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老挝万象三级医院工作人员针刺和锐器伤的患病率及危险因素

Prevalence and risk factors of needle stick and sharp injury among tertiary hospital workers, Vientiane, Lao PDR.

作者信息

Matsubara Chieko, Sakisaka Kayako, Sychareun Vanphanom, Phensavanh Alongkone, Ali Moazzam

机构信息

National Center for Global Health and Medicine.

Graduate School of Medicine, The University of Tokyo.

出版信息

J Occup Health. 2017 Nov 25;59(6):581-585. doi: 10.1539/joh.17-0084-FS. Epub 2017 Sep 13.

Abstract

OBJECTIVES

Health care workers (HCWs) face risks of needle stick and sharp injuries (NSIs). Most NSIs occur in developing countries, however, no epidemiological study on NSIs is publicly available in Lao PDR. The objective of this study is to identify the prevalence and risk factors of NSIs among HCWs in Lao PDR.

METHODS

This cross-sectional study was designed to determine the prevalence and risk factors of NSIs among four tertiary hospitals in Vientiane, Lao People's Democratic Republic.

RESULTS

Six months before the survey, 11.4% (106/932) of hospital staff had experienced NSIs, while 42.1% did in their entire career. Key protective factors of NSIs among nurses included adequate availability of needles, syringes, and sharp equipment (p = 0.042; odds ratio [OR], 0.47) and attendance to educational or refresher courses on safety regarding NSIs (p = 0.038; OR, 0.50). As an on-site practice, single-handed recapping was prevalent (46.7%, 257/550) among participants.

CONCLUSIONS

The result showed that high rates of NSIs persist among HCWs. The findings of this research call for comprehensive health and injection safety programs for HCWs involved in clinical practice.

摘要

目的

医护人员面临针刺和锐器伤(NSIs)风险。大多数针刺和锐器伤发生在发展中国家,然而,老挝人民民主共和国尚无公开的针刺和锐器伤流行病学研究。本研究的目的是确定老挝人民民主共和国医护人员中针刺和锐器伤的患病率及危险因素。

方法

本横断面研究旨在确定老挝人民民主共和国万象市四家三级医院医护人员中针刺和锐器伤的患病率及危险因素。

结果

在调查前六个月,11.4%(106/932)的医院工作人员曾经历过针刺和锐器伤,而在其整个职业生涯中这一比例为42.1%。护士中针刺和锐器伤的关键保护因素包括针头、注射器和锐器设备供应充足(p = 0.042;比值比[OR],0.47)以及参加针刺和锐器伤安全方面的教育或进修课程(p = 0.038;OR,0.50)。作为现场操作,单手回套针帽在参与者中很普遍(46.7%,257/550)。

结论

结果表明,医护人员中针刺和锐器伤的发生率仍然很高。本研究结果呼吁为参与临床实践的医护人员制定全面的健康和注射安全计划。

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