Li Jing, Zhang Haixia, Zhang Yanhua, Wang Lijuan, Li Li, Chen Meiling
Delivery Ward, Beijing Ditan Hospital Capital Medical University, Beijing, China.
Nursing Department, Beijing Ditan Hospital, Capital Medical University, Beijing, China.
Am J Infect Control. 2023 Feb;51(2):214-219. doi: 10.1016/j.ajic.2022.06.009. Epub 2022 Jun 12.
To identify the problems and high-risk factors of blood-borne occupational exposure among midwives in China.
Midwives from the obstetrics department and delivery room of hospitals in institutions. The self-compiled questionnaire on the current status of blood-borne occupational exposure of Chinese midwives was used for data collection.
The incidence rate of blood-borne occupational exposure was 46.77%. The independent risk factors were working years ≤5 years (P = .001), unable to take standard prevention at work (P = .000), unaware of human immunodeficiency virus treatment procedures (P = .000), and average daily working hours of 8 hours (P = .002), the high risk of blood-borne occupational exposure at work (P = .000), and contact with patient fluids, blood without gloves (P = .000).
Midwives are at high risk of blood-borne occupational exposure, and midwives with ≤5 years of service are the focus group. Failure to achieve standard prevention, the length of working hours and the ignorance of the treatment process of acquired immunodeficiency syndrome have a certain impact on the occurrence of blood-borne occupational exposure.
It is necessary to focus on cultivating high-level midwifery talents to overcome the shortage of midwives and rationally use midwifery resources, as well as to strengthen standard prevention and improve the occupational protection and guarantee system for midwives.
识别中国助产士血源性职业暴露的问题及高危因素。
选取各机构医院产科及产房的助产士。采用自行编制的中国助产士血源性职业暴露现状调查问卷进行数据收集。
血源性职业暴露发生率为46.77%。独立危险因素为工作年限≤5年（P = 0.001）、工作时无法采取标准预防措施（P = 0.000）、不了解人类免疫缺陷病毒治疗程序（P = 0.000）、平均每日工作时长8小时（P = 0.002）、工作中血源性职业暴露风险高（P = 0.000）以及未戴手套接触患者体液、血液（P = 0.000）。
助产士血源性职业暴露风险高，工作年限≤5年的助产士是重点人群。未落实标准预防措施、工作时长以及对获得性免疫缺陷综合征治疗流程的忽视对血源性职业暴露的发生有一定影响。
有必要着重培养高水平助产人才以克服助产士短缺问题，合理利用助产资源，同时加强标准预防，完善助产士职业防护及保障体系。
