health clinic for a blood/body fluid exposure.
Sixty-five usable surveys were returned to the study office, representing a 43% response rate. Although the majority of the employees enrolled in the postexposure management program were generally satisfied with the overall quality of care they received, many respondents perceived a lack of social support during the lengthy follow-up period. Long-term distress related to the exposure was not uncommon. The respondents' suggestions for improvement focused on the need for department managers to become more personally involved when their staff members have an exposure incident.
These qualitative data suggest that additional studies are needed to assess both the short-term and long-term impact of exposure incidents on the health and well being of affected health care workers. In addition, because of a paucity of information in this area, studies are needed to assess both the effectiveness of the United States Public Health Service recommendations for postexposure management and the degree to which they have been implemented by health care facilities.
这项针对参加暴露后血源性病原体管理项目的医护人员的描述性研究有3个目标：（1）描述他们的暴露事件；（2）评估医护人员对该项目的体验；（3）确定改善暴露事件管理的策略。
向150名最近在员工健康诊所接受血液/体液暴露评估的医院员工邮寄了一份5页的保密自填式调查问卷。
65份可用调查问卷被返还至研究办公室，回复率为43%。尽管参加暴露后管理项目的大多数员工总体上对他们所接受的护理质量感到满意，但许多受访者认为在漫长的随访期间缺乏社会支持。与暴露相关的长期困扰并不罕见。受访者提出的改进建议集中在部门经理在其员工发生暴露事件时需要更加亲自参与。
这些定性数据表明，需要进行更多研究来评估暴露事件对受影响医护人员健康和福祉的短期和长期影响。此外，由于该领域信息匮乏，需要开展研究来评估美国公共卫生服务局暴露后管理建议的有效性以及医疗机构对这些建议的实施程度。
