Crawshaw G, Irwin D J, Button J
North Essex Health Authority, Collingwood Road, Witham, Essex CM8 2TT, London NW9 5EQ.
Commun Dis Public Health. 2002 Jun;5(2):134-7.
To investigate community disposal of contaminated sharps by insulin-treated diabetes mellitus patients, we surveyed 144 patients. Twenty-three (16.0%) were non-contactable, leaving a study sample of 121, of whom 102 (84.3%) responded. Among the respondents 93.1% used lancets and 97.1% needles; 70.6% used lancets once or twice a day and 65.7% used needles twice a day. The majority said they had received no information on safe disposal of sharps. Of those recalling advice, most received it from diabetes nurse specialists. The majority of needle users used needle clippers and/or sharps bins for disposal. Most of the lancet users resorted to drinks cans/bottles or domestic waste. There were statistically significant differences in practices between patients receiving and not receiving advice on sharps disposal (odds ratio [OR] 6.36 [95% CI 2.04-23.28] p = 0.0007 for needle disposal and OR 15.41 [95% CI 3.57-90.12] p = 0.00001 for lancet disposal). There were also statistically significant differences among needle users using and not using needle clippers and/or sharps bins according to the interval since diagnosis and the frequency of needle use per day. This study identifies a need for a standardised approach to sharps disposal supported by an effective method of disseminating information, and a need for advice on auditing its impact.
为调查接受胰岛素治疗的糖尿病患者对受污染锐器的社区处理情况，我们对144名患者进行了调查。23名（16.0%）无法联系上，剩余121名作为研究样本，其中102名（84.3%）做出了回应。在受访者中，93.1%使用采血针，97.1%使用注射针；70.6%每天使用采血针一到两次，65.7%每天使用注射针两次。大多数人表示他们没有收到过关于安全处理锐器的信息。在那些记得曾得到建议的人中，大多数是从糖尿病专科护士那里得到的。大多数使用注射针的人使用针剪和/或锐器盒进行处理。大多数使用采血针的人则将其放入饮料罐/瓶或生活垃圾中。在接受和未接受锐器处理建议的患者之间，处理方式存在统计学上的显著差异（注射针处理的优势比[OR]为6.36[95%可信区间2.04 - 23.28]，p = 0.0007；采血针处理的OR为15.41[95%可信区间3.57 - 90.12]，p = 0.00001）。根据诊断后的时间间隔和每天使用注射针的频率，在使用和未使用针剪和/或锐器盒的注射针使用者之间也存在统计学上的显著差异。本研究表明，需要一种标准化的锐器处理方法，并辅以有效的信息传播方式，同时需要对其影响进行审计的建议。
