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2012年对河内河东综合医院注射安全性的评估。

Assessment of injection safety in Ha Dong General Hospital, Hanoi, in 2012.

作者信息

Van Tuong Phan, Phuong Tran Thi Minh, Anh Bui Thi My, Nguyen Trang Huyen Thi

机构信息

Department of Hospital Management, Health Management Training Institute, Hanoi University of Public Health, Hanoi, 100000, Vietnam.

Hanoi Health Administration Bureau, Hanoi, 100000, Vietnam.

出版信息

F1000Res. 2017 Jun 26;6:1003. doi: 10.12688/f1000research.11399.4. eCollection 2017.

Abstract

: Injection is one of the most frequently used medical methods to introduce drugs or other substances into the body for purposes of treatment or prevention. Unsafe injection can cause adverse outcomes, such as abscess and anaphylactic shock, and increases the risk of blood-borne transmission of viruses to patients and health care workers, as well as the community. Recognizing the importance of injection safety, in 2000 the Vietnamese Ministry of Health (MOH) collaborated with the Vietnam Nurses Association to launch the "Safe injection" program throughout the country, including Hanoi. : This cross-sectional study, combining quantitative and qualitative analysis, was conducted from February to August 2012 in Ha Dong General Hospital using a structured questionnaire and observation checklist. The target population of the study was 109 nurses working in clinical departments and 436 injections were observed. : The percentage of nurses who are familiar with injection safety standards was found to be 82.6%. The proportion of practical injections that met the 23 standards of injection safety set by the MOH amounted to 22.2%. The factors related to safe injection practice of nurses who were younger age group (OR=3.1; p<0.05) and fewer number of years working as a nurse (OR=2.8; p<0.05). : While nurses have high level of knowledge about safe injections but a small proportion actually practiced. Experience may not always guarantee safe practices.  Injection safety training should be regularly imparted upon all categories of nurses.

摘要

注射是将药物或其他物质引入体内以进行治疗或预防的最常用医疗方法之一。不安全注射会导致不良后果,如脓肿和过敏性休克,并增加病毒在患者、医护人员以及社区中通过血液传播的风险。认识到注射安全的重要性,2000年越南卫生部与越南护士协会合作在全国包括河内开展了“安全注射”项目。

这项结合了定量和定性分析的横断面研究于2012年2月至8月在河东综合医院进行,采用了结构化问卷和观察清单。研究的目标人群是临床科室的109名护士,并观察了436次注射。

结果发现,熟悉注射安全标准的护士比例为82.6%。符合卫生部制定的23项注射安全标准的实际注射比例为22.2%。与护士安全注射实践相关的因素是年龄较小(OR=3.1;p<0.05)和护士工作年限较少(OR=2.8;p<0.05)。

虽然护士对安全注射有较高的知识水平,但实际践行的比例较小。经验并不总能保证安全操作。应定期对各类护士进行注射安全培训。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c983/5706522/bd740c3cece9/f1000research-6-14401-g0000.jpg

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