Adib-Hajbaghery Mohsen, Lotfi Mohammad Sajjad
Department of Medical-Surgical Nursing, Kashan University of Medical Sciences, Kashan, IR Iran.
Trauma Mon. 2013 Sep;18(2):75-80. doi: 10.5812/traumamon.12779. Epub 2013 Aug 14.
Injuries with sharps are common occupational hazards for healthcare workers. Such injuries predispose the staff to dangerous infections such as hepatitis B, C and HIV.
The present study was conducted to investigate the behaviors of healthcare workers in Kashan healthcare centers after needle sticks and injuries with sharps in 2012.
A cross-sectional study was conducted on 298 healthcare workers of medical centers governed by Kashan University of Medical Sciences. A questionnaire was used in this study. The first part included questions about demographic characteristics. The second part of the questionnaire consisted of 16 items related to the sharp instrument injuries. For data analysis, descriptive and analytical statistics (chi-square, ANOVA and Pearson correlation coefficient) SPSS version 16.0 software was used.
From a total of 298 healthcare workers, 114 (38.3%) had a history of injury from needles and sharp instruments in the last six months. Most needle stick and sharp instrument injuries had occurred among the operating room nurses and midwifes; 32.5% of injuries from sharp instruments occurred in the morning shift. Needles were responsible for 46.5% of injuries. The most common actions taken after needle stick injuries were compression (27.2%) and washing the area with soap and water (15.8%). Only 44.6% of the injured personnel pursued follow-up measures after a needle stick or sharp instrument injury.
More than a half of the healthcare workers with needle stick or sharp instrument injury had refused follow-up for various reasons. The authorities should implement education programs along with protocols to be implemented after needle stick injuries or sharps.
锐器伤是医护人员常见的职业危害。此类损伤使工作人员易感染乙型、丙型肝炎和艾滋病毒等危险感染。
本研究旨在调查2012年卡尚医疗中心医护人员针刺和锐器伤后的行为。
对卡尚医科大学管理的医疗中心的298名医护人员进行了横断面研究。本研究使用了问卷调查。第一部分包括有关人口统计学特征的问题。问卷的第二部分由16项与锐器损伤相关的内容组成。为进行数据分析，使用了描述性和分析性统计方法（卡方检验、方差分析和皮尔逊相关系数）以及SPSS 16.0版软件。
在总共298名医护人员中，114人（38.3%）在过去六个月中有针刺和锐器伤史。大多数针刺和锐器伤发生在手术室护士和助产士中；32.5%的锐器伤发生在早班。针头导致了46.5%的损伤。针刺伤后最常见的行为是按压（27.2%）和用肥皂和水清洗伤口（15.8%）。只有44.6%的受伤人员在针刺或锐器伤后采取了后续措施。
超过一半的有针刺或锐器伤的医护人员因各种原因拒绝后续治疗。当局应实施教育计划以及针刺伤或锐器伤后应实施的方案。
