某综合医院2021~2024年工作人员胰岛素针刺伤监测分析及防护对策

Monitoring Analysis and Protective Countermeasures of Insulin Needlestick Injuries among Staff in a General Hospital from 2021 to 2024

摘要: 目的：分析某综合医院胰岛素针刺伤的发生率、群体分布、暴露场所、发生环节，并针对问题提供相应预防措施。方法：采用回顾性分析，收集某综合医院2021年1月1日~2024年12月31日胰岛素针刺伤不良事件，整理归纳暴露人员的人数、群体分布、暴露场所、发生环节等数据进行分析。结果：2021~2024年胰岛素针刺伤发生率为9.00% (34/376)，主要暴露群体为护士76.47% (26/34)，不同群体比较差异具有统计学意义(P < 0.05)。发生环节以操作失误及针头回帽为主，占比分别为30.77% (8/26)、46.15% (12/26)，不同环节比较差异具有统计学意义(P < 0.001)。暴露场所内科占47.06% (16/34)，外科35.29% (12/34)，不同暴露场所比较差异具有统计学意义(P < 0.05)。结论：医院应将职业防护培训和安全注射装置结合起来，提高临床工作中的安全意识，从多方面降低胰岛素针刺伤发生率。

Abstract: Objective: To analyze the incidence, group distribution, exposure place and occurrence link of insulin needlestick injuries in a general hospital, so as to provide corresponding preventive measures. Methods: A retrospective analysis was used to collect the adverse events of insulin needlestick injuries in a general hospital from January 1, 2021 to December 31, 2024, and the data of the number of exposed persons, group distribution, exposure place and occurrence link were summarized for analysis. Results: The incidence of insulin needlestick injuries in 2021~2024 was 9.00% (34/376), and the main exposed group was 76.47% (26/34) of nurses, and the difference between different groups was statistically significant (P < 0.05). The main links were operation error and needle capping back, accounting for 30.77% (8/26) and 46.15% (12/26), respectively, and the difference between different links was statistically significant (P < 0.001). Internal medicine accounted for 47.06% (16/34) of the exposure sites, and surgery 35.29% (12/34), the difference was statistically significant (P < 0.05). Conclusion: Hospitals should combine occupational protection training with safe injection devices, improve safety awareness in clinical work, and reduce the incidence of insulin needlestick injuries from many aspects.