全程护理控制在护理人员艾滋病职业暴露中应用研究.docVIP

全程护理控制在护理人员艾滋病职业暴露中应用研究 　　【摘要】目的 为了降低护理人员艾滋病职业暴露威胁，防止因职业暴露而感染艾滋病。方法应用全程护理控制对护理人员进行艾滋病及职业暴露防护相关知识培训、护士操作前对工作环境因素风险评价、使用安全性能工具、随时监控护士落实操作规范及职业暴露后规范处理等。结果 全程护理控制前后护士对艾滋病基本知识及职业暴露防护知识认知度、防护技能的掌握有统计学差异；传染病房护士艾滋病职业暴露人数及职业暴露后规范处理比较差异有统计学意义。结论 将全程护理控制应用于护理人员艾滋病职业暴露防护，有利提高护理人员对艾滋病及职业暴露防护相关知识知晓率，有利提高护理人员对艾滋病病毒感染者及艾滋病病人的态度和行为，有利提高护理人员职业暴露防护意识，减少护理人员职业暴露发生。 　　【关键词】全程护理控制 护理人员 艾滋病 职业暴露 　　中图分类号：R921文献标识码：B文章编号：1005-0515（2011）11-291-02 　　【Abstract】Objective In order to reduce the threat of occupational exposure to HIV nurses, occupational exposure to prevent HIV infection.Methods Applications for full nursing care and control of occupational exposure to HIV prevention knowledge and training of nurses before the operation of the work environment risk factors, use of security tools, always monitor the implementation of practices of nurses and occupational exposure standard treatment.Results Nursing care before and after full development of basic knowledge of AIDS prevention knowledge and awareness of occupational exposure, protective of skills to master a significant difference; room nurse AIDS epidemic the number of occupational exposure and occupational exposure standard treatment difference was statistically significant. Conclusion Full nursing care and control will be applied to occupational exposure to HIV prevention, is conducive to enhancing nursing and occupational exposure prevention of AIDS-related knowledge, awareness, conducive to enhancing nurses with HIV and AIDS patients attitudes and behaviors conducive to enhancing professional nursing staff exposure protection awareness, reduce the occurrence of occupational exposure to nursing staff. 　　【Key words】 Full care control; nurses; AIDS; occupational exposure 　　 　　随???艾滋病防治工作的不断深入，护理人员直接或间接地与HIV／AIDS患者的血液和体液接触的机会很多，护理人员的艾滋病病毒（HIV）暴露机会也相应增加[1]，但由于目前AIDS还缺乏有效的药物治愈，一旦感染其后果十分严重[2]。为了降低护理人员艾滋病职业暴露威胁，将全程护理控制应用于艾滋病护理人员职业防护，以减轻护理人员在工作中面临的心理压力及艾滋病职业暴露风险，提高护理人员职业暴露风险知晓程度，降低护理人员艾滋病职业暴露风险。现报告如下。全院204名临床护士。 　　1 研究对象与方法 　　1.1