Department of Endocrinology, Southwest Hospital, Army Medical University, Chongqing, China.
Derpartment of Gastroenterology, Southwest Hospital, Army Medical University, Chongqing, China.
J Int Med Res. 2020 Oct;48(10):300060520965400. doi: 10.1177/0300060520965400.
Needlestick injuries caused by insulin pen injection are a serious occupational hazard for health care workers in China. We evaluated the prevalence of stick injuries with insulin pen injection and identified associated risk factors.
This cross-sectional survey was conducted from 1 October to 30 November 2018 in two tier three hospitals in Chongqing, China. Self-administered questionnaires were developed by the Chinese Nursing Association Diabetes Care Special Committee. We analyzed associations between potential risk factors and injuries at different operational steps.
A total 233 of 302 (77%) participants (mean age 28.5±5.3 years) reported a needlestick incident. Most respondents (49%) had 3 to 10 years' working experience and had received injection safety training. Most needlestick injuries occurred while recapping needles after injection. The risk of injury was significantly associated with department and job position. The injury rate increased with increased number of years worked. Respondents with ≥10 years working experience reported the highest needle-capping injury rate (88%): odds ratio 1.93, 95% confidence interval, 1.01 to 3.69.
Recapping needles after injection showed the highest risk for stick injury with an insulin pen. Nurses in the surgery department and those with longer work histories were more likely to be injured.
在中国，医护人员在使用胰岛素笔注射时发生针刺伤是一种严重的职业危害。本研究评估了胰岛素笔注射所致针刺伤的发生率，并确定了相关的危险因素。
本横断面研究于 2018 年 10 月 1 日至 11 月 30 日在中国重庆的两家三级医院进行。由中华护理学会糖尿病专业委员会制定了自填式调查问卷。我们分析了不同操作步骤的潜在危险因素与损伤之间的关联。
共有 302 名参与者中的 233 名（平均年龄 28.5±5.3 岁）报告发生了针刺事件。大多数受访者（49%）有 3 至 10 年的工作经验，并接受过注射安全培训。大多数针刺伤发生在注射后套针帽时。损伤的风险与科室和岗位显著相关。工作年限越长，受伤的风险越高。具有≥10 年工作经验的受访者报告的套针帽伤发生率最高（88%）：比值比 1.93，95%置信区间 1.01 至 3.69。
注射后套针帽是使用胰岛素笔发生针刺伤的最高风险操作。外科科室的护士和工作时间较长的护士更容易受伤。
