Objective To understand nurses' cognition of occupational exposure to blood-borne pathogens and to provide scientific basis for occupational protection. Methods A self-designed questionnaire was applied to survey 206 nurses about their occupational safety training and occupational exposure to blood-borne pathogens in the past 1 year. Results Only 47.6％ received various forms of training of occ upational safety and health operations; 68.9％ experienced occupational exposure to blood-borne pathogens, of which 98.4％ were due to a sharp injury; local appropriate treatment was carried among 60.0％ of the nurses while 7.0％ of them reported and 12.7％ had done follow-up; standard prevention awareness rate was 70.9％. Difference of occupational exposure of nurses with different titles was statistically significant (P＜0.005). Conclusion Nurses from township center hospital are without sufficient knowledge of occupational exposure to blood-borne pathogens and lack self-protection awareness. Effective measures should be taken to strengthen education and training of occupational safety, occupational protection and management and to improve management of disposable medical supplies.%目的 了解乡镇卫生院护理人员对血源性病原体职业接触感染的认知水平,为乡镇卫生院的职业防护管理提供科学依据.方法 自行设计问卷,于2010年7 月对浙江永嘉县15所乡镇中心卫生院206名护理人员就职业安全培训和过去1年血源性病原体职业接触状况进行调查.结果 本组调查的护理人员中,仅有47.6%接受过不同形式职业安全卫生操作培训;有68.9%护理人员在1年内发生过血源性病原体职业接触,其中98.4%是锐器伤;接触后做局部规范处理占60.0%,但有上报的仅占7.0%,有跟踪的占12.7%;标准预防知晓率70.9%.不同职称护理人员职业接触情况比较,差异有统计学意义(P＜0.005). 结论乡镇中心卫生院的护理人员对血源性病原体职业接触防护知识明显不足,自我防护意识淡薄.基层卫生院应制定有效的措施,加强职业安全教育与培训和职业防护管理,改进废弃的一次性医疗用品管理方法.
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