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目的:调查湖州市基层医院病理科职业危害的认知情况,为提高病理科职业危害防范水平提供依据。方法:采用自行开发问卷调查了该市17家二级医院病理科工作人员、科室管理者及院领导三个层次人员对病理科职业危害的认知及现状。结果:科室工作人员均能回答出最常见有害物质及损害,30人(60.0%)知道病理标本感染风险,30人(60.0%)接触标本时戴手套、口罩,25人(50.0%)能描述六步洗手法。科室管理人员中15人(88.24%)知晓病理科生物分区,11人(64.71%)了解内部分区归口,10人(58.82%)知道BSL-2实验室基本配置,10人(58.82%)浏览过《病理科建设与管理指南(试行)》文件,5人(29.41%)了解其中安全管理内容。医院分管副院长中6位(37.50%)浏览过《病理科建设与管理指南(试行)》文件,3位(18.75%)了解其中病理科安全管理内容。结论:基层医院对病理科职业危害的认知有缺陷,关键是科室管理者,要注重学习,加强培训和防范,善于沟通,促进基层病理科职业危害防范水平。
Objective: To investigate the cognition of occupational hazards in the pathology department of primary hospital in Huzhou City, and to provide basis for improving the prevention level of occupational hazards in pathology department. Methods: The self-developed questionnaire was used to investigate the cognition and current status of pathological occupational hazards among pathology department staff, department managers and hospital leaders in 17 secondary hospitals in the city. Results: The staff of the department could answer the most common harmful substances and damage, 30 (60.0%) knew the risk of pathological specimen infection, and 30 (60.0%) were wearing gloves and masks when contacting the specimen, and 25 (50.0%) could describe Six-step wash method. 15 of the department managers (88.24%) knew about the bioprocessing of pathology, 11 (64.71%) knew about the internal subregion, and 10 (58.82%) knew the basic configuration of BSL-2 lab and 10 (58.82%) viewed Pathology Construction and Management Guide (Trial) document, 5 (29.41%) about the safety management content. Among the vice presidents in charge of hospitals, 6 (37.50%) had reviewed the Pathology Section Construction and Management Guide (for Trial Implementation) documents and 3 (18.75%) found out about pathology safety management. Conclusion: The grassroots hospital cognitive impairment of pathology department occupational hazards, the key is the department manager, pay attention to learning, strengthen training and prevention, good communication, and promote the prevention of occupational hazards in primary pathology.