Jiang Wenjing, Liu Ying, Cao Li, Zhou Ping, Dai Anna, Tang Juan
Department of Hospital Infection Management, Zigong First People's Hospital, Zigong, China.
Department of Nursing, Sichuan Vocational College of Health and Rehabilitation, Zigong, China.
Front Public Health. 2024 Dec 18;12:1515889. doi: 10.3389/fpubh.2024.1515889. eCollection 2024.
Needle stick injury (NSI) is one of the most common and severe occupational hazards for healthcare workers (HCWs), leading to both physical harm and psychological distress and ultimately affecting patient safety. Previous studies on NSI were predominantly focused on general clinical practice, and limited research has targeted specifical NSI occurring in acupuncture practice in China, which has the greatest use of acupuncture.
This study aimed to investigate NSI and associated factors among acupuncture practitioners in China.
A cross-sectional online survey was conducted among acupuncture practitioners across 98 hospitals in southwest China from April to May 2024. A researcher-developed questionnaire was used to collect participants' experiences of NSI, general information, and knowledge, behavior, and risk perception related to occupational exposure. Multivariate logistic regression was employed to examine factors associated with NSI.
A total of 578 acupuncture practitioners completed the questionnaire, among whom 34.3% experienced at least one NSI in the past three years, yet 46.0% of these incidents were not reported. Factors associated with an increased risk of NSIs included postgraduate education or higher (OR = 2.174, 95% CI: 1.020, 4.634), high probability of occupational exposure (OR = 2.940, 95% CI: 1.826, 4.735), moderate perception of exposure severity (OR = 9.149, 95% CI: 1.948, 42.97), and high perception of exposure severity (OR = 7.025, 95% CI: 1.497, 32.969). Conversely, factors associated with a reduced risk of NSIs included females (OR = OR = 0.576, 95% CI: 0.379, 0.876), nurses (OR = 0.396, 95% CI: 0.210, 0.746), working in other professions (OR = 0.362, 95% CI: 0.151, 0.868), adherence to standard preventive measures (OR = 0.396, 95% CI: 0.210, 0.746), and consistent adherence to post-exposure procedures (OR = 0.092, 95% CI: 0.021, 0.398).
NSI is common among acupuncture practitioners in Chinese medical institutions, and under-reporting is significant. Our findings suggest that standard prevention strategies, adherence to exposure protocols, enhanced training, and effective reporting policies may help reduce NSI and improve reporting rates.
针刺伤是医护人员最常见且严重的职业危害之一，会导致身体伤害和心理困扰，最终影响患者安全。以往关于针刺伤的研究主要集中在一般临床实践，针对中国针灸实践中发生的特定针刺伤的研究较少，而中国是针灸使用最为广泛的国家。
本研究旨在调查中国针灸从业者中的针刺伤及其相关因素。
2024年4月至5月，对中国西南部98家医院的针灸从业者进行了一项横断面在线调查。使用研究者自行编制的问卷收集参与者的针刺伤经历、一般信息以及与职业暴露相关的知识、行为和风险认知。采用多因素逻辑回归分析来检验与针刺伤相关的因素。
共有578名针灸从业者完成了问卷，其中34.3%在过去三年中至少经历过一次针刺伤，但这些事件中有46.0%未被报告。与针刺伤风险增加相关的因素包括研究生及以上学历（OR = 2.174，95%CI：1.020，4.634）、职业暴露可能性高（OR = 2.940，95%CI：1.826，4.735）、对暴露严重性的中度认知（OR = 9.149，95%CI：1.948，42.97）以及对暴露严重性的高度认知（OR = 7.025，95%CI：1.497，32.969）。相反，与针刺伤风险降低相关的因素包括女性（OR = 0.576，95%CI：0.379，0.876）、护士（OR = 0.396，95%CI：0.210，0.746）、从事其他职业（OR = 0.362，95%CI：0.151，0.868）、坚持标准预防措施（OR = 0.396，95%CI：0.210，0.746）以及始终坚持暴露后程序（OR = 0.092，95%CI：0.021，0.398）。
针刺伤在中国医疗机构的针灸从业者中很常见，且漏报情况严重。我们的研究结果表明，标准预防策略、坚持暴露规程、加强培训以及有效的报告政策可能有助于减少针刺伤并提高报告率。
