| Objective:(1)Starting from the current situation of occupational exposure of medical staff in TRADITIONAL Chinese medicine hospitals,this study understands the basic situation and influencing factors of blood-borne occupational exposure of medical staff in traditional Chinese medicine hospitals.(2)Analyze the main characteristics of blood-borne occupational exposure of medical staff in hospitals of Traditional Chinese medicine,and put forward corresponding suggestions and countermeasures for blood-borne occupational protection of medical staff in hospitals of Traditional Chinese medicine according to the exposure characteristics and influencing factors.Methods:Multistage sampling was used in this study.In the first stage,according to the classification of current Changsha Traditional Chinese medicine hospitals,three grade A traditional Chinese medicine hospitals in Changsha city were selected.In the second stage,500 medical staff(including doctors,nurses and technicians)from three Grade A Traditional Chinese medicine hospitals were selected by convenient sampling method,and a total of 1500 medical staff were selected as the research objects..Blood-borne occupational exposure questionnaire was used to conduct a questionnaire survey,which included four parts: general information questionnaire,blood-borne.occupational.exposure.occurrence.questionnaire,blood-borne.occupationa l exposure knowledge questionnaire,blood-borne occupational exposure prevention awareness questionnaire.After the questionnaire was collected,it was carefully checked and the missing items were eliminated.The valid questionnaire information and data were recorded into Excel in pairs and double entries.Statistical software SPSS26.0 was used for analysis,Two independent sample T test and Chi-square test were used to analyze the differences between groups in the occurrence of blood-borne occupational exposure.For the differences between groups,LSD was further used for comparison between groups.The incidence of blood-borne occupational exposure among medical staff in TCM hospitals was analyzed by binary Logistic regression.Results :(1)General information: 1500 medical staff from three traditional Chinese medicine hospitals were selected as the survey objects in this study,and 1434 valid questionnaires were collected,with an effective rate of 95.6%.Age structure:20.71%(297/1434)were <25 years old,55.86%(801/1434)were 25 to 30 years old,15.69%(225/1434)were 31 to 40 years old,and 7.74%(111/1434)were ≥41 years old.Gender structure: 33.47%(480/1434)were males,66.53%(954/1434)were females;Degree structure: 23.22%(333/1434)of junior college or below,31.59 %(453/1434)of bachelor degree,45.19%(648/1434)of master degree or above;Occupational structure: doctors accounted for 31.59%(453/1434),medical technicians accounted for 23.43%(336/1434),nurses accounted for 44.98%(645/1434);The structure of professional titles: 53.14%(762/1434)were junior and below,31.80%(456/1434)were intermediate;15.06%(216/1434)and above;Working departments:Accounting for 11.09%(159/1434)in internal medicine,17.36%(249/1434)in surgery,11.30%(162/1434)in gynecology,14.02%(201/1434)in pediatrics,30.75%(441/1434)in medical technology.Other departments accounted for 15.48%(222/1434);Working years: <5 years accounted for 33.13%(475/1434),5-10 years accounted for 38.98%(559/1434),≥11 years 27.89%(400/1434);42.05%(603/1434)participated in blood-borne occupational exposure training,57.95%(831/1434)did not participate in blood-borne occupational exposure training.(2)Occurrence of blood-borne occupational exposure: Among 1434 subjects,143 people were exposed to blood-borne occupational exposure last year,with an exposure incidence rate of 9.97%.Age: The incidence of blood-borne occupational exposure was 8.75%(26/297)in <25 years old,9.99%(80/801)in 25-30 years old,9.33%(21/225)in 31-40 years old.The incidence of blood-borne occupational exposure was 14.41%(16/111)in the population aged ≥41 years.In terms of gender,the incidence of blood-borne occupational exposure was 10.00%(48/480)in males and 9.96%(95/954)in females.Educational background: the incidence of blood-borne occupational exposure was 17.72%(59/333)among people with junior college degree or below;The incidence of blood-borne occupational exposure was11.03%(50/453)among undergraduates and 5.25%(34/648)among masters and above.The incidence of occupational exposure was 9.05%(41/453)for doctors,8.33%(28/336)for medical technicians and 11.42%(74/648)for nurses.In terms of professional titles,the incidence rate of blood-borne occupational exposure was13.12%(100/762)for junior and lower staff,8.33%(38/456)for intermediate staff and 2.31%(5/216)for senior staff.Incidence of blood-borne occupational exposure in different departments: The rates of internal medicine were 10.68%(49/459),surgery 10.32%(36/349),gynecology 7.25%(19/262),pediatrics 9.90%(10/101),medical technology 11.35%(16/141)and other departments 10.66%(13/122).In terms of working years,the incidence of blood-borne occupational exposure was18.53%(88/475)in <5 years medical staff,7.16%(40/559)in 5-10 years medical staff,and 3.75%(15/400)in ≥11 years medical staff.The incidence of blood-borne occupational exposure was 3.25%(27/831)among medical staff who participated in blood-borne occupational exposure training,and 19.24%(116/603)among medical staff who did not participate in blood-borne occupational exposure training.(3)Psychological status of blood-borne occupational exposure: The psychological feeling analysis of 143 medical staff after exposure showed that 53 of them felt anxious(37.06%),31 of them felt scared(21.68%),4 of them were at a loss(2.80%),Those who felt calm and thought that they could handle it according to the regulations accounted for 29.37%(42/143),and those who felt indifferent accounted for 9.09%(13/143).(4)Report and monitoring after blood-borne occupational exposure: 99 of 143 medical staff reported blood-borne occupational exposure to department director or head nurse,accounting for 69.23%(99/143)of the total number of exposure;91persons from the nosocomial infection management unit were reported,accounting for63.64%(91/143)of the exposures;91 patients 63.64%(91/143)were able to conduct follow-up blood monitoring after exposure;52 patients were not monitored after exposure,accounting for 36.36%(52/143)of the total exposure.Among them,32 patients were not monitored "knowing that the patients did not have blood-borne diseases",accounting for 22.38%(32/143)of the total exposure,and 9 patients were not monitored "with mild sensory injury".6.29%(9/143)of the total number of people exposed,8 people who "feel sharp instrument clean and not polluted",5.59%(8/143)of the total number of people exposed,1 person who "have no time",0.70%(2/143)of the total number of people exposed,2 people who "forget",1.40%(2/143)of the total number of people exposed.(5)Knowledge of blood-borne occupational exposure: 675(47.07%)correctly answered the category of occupational exposure,906(63.18%)knew the correct treatment after sharp instrument injury exposure,831(57.95%)knew the correct treatment after mucosal exposure,and 909(63.39%)knew the relevant knowledge of standard prevention.777(54.18%)respondents said they had received special occupational protection education.(6)Univariate analysis showed that the incidence of blood-borne occupational exposure was related to medical staff’s education background,professional title,working years,whether they participated in blood-borne occupational exposure training,and whether they knew the knowledge related to blood-borne occupational exposure(P< 0.05).There was no correlation with gender,age,occupation and department(P > 0.05).(7)Binary Logistic regression analysis showed that education background,professional title,working years,participation in blood-borne occupational exposure training and knowledge of occupational exposure were the independent influencing factors of blood-borne occupational exposure protection of medical staff in TCM hospitals(P < 0.05).Conclusion :(1)The incidence of blood-borne occupational exposure among medical staff in Changsha Hospital of Traditional Chinese Medicine was in the middle level compared with that reported in the literature,and the knowledge and prevention awareness of blood-borne occupational exposure were not enough.(2)Blood-borne occupational exposure of medical staff in Changsha Hospital of Traditional Chinese Medicine was related to medical staff’s education background,professional title,working years,participation in blood-borne occupational exposure training and knowledge of blood-borne occupational exposure.(3)After blood-borne occupational exposure,most of the medical staff in Changsha Hospital of Traditional Chinese Medicine were nervous and anxious.(4)Reporting and monitoring of blood-borne occupational exposure among medical staff in Changsha Hospital of Traditional Chinese Medicine needs to be strengthened. |
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