2018年某市区16家医院女性医务人员针刺伤状况和抑郁状况分析

摘要

目的 了解某区女性医务人员针刺伤和抑郁现状及其影响因素,为制定综合防控措施提供科学依据.方法 于2018年9月,采用横断面调查方法,对16家医院的医务人员进行问卷调查,主要内容包括基本信息、职业信息、针刺伤防治情况、Beck抑郁自评问卷(Beck Depression Inventory, BDI).被调查者在知情同意的基础上采取手机APP自填调查问卷,并进行统计分析.结果 2017年7月~2018年6月,被调查者针刺伤发生率为11.28%.一级、二级、三级医院针刺伤的发生率分别为5.2%、9.1%和16.3%,差异有统计学意义(χ2=28.900,P<0.01).近一年休年假≤10天和大于10天的针刺伤发生率分别为12.5%和6.3%,差异有统计学意义(χ2=6.432,P<0.01).平均每月上夜班≦5天和>5天的针刺伤发生率分别为8.5%、15.1%,差异有统计学意义(χ2=10.969,P<0.01).一级、二级、三级医院BDI得分≥14分的调查对象针刺伤发生率分别为18.6%、29.1%、32.7%,差异有统计学意义(χ2=23.843,P<0.01).近一年医务人员休年假≤10 d和>10 d Beck问卷得分≥14分的率分别为29.1%和17.8%,差异有统计学意义(χ2=10.710,P<0.01).近一年平均每月上夜班≤5 d和>5 d的Beck问卷得分≧14分的率分别为23.4%、31.7%,差异有统计学意义(χ2=8.886,P<0.01).近一年受过针刺伤和没有受过针刺伤Beck问卷得分≥14分的率分别是35.3%、25.9%,差异有统计学意义(χ2=4.782,P<0.05).结论 医院级别越高,其医务人员针刺伤发生率、Beck问卷的高分率也越多,医务人员应适当加强综合防控.%Objective To investigate needlestick injuries and depression among the female medical staff in a city district. Methods Using cross-sectional survey methods, female medical staff from selected sixteen hospitals voluntarily participated in questionnaire survey on APP of mobile phone. They Data were uploaded assessment platform, saved by Excel, and analysed by SPSS 22.0 statistical software. Results The lasted year, Incidence of needlestick injuries was 11.28%. Incidence of needlestick injuries was respectively 5.2%, 9.1%and 16.3%in Class-I hospital, Second-class Hospital and three levels of hospitals﹙χ2=28.900, P<0.01﹚. And 6.3% Resting no more than 10 days of Incidence of needlestick injuries was 12.5% , others was 6.3%.Night shift no more than 5 days of Incidence of needlestick injuries was 8.5%, others was 15.1%. The rate of not less than 14 of BDI was respectively 18.6% , 29.1% and 32.7% in Class-I hospital, Second-class Hospital and three levels of hospitals ﹙χ2=23.843,P<0.01﹚. In recent one year, the rate of medical staff who have taken annual leave less than 10 days and higher than 10 days scoring over 14 in the Beck﹙Beck depression inventory, BDI﹚ survey are respectively 29.1% and 17.8%﹙χ2=10.710,P<0.01﹚. In recent one year, the rate of medical staff who worked in night shift less than 5 days and higher than 5 days each month scoring over 14 in the Beck survey are respectively 23.5% and 31.7%﹙χ2=8.886,P<0.01﹚. In recent one year, the rate of medical staff who had needle injury and non-needle injury scoring over 14 in the Beck survey are respectively 35% and 25%﹙χ2=4.782,P<0.05﹚. Conclusion The needle injury rate, high score rate in Beck survey among the medical staff increased when the level of the hospital they worked for increased. Medical staff should improve their method of rest.