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中国湖南省部分助产士中经皮损伤的流行情况及相关因素。

Prevalence of Percutaneous Injuries and Associated Factors Among a Sample of Midwives in Hunan Province, China.

机构信息

Xiang Nan University.

The Affiliated Hospital of Xiangnan University.

出版信息

Workplace Health Saf. 2020 Sep;68(9):422-431. doi: 10.1177/2165079920914923. Epub 2020 May 29.

DOI:10.1177/2165079920914923
PMID:32469688
Abstract

Percutaneous injuries and blood-borne-related infections pose occupational hazards to healthcare professionals. However, the prevalence and associated factors for these hazards among midwives in Hunan Province, China are poorly documented. : A cross-sectional study was conducted among a sample of 1,282 eligible midwives in the cities of Yongzhou, Chenzhou, Hengyang, and Changsha in Hunan Province, China, from January 2017 to July 2017. The association of selected independent variables with percutaneous injuries was investigated using binary logistic regression. : 992 participants responded (77.3%), and within the previous 12 months, 15.7% experienced percutaneous injuries. In multivariate analysis, hospital size, age, length of employment as a midwife, weekly working hours, and three aspects of Hospital Safety Climate Scale were associated with percutaneous injuries. The risk of percutaneous injuries among the midwives working in hospitals with ≤399 beds was higher than that among those working in hospitals with ≥400 beds by nearly 3 times. Furthermore, the percutaneous injury prevalence of midwives decreased as age increased. Moreover, the probability of percutaneous injuries among the midwives with weekly working hours of >40 was 4.35 times higher compared with that among midwives with weekly working hours of ≤40. : The prevalence of percutaneous injuries among midwives in the study hospitals was substantial. Our results further proved that risk mitigation strategies tailored to midwives are needed to reduce this risk. These strategies include ensuring a positive organizational climate, providing highly safe devices, and reducing the workload.

摘要

经皮损伤和血源相关感染对医护人员构成职业危害。然而,中国湖南省助产士中这些危害的流行情况和相关因素记录甚少。本研究于 2017 年 1 月至 7 月在中国湖南省永州市、郴州市、衡阳市和长沙市对 1282 名符合条件的助产士进行了横断面研究。使用二元逻辑回归调查了选定的独立变量与经皮损伤的关联。共有 992 名参与者(77.3%)做出回应,在过去 12 个月内,15.7%的参与者经历过经皮损伤。多变量分析显示,医院规模、年龄、助产士工作年限、每周工作时间以及医院安全氛围量表的三个方面与经皮损伤有关。与在床位数≥400 张的医院工作的助产士相比,在床位数≤399 张的医院工作的助产士发生经皮损伤的风险高近 3 倍。此外,随着年龄的增长,经皮损伤的发生率呈下降趋势。此外,每周工作时间>40 小时的助产士发生经皮损伤的概率是每周工作时间≤40 小时的助产士的 4.35 倍。研究医院助产士经皮损伤的发生率相当高。我们的研究结果进一步证明,需要针对助产士制定风险缓解策略,以降低这种风险。这些策略包括确保积极的组织氛围、提供高度安全的设备以及减少工作量。

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