妇产科护士医疗护理风险意识调查分析及对策

杨琼英

[摘要] 目的 分析妇产科护士医疗护理风险意识，以针对性采取干预措施。方法 选取该院妇产科护士30名，通过调查问卷调查护士的护理风险意识。结果 30名护士护理工作中发生接触体液、血液、分泌液等事件120件，锐器伤事件52件，护理纠纷投诉12件。妇产科护士自我防护意识及皮肤黏膜破损后的防护意识普遍较低。结论 妇产科护士医疗护理风险意识普遍较低，应加强妇产科护士的防护知识，提高护士的医疗护理风险防范意识。

[关键词] 妇产科护士；医疗护理风险意识；对策

[中图分类号] R473 [文献标识码] A [文章编号] 1672-5654（2017）06（b）-0003-02

[Abstract] Objective To analyze the medical nursing risk awareness of nurses in the department of gynecology and to targeted therventions. Methods 30 cases of nurses in our department were selected and the nursing risk awareness of nurses was surveyed by the questionnaires. Results There were 120 events of contacting humor， blood and secretion of 30 nurses in the nursing work， 52 events of sharp instrument injury and 12 events of nursing disputes， the self-prevention awareness of nurses and preventive awareness after the skin and mucosa damage are generally low. Conclusion The medical nursing risk awareness of nurses in the department of gynecology and obstetrics is generally low， and we should enhance the preventive knowledge of nurses in the department of gynecology and improve the medical nursing risk preventive awareness of nurses.

[Key words] Nurses in the department of gynecology and obstetrics； Medical nursing risk awareness； Strategy

職业暴露是危害医院护士的主要危险因素，因不规范操作、防护意识不强等，致职业暴露发生几率明显增加。由于妇产科护士未参加相关的职业暴露防范培训及护理风险防范意识的培训，在很大程度上增加了护理风险发生几率[1]。因此，必须要重视妇产科护士医疗护理风险防范意识，采取必要措施加以防范处理。

1 对象与方法

1.1 对象

调查2016年1—12月期间该院妇产科护士30名，均為女性；年龄20～40岁，平均（31.6±3.7）岁；学历：中专9名，大专14名，本科7名；工作时间：工作时间≤3年者6名，3～10年18名，>10年6名。

1.2 调查方法

该院自制调查问卷量表，对30名护士发放调查问卷量表，回顾性调查护士的护理情况，发放30份调查问卷，回收30份，回收率100%。调查内容包括护士的基本资料、接触体液、血液及分泌液等，锐器刺伤、护理纠纷及自我防护意识。

1.3 评价指标

自我防护：A级：严格防护，穿戴防护服、口罩、手套，正确洗手；皮……