目的了解实习护士发生锐器伤的状况及影响因素,为开展职业防护工作提供依据。方法对福建省妇幼保健院实习护士进行锐器伤问卷调查。结果有效调查93人(94.9%),占实习护士总数的82.3%。锐器伤发生率96.8%,有明确病原体污染的锐器伤发生率8.9%。伤害时的操作以掰安瓿居首位(96.8%),30.1%实习护士有“回套针帽”的习惯,75.6%有“用手分离针头”的习惯。发生锐器伤后,91.0%采取了“消毒伤口”措施,但在明确为病原污染的锐器伤者中,无人注射高效免疫球蛋白和血清学跟踪随访。受伤后每次都报告的实习护士占44.4%。16.7%的实习护士认为锐器伤不可避免,80.0%希望学习有关职业暴露及防护知识。结论实习护士锐器伤害形势严峻,学校及医院应加强其职业防护培训,提高其职业防护认知水平,掌握安全的操作技能及正确的防范措施,以保障身心健康。 Objective To understand the status and influencing factors of sharp injury caused by nurses in practice and provide basis for occupational protection. Methods A questionnaire of sharps injuries was conducted on internship nurses in MCH hospital in Fujian Province. Results 93 people (94.9%) were investigated effectively, accounting for 82.3% of the total number of interns. The incidence of sharp injuries 96.8%, clear pathogen contamination sharp injury 8.9%. The operation of injury was the first to break the ampoule (96.8%), the habit of 30.1% of the trainees had “back trocar”, and 75.6% had the habit of “separating the needle by hand”. After the occurrence of sharp wounds, 91.0% adopted the “disinfection wound” measures, but none were injected with highly effective immunoglobulin and serological follow-up in sharp wounds that were clearly pathogen-contaminated. Trainee nurses reported 44.4% each time they were injured. 16.7% of trainees believe shark injuries are inevitable, and 80.0% want to learn about occupational exposure and protection. Conclusion Severe injury to trainee nurses is severe. Schools and hospitals should strengthen their occupational protection training, raise their occupational protection awareness, master safe operation skills and correct precautionary measures so as to protect their physical and mental health.