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目的 了解农村诊所临床注射过程中产生不安全注射的因素 ,为采取干预措施提供依据。方法 采用面对面问卷调查 ,现场观察和采样相结合的方法 ,对村医及周围群众进行调查 ,注射器进行检验。结果 93.75 %诊所不使用碘酒和酒精进行二次消毒 ,90 .2 2 %诊所不能正确配制 75 %酒精 ;一次性注射器细菌培养阳性率 8.2 4%,残留血阳性率 1.42 %,玻璃注射器细菌培养阳性率 17.39%,残留血阳性率 11.96 %;35 .2 3%居民反映诊所随意丢弃一次性注射器 ,0 .45 %居民反映孩子被丢弃注射器刺伤。结论 村医文化水平较低 ,安全注射意识淡薄 ,防病知识差 ,注射器存在着严重不安全隐患 ,管理不到位是目前主要不安全因素。培训村医 ,加强一次性医疗用品监督管理和用后处理是提高安全注射水平的重要措施。
Objective To understand the factors that cause unsafe injection during the clinical injection in rural clinics and provide basis for taking intervention measures. Methods Face-to-face questionnaires, on-site observations and sampling methods were used to investigate the village doctors and surrounding people, and the syringes were tested. Results 93.75 % of clinics do not use iodine and alcohol for secondary disinfection, 90.22 % of clinics could not correctly formulate 75% alcohol; the positive rate of bacterial culture of disposable syringes was 8.24%, the residual positive rate of blood was 1.42 %, bacterial culture of glass syringes The positive rate was 17.39%, and the residual blood positive rate was 11.96%. 35.2% of the residents reported that the clinic randomly discarded disposable syringes, and 0.45% of the residents reported that the children were stabbed by a disposable syringe. Conclusion The level of village medical education is relatively low, the awareness of safe injection is weak, the knowledge of disease prevention is poor, and the syringe has serious hidden dangers of unsafety. Inadequate management is currently the main insecurity factor. Training village doctors to strengthen supervision and management of disposable medical supplies and post-treatment is an important measure to improve safe injection.