Frequency of Needle Wound Injury (Needle-stick) and Its Related Factors in Nursing Staff in Sirjan in 2020

A. R. Biojmajd, Rahimeh Khajoei, Mohadeseh Balvardi, Zahra Imani-Goghary, Zahra Izad-Abadi
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Abstract

Background: Nurses are exposed to blood-borne infections such as hepatitis B (HB), hepatitis C (HC), and human immunodeficiency virus (HIV) through needle-stick injuries (NSIs). Objectives: This study aimed to determine the prevalence of needle sticks and their related factors among nurses in the hospitals of Sirjan. Methods: In this cross-sectional study, 312 nurses were enrolled by census. Data were collected using demographic characteristics and a needle-stick information questionnaire. Descriptive and analytical tests (chi-square or Fisher’s exact test and logistic regression model) were used to analyze data. Results: Out of 312 nurses participating in the study, 189 (60.6%) had experienced NSIs during the last year. The most common objects for NSIs were syringes and needles (35.4%), and the most common cause of NSIs was recapping (45.4%). In this study, 82% of needle-stick nurses were forced to work overtime. Ages of 20 - 29 years (odds ratio (OR) = 3.94, 95%CI: 1.12 - 13.84; P = 0.032), work experience between 5 - 10 years (OR = 2.50, CI: 1.12-5.57; P = 0.02), HB vaccination (OR = 0.26, CI: 0.07 - 0.98; P = 0.04) were significantly associated with needle-sticks. Conclusions: Due to the high frequency of NSIs among the nursing staff and to reduce these injuries, using safety devices, especially in the emergency ward, providing a calm and stress-free environment for staff, reducing the number of night shifts and workload, teaching safety principles and standards to young nurses and supporting nurses who experience NSIs were advised.
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2020年锡尔詹市护理人员针伤(针刺)发生率及相关因素分析
背景:护士暴露于血源性感染,如乙型肝炎(HB),丙型肝炎(HC)和人类免疫缺陷病毒(HIV)通过针刺伤(nsi)。目的:本研究旨在了解锡尔詹市医院护士扎针的流行情况及其相关因素。方法:采用横断面调查方法,对312名护士进行普查。使用人口统计学特征和针刺信息问卷收集数据。采用描述性检验和分析性检验(卡方检验或Fisher精确检验和逻辑回归模型)对数据进行分析。结果:312名参与研究的护士中,189名(60.6%)在过去一年中经历过nsi。注射器和针头是最常见的感染源(35.4%),盖套是最常见的感染源(45.4%)。在本研究中,82%的针刺护士被迫加班。年龄20 ~ 29岁(优势比(OR) = 3.94, 95%CI: 1.12 ~ 13.84;P = 0.032),工作经验在5 - 10年之间(OR = 2.50, CI: 1.12-5.57;P = 0.02), HB疫苗接种(OR = 0.26, CI: 0.07 - 0.98;P = 0.04)与针刺显著相关。结论:由于护理人员发生NSIs的频率较高,为减少NSIs伤害,建议使用安全装置,特别是在急诊病房,为工作人员提供一个平静和无压力的环境,减少夜班数量和工作量,向年轻护士传授安全原则和标准,并支持经历NSIs的护士。
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