Study On Characteristics Of Sharp Instrument Injury And Intervention Strategies Among Medical Staff In Danyang

Objective:The goal of this study was to analyze the characteristics and trend of sharp instrument injury for six-year on medical staff from three hospitals and to compare the differences between the result of questionnaire and the result reported at the same time on sharp instrument injury,in order to provide the information evidence to prevent the occurrence of sharp instrument injury.Method:(1)Detailed information of 502 medical staff,who reported sharp instrument injury actively in three hospitals from 2010 to 2015,were collected,including gender,age,occupation,professional title,working years,injured area,occurrence time and place,pathogen type and so on.(2)In June 2015,medical staff in one of the three hospitals were asked to fill in a questionnaire to survey the situation of sharp instrument injury and the missing report rate of sharp instrument injury in the first half of 2015.(3)Intervention measures were made by analyzing the characteristics of sharp instrument injury and combing with literature.Result:(1)From January 2010 to December 2015,there were 502 cases of sharp instrument injury in three medical hospitals in Danyang.The occurrence of sharp instrument injury was increasing year by year.The proportion of nurses in sharp instrument injury(63.54%)was the highest,followed by doctors(21.31%).Medical workers who worked less than five years had the highest proportion(66.13%).The proportion of the sources of exposure polluted by positive pathogen was 68.73%.The main Pathogen of infection was hepatitis B virus,followed by syphilis.Ward was the place where sharp instrument injury happened most frequently,followed by disposal room?therapeutic room.In terms of the sharp instrument type used in sharp instrument injury events,syringe needle was the main type,followed by scalp needle,blood sampling needle.In terms of the key link of sharp instrument injury,the proportion was 25.89%when patients were agitated,followed by the process of disposal of medical waste,blood collection,blood glucose insulin needle puncture injury,dosing ampoule injury.(2)The results of questionnaire survey:among the 390 people surveyed,133 people suffered sharp instrument injury within half a year,with an incidence rate of 34.10%.The possibility of surgical nurses being injured by sharp instruments was 44.28%,which was relatively high,followed by emergency nurses,and the medical nurses.The analysis of difference among the three groups was statistically significant(P<0.05).Among the nursing staff investigated,the incidence rate of sharp instrument injury of those under age of 25 was 45.54%,followed by age of 25-34,35-44 and over 45.The comparison of difference among the four groups was statistically significant(P<0.05).In terms of the occurring place,therapeutic room had the highest proportion,which accounted for 39.09%,followed by sickroom.Nursing staff who worked the day shift had the highest percentage of sharp instrument injury,which accounted for 74.43%.Among the medical instruments used in sharp instrument injury,the percentage of glass ampoule was highest,which accounted for 31.58%,followed by disposable scalp needle and injection needle.Among the sharp instrument injury,the frequency of being scratched by glass ampoule was the highest when adding drugs,followed by the process of disposal of medical waste.58 people suffered from sharp instrument injury caused by blood borne pollution,The main pathogen of pollution is hepatitis B virus,followed by syphilis,hepatitis C virus and HIV.Among the nurses with sharp injuries,90.98%of persons were performed with the standardized local treatment,but only 44.83%of whom using standard intervention measures after local treatment.After the occurrence of sharp injuries,96.24%of the nurses showed care and panic.The active reporting rate of sharp instrument injury was lower(7.52%).Conclusion:(1)The number of sharp instrument injury among medical staff in three hospitals in Danyang shows an increasing trend year by year from 2010 to 2015.Among the victims of sharp instrument injury,nursing staff accounts for the highest proportion.Ward,disposal room and therapeutic room are the high places of sharp instrument injury.Injection needle and scalp needle are the main sharp instrument types used in sharp instrument injury.Among the pathogens,the pathogens which have been identified are hepatitis B,syphilis and hepatitis C.(2)Questionnaire survey result shows that the following kind of nursing staff are more vulnerable to sharp instrument injury:age under 25 years working time within five years,work the day shift.Most nursing staff participated in the training of occupational exposure,but the effect is not ideal.The reporting rate of sharp instrument injury is not high,but higher in those victims caused by pathogens.Nursing staff suffered from different degrees of psychological reactions after being injured by sharp instruments.