Huang Li, Katsnelson Svetlana, Yang Jie, Argyrou Charalambos, Charitou Marina M
Stony Brook University Hospital, Stony Brook, NY.
Kaiser Permanente, Santa Clara, CA.
Diabetes Spectr. 2018 May;31(2):155-158. doi: 10.2337/ds17-0033.
Proper disposal of sharps has been well studied in hospital settings but not often addressed in the home setting. This lack of attention has resulted in erratic use of proper sharps disposal techniques and thus increased risk of needle-stick injuries and infections. This study aimed to evaluate methods of disposal and patient demographic factors associated with correct disposal of diabetes-related sharps in the community.
A survey was administered to diabetes patients at an endocrinology clinic of an academic tertiary care center. Correct disposal of sharps was defined as use of designated sharps or other leak-proof containers. Numerous patient factors were evaluated for a clinically significant association with correct disposal of sharps via χ testing.
Fifty-nine percent of patients reported disposing of their sharps correctly. Those with diabetes for >30 years had the lowest rate of correct disposal (36%). Age, sex, education level, type of diabetes, and type of diabetes regimen were not associated with correct disposal. Patients who received formal training on proper sharps disposal from a nurse or from other sources were more likely to dispose of sharps correctly (odds ratio [OR] 3.95, 95% CI 1.37-11.34, and OR 4.55, 95% CI 1.5-13.85, respectively). Married patients were less likely to correctly dispose of sharps (OR 0.36, 95% CI 0.14-0.92, = 0.033).
CONCLUSION/CLINICAL RELEVANCE: This study was the first to examine disposal practices and associated risk factors for poor disposal methods among patients in a U.S. tertiary medical center. A large portion of patients was found to have improper sharps disposal practices. Prior formal training in sharps disposal was associated with higher rates of correct practices, suggesting that increased emphasis on provider-patient education can lead to significant improvement in disposal habits.
锐器的妥善处理在医院环境中已得到充分研究，但在家庭环境中却很少被提及。这种忽视导致了正确锐器处理技术的使用不稳定，从而增加了针刺伤和感染的风险。本研究旨在评估社区中与糖尿病相关锐器正确处理相关的处理方法和患者人口统计学因素。
对一家学术三级护理中心内分泌科诊所的糖尿病患者进行了一项调查。锐器的正确处理定义为使用指定的锐器或其他防漏容器。通过χ检验评估了许多患者因素与锐器正确处理之间的临床显著关联。
59%的患者报告正确处理了他们的锐器。糖尿病病程超过30年的患者正确处理率最低（36%）。年龄、性别、教育水平、糖尿病类型和糖尿病治疗方案与正确处理无关。接受过护士或其他来源关于正确锐器处理的正规培训的患者更有可能正确处理锐器（优势比[OR]分别为3.95，95%可信区间1.37 - 11.34，以及OR 4.55，95%可信区间1.5 - 13.85）。已婚患者正确处理锐器的可能性较小（OR 0.36，95%可信区间0.14 - 0.92，P = 0.033）。
结论/临床意义：本研究首次在美国三级医疗中心的患者中检查了处理方法及处理不当相关的危险因素。发现很大一部分患者锐器处理方法不当。先前接受过锐器处理的正规培训与更高的正确处理率相关，这表明加强医患教育可显著改善处理习惯。
