醫院護理人員尖銳物品傷害之探討

A Study of Sharp Injury among Nurses in a Hospital Setting

黃升苗(Sheng-Miauh Huang) ； 陳綉琴(Hsiu-Chin Chen) ； 莊銀清(Yin-Ching Chuang) ； 許素珍(Su-Chen Hsu)

《感染控制雜誌》 14卷2期 (2004/04) Pp. 86-91

https://doi.org/10.6526/ICJ.200404_14(2).0003

摘要

護理人員是尖銳物品傷害中潛在風險性最高的族群。本研究主要在探討醫院護理人員發生尖銳物品傷害的情境及過程。研究對象是南部某醫學中心自民國89年1月1日至91年12月31日遭受尖銳物品傷害的117名護理人員。資料分析顯示扎傷發生情境中，個人單獨使用發生扎傷的比率居高，約佔66.7%；扎傷過程發生於使用中者約佔57.3%；一般病房與加護病房發生扎傷的情境中，以個人單獨使用之扎傷者為多，而手術室護理人員所發生的扎傷情境大多是自身與他人共同使用尖銳物品。因此，建議未來醫院護理人員尖銳物品扎傷防治教育除了強調在工作執行中預防扎傷外，亦應考量工作地點的獨特性。

關鍵字

醫院 ； 護理人員 ； 尖銳物品傷害

並列摘要

Nurses have the highest risk of the sharp injury among all health care providers. We studied the situations and the circumstances surrounding the incident of the injury among nurses in a hospital setting at a medical center with approximately 1,000 beds in southern Taiwan. The study subjects were 117 nurses who have reported to have been sharp-injured. 71.8% of those were the nurses at the N-1 in the clinical ladder system, and 11.1% and 6.8% were the N-2 and the N-3, respectively. Most of the injuries, 66.7%, occurred when she was working alone with instruments, 20.5% when working with another, and 12.8% were caused by another person. 57.3% occurred during the work and 27.4% and 15.4% at the time of discarding and after discarding the instrument, respectively. 49.6%, 29.9% and 16.25 of the injuries occurred in the regular wards, intensive care units and operating rooms, respectively. Nearly three quarters of the injuries in the ward and intensive care units occurred while the nurse was working alone, whereas about half of the incidents in the operating rooms were at the time when they were working with others. These analyses may be of use in the education of the nurses in avoiding the sharp injuries.

並列關鍵字

Hospital ； nurse ； sharp injury