A Study on the Effects of Training of Prevention of Occupational Exposure to Blood-borne Pathogens for Medical Staff in High-risk Areas of AIDS_West China Medical Journal

Authors：

XU Shilan ¹ , LI Ying ² , ZOU Mei ² , XIAO Weijun ² , WANG Yantong ¹

1. Hospital Infection Control Department, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China; 2. Hospital Infection Control Department, the First People’s Hospital of Liangshan, Liangshan, Sichuan 615000, P. R. China;

Corresponding?author：

Keywords：

醫務人員; 艾滋病; 血源防護; 標準預防; 問卷調查

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目的　了解艾滋病高發區醫務人員血源防護情況以及培訓所取得的效果。方法　采用自行設計的問卷，對涼山州某醫院參加培訓的職工進行培訓前后調查。結果　培訓前89人參加調查，培訓后93人參加調查；女性、護士和初級職稱者占絕大多數；培訓前調查參加者中84.3%接受過預防銳器傷培訓，79.8%工作中被銳器刺傷，38.2%報告過職業暴露，95.5%接種過乙肝疫苗；6道知識考核題培訓后答對率比培訓前均有不同程度的提高，其中4道比較具有統計學上的意義（P＜0.05）。結論　該院醫務人員已具備一定職業防護意識，對一些知識點掌握較好，但培訓強化可提高職業暴露報告依從性和預防治療及時性，更好維護艾滋病高發區醫務人員的職業健康。

Citation： XU Shilan,LI Ying,ZOU Mei,XIAO Weijun,WANG Yantong. A Study on the Effects of Training of Prevention of Occupational Exposure to Blood-borne Pathogens for Medical Staff in High-risk Areas of AIDS. West China Medical Journal, 2012, 27(3): 396-398. doi: Copy

1.	Wang H, Fennie K, He G, et al. A training programme for the prevention of ccupational exposure to blood-borne pathogens: impact on knowledge, behaviour and incidence of needle stick injuries among student nurses in Changsa, People’s Republic of Chima[J]. J Advanc Nurs, 2003, 41(2): 187-194.
2.	劉童童, 李英華, 李雨波, 等. 四川省涼山彝族自治州農村地區AIDS健康教育現狀調查及策略建議[J]. 中國健康教育, 2010, 26(5): 334-337.
3.	陸遠和, 黃新濤. 涼山州實施全球基金結核病控制項目效果分析[J]. 華西醫學, 2008, 23(1): 51-52.
4.	張煒, 陳小虎. 少數民族大學生中開展預防艾滋病健康教育模式探索[J]. 西昌學院學報(自然科學版), 2010, 24(4): 138-140.
5.	姚輝鳴, 李新旭, 阮玉華, 等. 四川省西昌市靜脈吸毒人群丙型肝炎病毒感染情況研究[J]. 中國藥物濫用防治雜志, 2007, 13(2): 67-69.
6.	徐世蘭, 吳西億, 饒莉, 等. 840例醫務人員銳器傷現狀調查[J]. 中國循證醫學雜志, 2011, 11(6): 636-639.
7.	徐世蘭. 教學醫院血源性病原體職業接觸防護管理探討[J]. 中華醫院感染學雜志, 2010, 20(12): 1748-1749.
8.	Gershon RR, Vlahov D, Felknor SA, et al. Compliance with universalprecautions among health care workers at three regional hospitals[J]. Am J Infect Control, 1995, 23(4): 225-236.
9.	Stringer B, Infante-Rivard C, Hanley J. Quantifying and reducing the risk of bloodborne pathogen exposure[J]. AORN J, 2001, 73(6): 1135-1140, 1142-1143, 1145-1146; quiz 1147-1148, 1151-1154.
10.	Wright JG, McGeer AJ, Chyatte D, et al. Mechanisms of glove tears and sharp injuries among surgical personnel[J]. JAMA, 1991, 266(12): 1668-1672.
11.	中華人民共和國衛生部. GBZ/T 213-2008血源性病原體職業接觸防護導則[S]. 2009.
12.	Lee JM, Botteman MF, Xanthakos N, et al. Needlestick injuries in the United States. Epidemiologic, economic, and quality of life issues[J]. AAOHN J, 2005, 53(3): 117-133.
13.	楊成彬, 羅雪文. 12例HIV職業暴露情況分析[J]. 中國艾滋病性病, 2009, 15(3): 315.

1. 　Wang H, Fennie K, He G, et al. A training programme for the prevention of ccupational exposure to blood-borne pathogens: impact on knowledge, behaviour and incidence of needle stick injuries among student nurses in Changsa, People’s Republic of Chima[J]. J Advanc Nurs, 2003, 41(2): 187-194.
2. 　劉童童, 李英華, 李雨波, 等. 四川省涼山彝族自治州農村地區AIDS健康教育現狀調查及策略建議[J]. 中國健康教育, 2010, 26(5): 334-337.
3. 　陸遠和, 黃新濤. 涼山州實施全球基金結核病控制項目效果分析[J]. 華西醫學, 2008, 23(1): 51-52.
4. 　張煒, 陳小虎. 少數民族大學生中開展預防艾滋病健康教育模式探索[J]. 西昌學院學報(自然科學版), 2010, 24(4): 138-140.
5. 　姚輝鳴, 李新旭, 阮玉華, 等. 四川省西昌市靜脈吸毒人群丙型肝炎病毒感染情況研究[J]. 中國藥物濫用防治雜志, 2007, 13(2): 67-69.
6. 　徐世蘭, 吳西億, 饒莉, 等. 840例醫務人員銳器傷現狀調查[J]. 中國循證醫學雜志, 2011, 11(6): 636-639.
7. 　徐世蘭. 教學醫院血源性病原體職業接觸防護管理探討[J]. 中華醫院感染學雜志, 2010, 20(12): 1748-1749.
8. 　Gershon RR, Vlahov D, Felknor SA, et al. Compliance with universalprecautions among health care workers at three regional hospitals[J]. Am J Infect Control, 1995, 23(4): 225-236.
9. 　Stringer B, Infante-Rivard C, Hanley J. Quantifying and reducing the risk of bloodborne pathogen exposure[J]. AORN J, 2001, 73(6): 1135-1140, 1142-1143, 1145-1146; quiz 1147-1148, 1151-1154.
10. 　Wright JG, McGeer AJ, Chyatte D, et al. Mechanisms of glove tears and sharp injuries among surgical personnel[J]. JAMA, 1991, 266(12): 1668-1672.
11. 　中華人民共和國衛生部. GBZ/T 213-2008血源性病原體職業接觸防護導則[S]. 2009.
12. 　Lee JM, Botteman MF, Xanthakos N, et al. Needlestick injuries in the United States. Epidemiologic, economic, and quality of life issues[J]. AAOHN J, 2005, 53(3): 117-133.
13. 　楊成彬, 羅雪文. 12例HIV職業暴露情況分析[J]. 中國艾滋病性病, 2009, 15(3): 315.

West China Medical Journal

A Study on the Effects of Training of Prevention of Occupational Exposure to Blood-borne Pathogens for Medical Staff in High-risk Areas of AIDS

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