Home health care registered nurses and the risk of percutaneous injuries: A pilot study
Home health care registered nurses and the risk of percutaneous injuries: A pilot study
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DOI：
10.1016/j.ajic.2007.04.278
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发表时间：
2008-04-01
影响因子：
4.9
通讯作者：
Sherman, Martin
中科院分区：
文献类型：
--
作者：
Gershon, Robyn R. M.;Pogorzelska, Monika;Sherman, Martin
家庭医疗保健是医疗保健行业中增长最快的部门，预计在未来10年内将增长66%。然而，关于职业健康危害的数据，包括与家庭护理环境有关的接触血液和体液的潜在风险，仍然非常有限。作为非医院注册护士（RNs）的血源性病原体风险的更大研究的一部分，分别分析了72名家庭保健护士的数据，以确定血液/体液暴露的风险。方法：纽约州家庭保健机构雇用的RNs完成了一份152项自我管理的邮寄风险评估问卷。在研究前的12个月内，9名（13%）家庭保健护士经历了10次针刺，其中只有4次被正式报告给护士的雇主。最常与针刺相关的器械是空心针和静脉切开针，包括3种具有安全功能的针。暴露是最常见的归因于病人的行动，其次是处置相关activity.Conclusions：这些数据表明，家庭保健护士可能是在潜在的职业风险，血源性病原体暴露。针对家庭医疗保健环境的风险管理策略可能是降低这种风险的最有效方法。
Background: Home health care is the fastest-growing sector in the health care industry, expected to grow 66% over the next 10 years. Yet data on occupational health hazards, including the potential risk of exposure to blood and body fluids, associated with the home care setting remain very limited. As part of a larger study of bloodborne pathogen risk in non-hospital-based registered nurses (RNs), data from 72 home health care nurses were separately analyzed to identify risk of blood/body fluid exposure.Methods: A 152-item self-administered mailed risk assessment questionnaire was completed by RNs employed in home health care agencies in New York State.Results: Nine (13%) of the home health care nurses experienced 10 needlesticks in the 12-month period before the study Only 4 of the needlesticks were formally reported to the nurse's employer. The devices most frequently associated with needlesticks were hollow-bore and phlebotomy needles, and included 3 needles with safety features. Exposure was most commonly attributed to patient actions, followed by disposal-related activities.Conclusions: These data suggest that home health care nurses may be at potential occupational risk for bloodborne pathogen exposure. Risk management strategies tailored to the home health care setting may be most effective in reducing this risk.