- 期刊
大陸湖北省荊州區醫療機構安全注射調查
An Investigation of Safe Injection Practices of Health Facilities in Jingzhou District, Hubei, China
摘要
目標：瞭解荊州區各級醫療機構安全注射現況和醫護人員的安全注射知識，提供衛生行政部門制定安全注射管理措施之依據。方法：以4家區直醫院和用分層隨機抽樣方法抽出的6家鎮衛生院、14家村衛生室和14家社區衛生服務站為樣本，通過抽查2004年病歷和門診處方、現場觀察、問卷調查醫護人員等方法，瞭解病人的注射情況、注射品質、及醫護人員的安全注射知識。結果：查住院病歷1,452份，注射率為99.86%，平均每人注射10.92針次，抗生素注射率為48.40%，靜脈注射為主要途徑(64%)。查門診處方5,655張，注射率52.38%，區直醫院最高(64.41%)，以靜脈注射抗生素和抗病毒藥為主。現場觀察不安全注射率為16.00%，不必要注射率為55.43%。調查118名醫護人員，知道不安全注射能傳播愛滋病毒、B和C型肝炎病毒的比率分別為94.92%，88.98%和59.32%。結論：荊州區醫療機構的安全注射仍存在很多問題，加強醫護人員的安全注射知識和技能培訓，強化管理措施是非常必要的。
並列摘要
Objectives: This survey was conducted to assess the status of safe injection practices and professional knowledge of health workers at all levels of the health care system in Jingzhou District, Hubei Province, and to provide useful science data to formulate feasible, standardized injection safety practices. Methods: Four district hospitals, 6 health centers, 14 village clinics, and 14 community health stations were selected by stratified random sampling. Quantitative data were collected from medical records in 2004, observation of injection practices, and interviews with nurses and doctors. Results: Of the 1452 medical records sampled, 1450 (99.86%) identified patients who had received an average of 10.92 injections. The most frequently injected substances were antibiotics (48.40%), and most of the injections were given intravenously (63.35%). Of the 5655 outpatient prescriptions dispensed, 52.38% were for substances requiring injection. The highest rate of injection (64.41%) occurred in district hospitals. Most antibiotics and antiviral drugs were injected intravenously. Field observation found that 16.00% of injections were unsafe and 55.43% were unnecessary. Interviews of 118 professional employees revealed that 94.92%, 88.98%, and 59.32%, knew HIV, HBV, and HCV can be transmitted by injection, respectively. Conclusions: The quality of injection practices has been improved in the medical facilities in Jingzhou District. However, all health workers should receive continuing training to increase their theoretical and practical knowledge of safe injection.
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