某醫學中心護理人員尖銳物品扎傷事件之現況探討

Investigation of Sharp Injury Incidences among Nursing Personnel in a Medical Center

10.6142/VGHN.28.4.387

裘苕莙(Tiao-Chun Chiu)；吳尚潔(Shang-Chieh Wu)；蘇逸玲(Yiet-Ling Su)

尖銳物品扎傷 ； 護理人員 ； sharp injuries ； nurse

榮總護理

28卷4期（2011 / 12 / 01）

387 - 395

繁體中文

本研究採回溯調查北部某醫學中心96年1月至98年3月通報扎傷之護理人員，共165人。發生單位以一般病房最多（53.9%），部位以食指最多（70.9%），深度則以表皮破且流血為最多（72.1%），多數扎傷發生在白班（57.6%），扎傷情境以「使用階段」最多（49.7%）。平均每位發生1.17次通報的針扎，發生原因以個人因素佔39.4%最多，其中43.1%的人雖然知道有標準技術可供依循，但仍未予遵行。另有38.9-58.2%的護理人員表示執行不同的用針技術時會因一時之便而未帶尖銳物收集筒或彎盆，22.6-30.8%的護理人員表示在執行不同的用針技術時擺放彎盆或尖銳物品收集筒的距離會超過手肘可及處（＞ 40公分）。69.7%在扎傷前不太熟悉通報流程，50.9%未曾瀏覽過勞安網頁之扎傷相關訊息，40%的人除通報次數外，一年內也發生過數次未通報的扎傷。期藉由研究調查的發現，提供相關單位規劃時的參考，讓職場針扎發生及傷害能降至最低。

This retrospect study investigated sharp injuries reported from Jan. 2007 to Mar. 2009. The 165 cases revealed that 53.9% happened mostly in ordinary ward. The injury sites were mainly found on the index finger (70.9%), and the depth located on superficial skin with bleeding (72.1%). 57.6% of the cases happened during day shift, and 49.7% occurred during the “using the sharps”. The average of informed sharp injuries was 1.17 times per person each year. Personal reason for refusal to report was the main causation (39.4%), and 43.1% explained that they might not follow the standard guidelines due to personal conveniences. 38.9-58.2% of the cases skipped bringing the sharps container to the bedsides, and 22.6-30.8% who brought the container might have put it beyond reachable distance (＞40cm). 69.7% were not familiar with the report system, and 50.9% never browsed through occupational websites. 40% experienced un-reported sticking injuries several times per year. We hope all these findings could provide references to medical personnel in order to prevent and decrease sharp injuries as much as possible.