摘要
目的 系统分析评价国内外医务人员锐器伤干预效果的研究,为降低医务人员职业暴露率提供依据.方法 计算机检索CNKI数据库、万方数据库、维普数据库、PubMed数据库,搜集国内外1981年至2013年公开发表的关于医务人员锐器伤干预研究,并用Review Manager5.2软件对纳入的研究进行Meta分析.根据I2值和P值进行异质性检验,选择固定或随机效应模型分析合并数据,通过风险比（OR）及其95％置信区间（CI）来衡量干预效果.结果 纳入的文献共有19篇,累计干预人数20 592例,对照人数19 855例,干预效果合并效应量的OR值及其95％CI分别为：综合干预[OR =0.40,95％CI（0.27,0.59）];教育培训[OR=0.24,95％CI（0.11,0.55）];工程干预[OR=0.30,95％CI（0.16,0.55）];安全操作[OR=0.15,95％CI（0.09,0.26）];安全管理[OR=0.09,95％CI（0.06,0.13）].在降低锐器伤发生率上干预组与对照组比较差异均有统计学意义.结论 教育培训、安全管理、工程干预、安全操作干预措施均可降低锐器伤的发生率,提高医务人员的生存质量.
Objective To systematically analyze and evaluate the intervention effect of foreign and domestic research about needlestick injuries in medical staffs and provide the basis for reducing the rate of occupational exposure of medical staffs.Methods The intervention study of needlestick injuries in medical staffs between 1981 and 2013 were collected in CNKI,VIP,Wanfang and PubMed databases,Metaanalysis was conducted for the included studies by RevMan5.2 software.According to I2 and P value heterogeneity was determined,choose a fixed or random effect model to analyze and merge the data to measure the effect of the intervention by OR and 95% confidence intervals （C I）.Results The total of included studies was 19,the number of the intervention group and the control group was 20 592 and 19 855,the OR and 95% CI of intervention effect as shown below：comprehensive intervention OR=0.40,CI 95% （0.27～0.59）,education and training OR=0.24,CI 95% （0.11～0.55）,safety management OR=0.09,CI 95% （0.06～0.13）,engineering intervention OR=0.30,CI 95% （0.16～0.55）,safe operation OR=0.15,CI 95% （0.09～0.26）.The intervention group and the control group were statistically significant on reducing the incidence of needlestick injuries.Conclusions Education and training,safety management,engineering intervention,and safe operation can reduce the incidence of needlestick injuries,improve the quality of life of medical staffs.
出处
《中国实用护理杂志》
北大核心
2014年第28期10-14,共5页
Chinese Journal of Practical Nursing
基金
贵州省社会发展攻关项目（黔科合SY字[201113005号]
贵州省科技厅校际合作项目（黔科合计省合[2013]7005号）
遵义医学院附属医院横向合作项目（遵医合字[2011]07号）
关键词
医务人员
锐器伤
干预
META分析
Medical staff
Needlestick injuries
Intervention
Meta-analysis
作者简介
通信作者：江智霞，Email：jzxhl@126.com
