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引文資料
題名:
某醫學中心護理人員對污染性針扎的認知與處理方法之探討
書刊名:
勞工安全衛生研究季刊
作者:
陳尚民
/
王榮德
出版日期:
1994
卷期:
2:3
頁次:
頁15-24
主題關鍵詞:
污染性針扎
;
認知
;
處理
;
Contaminated needlesticks
;
Knowledge
;
Management
原始連結:
連回原系統網址
相關次數:
被引用次數:期刊(
4
) 博士論文(0) 專書(0) 專書論文(0)
排除自我引用:
4
共同引用:0
點閱:38
護理人員是針扎的高危險群,被接觸過病人體液的污染性針頭所扎傷,可傳染愛滋病、B型肝炎、C型肝炎、梅毒…等各種傳染病。為瞭解那些單位或特性之護理人員較未能有正確的知識,期盼所得結果可提供醫院規劃衛生教育的參考。本研究以面談問卷方式調查某醫學中心護理人員1123人。回應率91.4%(1026人),其中43人因在衛教、研究、行政或中央供應室等沒有接觸針頭的單位,另外27人的問卷填寫不完整,35人為護理長以行政工作為主,皆不列入計算,共921份問卷進行統計分析。結果發現護理人員對污染性針扎的認知仍嫌不足,只有33.8%是完全答對所問關於污染性針扎可能傳染的疾病。開刀房及年資1年到4年者認知較差。對污染性針扎可能傳染疾病認知得分愈高者,愈會採取單手套回針頭蓋,以預防針扎。過去一年有428人(46.5%)曾發生污染性針扎,其中只有28%正確的處理;且只有30人(7%)在發生污染性針扎時曾向上級報告。正確認知者比較會採取正確的處理方式。 因此,應依各單位需要,加強衛教,使每個護理人員都能認知污染性針扎的危害,採取適當的預防措施來避免針扎,萬一被扎傷也能做正確的處理,建立起全院污染性針扎的通報及處理系統,以減免針扎的危害。
以文找文
Nurses are at high risk of needlesticks, which can transmit AIDS (Acquired immunodeficiency syndrome), syphilis, viral hepatitis B and C, etc., as reported in many studies. This study was conducted by questionnaire interview to all of the nurses in a medical center to determine the nurses' knowledge and management of contaminated needlesticks. 1026 (91.4%) of 1123 nurses responded, but 43 nurses who worked in education, administration, or central supply departments, and 35 directors of units were excluded because they usually did not work with needles. 27 nurses with incomplete questionnaires were also excluded. The results revealed 33.8% nurses answered correctly about the kinds of diseases transmitted by contaminated needlesticks. Nurses at operation unit and with 1~4 years of working experience got a significantly lower score in knowledge. The higher the score she got, the more frequently would she use one hand technique to recap contaminated needles. 46.5% nurses were injuried by contaminated needles within the past one year, 72% of them did not treat themselves comprehensively and only 30 persons (7%) reported to the nosocomial infection control unit. The score of knowledge is positively associated with the score of management. We recommend continuous educations of practicing nurses about comprehensive prevention and treatment of contaminated needlesticks should be advocated together with the establishment of a complete reporting system.
以文找文
期刊論文
1.
林金絲、周明淵、許國忠、呂美雲、陳依雯(19900800)。三軍總醫院工作人員對乙型肝炎之知識與針扎事件及相關因素之探討。中華醫學雜誌,46(2),104-108。
延伸查詢
2.
Ippolito, G.、Puro, V.、De Carli, G.(1993)。The risk of occupational human immunodeficiency virus infection in health care workers. The Italian study group on occupational risk of HIV infection。Archive Internal Medicine,153(12),1451-1458。
3.
Mitsui, T.、Iwano, K.、Masuko, K.(1992)。Hepatitis C virus infection in medical personnel after needlestick accident。Hepatology,16,1109-1114。
4.
Cannon, N. J. Jr.、Walker, S. P.、Dismukes, W. E.(1972)。Malaria acquired by accidental needle puncture。Journal of American Medical Association,222,1425-1427。
5.
Sahn, S. A.、Pierson, D. J.(1974)。Primary Cutaneous Inoculation Drug-resistant Tuberculosis。American journal of medicine,57,676-678。
6.
Beverley, J. K. A.、Skupper, E.、Marshall, S. C.(1955)。Acquired Toxoplasmosis: with a Report of a Case of Laboratory Infection。Br. Med. J.,1,577-578。
7.
Hamory, B. H.(1983)。Underreporting of needlestick injuries in a university hospital。American Journal of Infection Control,11,174-177。
8.
Centers for Disease Control(1987)。Update: human immunodeficiency virus infections in health-care workers exposed to blood of infected patients。MMWR,36,285-289。
9.
Centers for Disease control(1989)。Exhibit 6-392. in: Occupational exposure to bloodborne pathogens: proposed rule and notice of hearing。Federal Register,54,23042-23139。
10.
Occupational Safety and Health Administration(1991)。Occupational exposure to bloodborne pathogens standard; Final rule。Federal Register,56,64003-64182。
11.
Haiduven, D. J.、DeMaio, T. M.、Stevens, D. A.(1992)。A five year study of needlestick injuries: significant reduction associated with communication, education, and conventient placement of sharps containers。Infect Control Hosp. Epidemiol,13,265-271。
12.
Anderson, D. C.、Blower, A. L.、Packer, J. M. V.、Ganguli, L. A.(1991)。Preventing needlestick injuries。Bri. Med. J.,302,769-770。
13.
Marranconi, F.、Mecenero, V.、Pellizzer, G. P.(1992)。HCV infection after accidental needlestick injury in health-care workers。Infection,20,111。
14.
Chacko, C. W.(1966)。Accidental human infection in the laboratory with the Nichols rabbit-adapted virulent strain of Treponema pallidum。Bull. WHO,35,809-810。
15.
(1984)。Recommendation of the Immunization Practices Advisory Committee (ACIP): Postexposure prophylaxis of hepatitis。B. MMWR,33(21),285-290。
16.
Chen, D. S.、Sung, J. L.(1978)。Hepatitis B virus infection and chronic liver diseases in Taiwan。Acta Hepatogastroenterol,25,423-430。
17.
O'Donnell, N. G.、Asbury, A. J.(1992)。The occupational harzard of human immunodeficiency virus and hepatitis B virus infection。Anethesia,47,923-928。
18.
Chen, P. J.、Chen, M. L.、Chen, D. S.(1994)。A viral mechanism in acute exacerbations of chronic type B hepatitis: hepatitis B virus reinfection and subsequent reactivation of two viral strains。J. Biomed Sci,1,7-12。
19.
Herwaldt, B. L.、Juranek, D. D.(1993)。Laboratory-acquired malaria, leishmaniasis, trypanosomiasis, and toxoplasmosis。Am. J. Trop Med. Hyg.,48,313-323。
會議論文
1.
Birkett, A.(1993)。Worker unions' perspective on the hazards of hepatitis B。International Congress on Hepatitis B as an Occupational Hazard,(會議日期: 10-12 March 1993)。London:VHPB-Medical Imprint。80-83。
學位論文
1.
陳美滿(1992)。I,某醫學中心護理人員針頭扎傷年發生率及其變因II,某醫學中心護理人員針頭扎傷機轉之探討(碩士論文)。國立臺灣大學。
延伸查詢
2.
陳尚民(1994)。護理人員針扎及其相關問題之研究(碩士論文)。國立臺灣大學。
延伸查詢
圖書
1.
SAS Institute Inc.(1990)。S/IS procedures guide。Cary, NC:SAS Institute Inc.。
2.
Collins, C. H.(1983)。Laboratory acquired infections。London:Butterworth。
圖書論文
1.
余瑞蘭(1992)。臺北市(縣)教學醫院醫療工作人員對B型肝炎疫苗預防之知識、認知、態度及其相關因素之探討。傳染病防治。臺北縣新莊市:省公共衛生研究所。
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