Smith Derek R, Smyth Wendy, Leggat Peter A, Wang Rui-Sheng
Department of Hazard Assessment, National Institute of Industrial Health, Kawasaki, Japan.
Int J Nurs Pract. 2006 Apr;12(2):71-7. doi: 10.1111/j.1440-172X.2006.00553.x.
Although needlestick and sharps injuries (NSI) represent a major hazard in nursing practice, most studies rely on officially reported data and none have yet been undertaken in tropical environments. Therefore, we conducted a cross-sectional NSI survey targeting all nurses within a tropical Australian hospital, regardless of whether they had experienced an NSI or not. Our overall response rate was 76.7%. A total of 39 nurses reported 43 NSI events in the previous 12 months. The most common causative device was a normal syringe needle, followed by insulin syringe needles, i.v. needles or kits and blood collection needles. Half of the nurses' NSI events occurred beside the patient's bed: drawing up medication was the most common reason. Nurses working in the maternity/neonatal wards were only 0.3 times as likely to have experienced an NSI as their counterparts in the medical or surgical wards. Overall, our study has shown that NSI events represent an important workplace issue for tropical Australian nurses. Their actual rate might also be higher than official reports suggest.
尽管针刺伤和锐器伤是护理工作中的主要危害，但大多数研究依赖官方报告的数据，且尚未在热带环境中开展相关研究。因此，我们针对澳大利亚一家热带医院的所有护士开展了一项横断面针刺伤和锐器伤调查，无论他们是否经历过此类伤害。我们的总体回复率为76.7%。共有39名护士报告在过去12个月内发生了43起针刺伤和锐器伤事件。最常见的致伤器械是普通注射器针头，其次是胰岛素注射器针头、静脉注射针头或套件以及采血针。一半的护士针刺伤和锐器伤事件发生在患者床边：抽取药物是最常见的原因。在产科/新生儿病房工作的护士经历针刺伤和锐器伤的可能性仅为在内科或外科病房工作的护士的0.3倍。总体而言，我们的研究表明，针刺伤和锐器伤事件是澳大利亚热带地区护士面临的一个重要工作场所问题。其实际发生率可能也高于官方报告显示的水平。
