Assessment of adherence behaviors for the self-reporting of occupational exposure to blood and body fluids among registered nurses: A cross-sectional study.
Assessment of adherence behaviors for the self-reporting of occupational exposure to blood and body fluids among registered nurses: A cross-sectional study.
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DOI：
10.1371/journal.pone.0202069
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发表时间：
2018
期刊：
影响因子：
3.7
通讯作者：
Zeng L
中科院分区：
文献类型：
--
作者：
Yi Y;Yuan S;Li Y;Mo D;Zeng L
在中国，注册护士（RN）有很高的职业暴露于血液/体液的风险。需要评估与自我报告职业暴露相关的依从性行为，以保护RN免受医疗相关感染。评估中国湖南省注册护士自我报告血液和体液职业暴露的依从性行为，并确定影响自我报告的因素，以制定升级策略。研究对象随机抽取长沙市6家三级医院，完成结构式问卷调查。频率和百分比用于描述基本的人口统计数据。进行单因素方差分析，以评估依从性行为是否相互关联;进行多变量logistic回归分析，以确定与报告血液/体液暴露相关的因素。共有548名注册护士完成了问卷。所有参与者在职业生涯中至少经历过一次锐器伤害; 65.88%的参与者在过去一个月内经历过3次血液/体液暴露，31.2%的参与者在过去一个月内经历过1-5次职业暴露。然而，只有14.6%的参与者在每次事件后向主管/官员提交了血液/体液暴露报告。血液/体液暴露与未使用安全方案相关。只有10.2%的被调查者认为雇主对针刺伤害的重视程度高于其他伤害（P<0.01）。73.5%的受试者表示伤后缺乏心理支持（P<0.01）。九个个人和管理因素被观察到与漏报行为密切相关。RN中血液/体液暴露的流行率很高，漏报率可能被大大低估。必须采用安全设计的设备，以减少尖锐物体伤害的发生率。为了鼓励员工报告职业暴露事件，需要采取一系列医院范围内的行动。
In China, register nurses (RNs) have a high risk of occupational exposure to blood/body fluids. The adherence behavior related to self-reporting of occupational exposure needs to be evaluated to protect RNs from healthcare-related infections. To assess adherence behaviors for self-reporting of occupational exposure to blood and body fluids among RNs and identify factors affecting self-reporting in Hunan Province, China for developing upgraded strategies. Study participants, randomly selected from six tertiary hospitals in Changsha City, completed a structured questionnaire. Frequencies and percentages were used to describe basic demographic data. One-way analysis of variance was performed to assess whether adherence behaviors were correlated to each other; the multivariate logistic regression analysis was performed to identify factors associated with reporting exposure to blood/body fluids. In total, 548 RNs completed the questionnaire. All participants experienced sharp object injuries at least once during their career; 65.88% of participants were exposed to blood/body fluids thrice, and 31.2% experienced 1–5 occupational exposures in the past month. However, only 14.6% of participants submitted a blood/body fluid exposure report to a supervisor/official after every incident. Blood/body fluid exposure was associated with the non-usage of safety protocols. Only 10.2% of participants believed the employer paid more attention to needle-stick injuries (P<0.01) than to other injuries. Most participants (73.5%) reported the absence of psychological support after injuries (P<0.01). Nine personal and management factors were observed to be closely related to underreporting behavior. The prevalence of exposure to blood/body fluids among RNs was high, and the underreporting rate was likely substantially underestimated. Safety-engineered devices must be adopted to decrease the prevalence of sharp object injuries. To encourage employees to report occupational exposure events, a series of hospital-wide actions need to be adopted.
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