Hubei NO.3 People's Hospital of Jianghan University, Wuhan, China.
Ann Palliat Med. 2021 Jul;10(7):7525-7533. doi: 10.21037/apm-21-703.
The aim of the present study was to analyze the prevalence of needlestick injuries (NSI) of trainee nursing students and to understand the cause of injury and psychological reactions following injury, and take corresponding countermeasures to prevent adverse consequences.
Multiple databases were used to search for articles related to NSI among nursing interns. The selected literature was retrospectively evaluated by using Review Manager version 5.2.
According to the analysis of 8 published studies, the lowest overall prevalence of NSI occupational exposure was 6% [95% confidence interval (CI): 3-9%], the highest was 51% (95% CI: 42-60%), and the total combined prevalence was 27% (95% CI: 18-37%). The overall prevalence rate of interns under 25 years old was 31% (95% CI: 7-69%), and that of interns over 25 years old was 26% (95% CI: 15-38%). The overall prevalence of interns was 38% (95% CI: 16-61%) in developing countries and 21% (95% CI: 11-31%) in developed countries. The overall prevalence of interns was 38% (95% CI: 16-61%) in Asian countries, 9% (95% CI: 3-15%) in the United States, and 30% (95% CI: 3-57%) in European countries.
The results showed that interns over 25 years of age were more likely to have NSI, and interns in developing countries were more likely to have NSI than those in developed countries. Interns in Asia were more likely to have NSI than interns in Europe, and the lowest incidence of NSI was among interns in the USA.
本研究旨在分析实习护生针刺伤(NSI)的发生率,了解损伤原因和损伤后的心理反应,并采取相应的对策预防不良后果。
通过多个数据库检索实习护生针刺伤相关文献。采用 Review Manager 5.2 对纳入文献进行回顾性评价。
8 项研究共纳入 7437 名实习护士,最低总体 NSI 职业暴露率为 6%[95%置信区间(CI):3-9%],最高为 51%(95% CI:42-60%),总合并发生率为 27%(95% CI:18-37%)。25 岁以下实习护士总体发生率为 31%(95% CI:7-69%),25 岁以上实习护士总体发生率为 26%(95% CI:15-38%)。发展中国家实习护士总体发生率为 38%(95% CI:16-61%),发达国家为 21%(95% CI:11-31%)。亚洲国家实习护士总体发生率为 38%(95% CI:16-61%),美国为 9%(95% CI:3-15%),欧洲为 30%(95% CI:3-57%)。
结果表明,25 岁以上的实习护士更容易发生 NSI,发展中国家的实习护士比发达国家更容易发生 NSI。亚洲的实习护士比欧洲的实习护士更容易发生 NSI,美国的 NSI 发生率最低。