Occupational Risk Assessment Of Needle-stick Injuries For Nursing Staff

ObjectiveTo explore the population characteristic, the level of exposure, the influence factors, the type of occupational hazard and risk for nursing service personnels exposed to needle-stick injury and to propose risk management measures.MethodsInterviewed 388 clinical nurses whose length of service exceed one year from a hospital by self-designed questionaire to know the general condition, non-occupational behaviors infected blood-borne diseases health status, the level of exposure last year, section of exposure ,tools of exposure, post-exposure prophylaxis and exposed hazards. Use EpiData 3.0 software for data entry and SPSS 11.5 for windows for data disposal and analysis.ResultAmong non-occupational behaviors, the incidence rate of intravenous injection and intramuscular injection was 82.7% and prick earhole was 37.9% during facial service. The incidence rate of needle-stick injury in the last year was 68.3% and the negligence which lead to exposure accounted for 48.2%.There was significant difference in the incidence rate of exposure for the different sweep state(P=0.005),the same as the different department (P=0.000).The infection rate exposed to needle-stick injury was 6.7%.there was also difference whether or not disinfection after exposure(P=0.013). logistic regression analysis the occurrence of occupational infection induced by needle-stick injuries is related to different department(P=0.011);occupational infection is also related to whether or not disinfection after exposure(P=0.000).the incidence of tension, anxiety, fear reaction were 63.9%,58.0%,36.3% respectively.ConclusionNursing staffs were high risk population of needle-stick injury. It's main occupational hazard were blood-borne diseases and psychological harm. The influence factors of exposure and infection included nursing management, health education, physical and psychological state and post-exposure prophylaxis treatment. It is urgent to strengthen safety management and education and take intervention measures such as universal precaution .