关于中国上海卫生机构卫生保健工作者安全注射的知识、态度和实践的快速评估
A rapid assessment on knowledge, attitude and practice of injection safety among healthcare workers in health facilities of Shanghai, China
曹阳 1陈洁 1曹建文 1YVAN Hutin 2邵瑞太 3王盘石 4张黎明 5韩宵艳6
作者信息
- 1. 复旦大学医学技术评估与研究中心,中国,上海,200032
- 2. 世界卫生组织血液安全和临床技术司,全球安全注射网络,瑞士日内瓦 CH-1211
- 3. 卫生部疾病控制司
- 4. 上海市卫生局疾病控制处
- 5. 世界卫生组织初级保健嘉定合作中心
- 6. 杭州经济和技术开发区管理委员会外事办公室
- 折叠
摘要
目的对一种安全注射快速评估方法进行预测试,了解卫生保健工作者关于注射的知识、态度和实践,估计无害的注射的百分比.方法采用标准化问卷、焦点组访谈和直接观察法在注射处方开出者、注射提供者和医疗废弃物处理人员中收集定性和半定量信息.结果每个开处方者对35.2%的患者开出注射处方.47.8%的被调查处方包括注射.平均每位护士每周要实施90.9次注射,有75%的护士报告在过去一年中受到过尖锐物刺伤.每位护士平均每天要给32名患者分配药物,其中73.4%的患者会接受注射.结论注射在上海十分流行,一次性注射器和针头已经完全被医疗从业人员和患者所接受,一些因素提示卫生保健者对过度使用注射起到了一些作用.
Abstract
Objective To pilot-test a rapid assessment procedure of injection safety;to collect semi-quantitative and qualitative information on knowledge, attitude and practices regarding injections among healthcare workers;and to estimate the proportion of harmless injections. Methods Standardized questionnaires, focus group discussions and direct observations were used to collect semi-quantitative and qualitative information among injection prescribers, providers, and paramedical workers who handled healthcare waste. Results An mean of 35.2% patients were prescribed injections by physicians. 47.8% prescriptions contained at least one injection. One nurse administerted an average of 90. 9 injections per week. 75% interviewed nurses reported sharps injuries during the last 12 months. One nurse dispensed 32 patients per day averagely;73.4 % patients received at least one injection. Conclusion Injections are popular in Shanghai. Disposable syringes and needles have been universally accepted by practitioners and patients. A number of elements suggest that healthcare workers may contribute to injection overuse.
关键词
注射安全/评估/卫生保健工作者/公共卫生/预防医学Key words
injection safety/assessment/healthcareworker/publichealth/preventive medicine引用本文复制引用
基金项目
World Health Organization(GLGLOBCT423XF02U)
国家自然科学基金(30271141)
出版年
2004
NETL
NSTL
维普
万方数据