某醫學中心手術室護理人員對職業危害認知、防護措施行為及擔心程度之探討

Operating Room Nurses Recognition of Occupational Hazards, Practice of Hazard Prevention Methods, and Their Degree of Worry About Hazards

本研究目的為瞭解手術室護理人員對職業危害認知、防護措施行為和擔心程度及影響因素。研究採方便取樣，以手術室護理人員為研究對象。研究工具為自擬結構式問卷。研究結果：1、護理人員對職業危害認知較高。2、防護措施行為以「接觸病患血液或體液會戴護目鏡」、「裝卸刀片使用持針器」及「接觸雷射手術時會戴護目鏡防護措施」較差。3、護理人員對職業危害的擔心程度介於「有點擔心」及「非常擔心」之間。4、是否曾被血液、體液濺到眼睛的護理人員與認知程度有顯著差異，而護理職級與有無子女對防護措施行為有顯著差異。因此，為預防醫療尖銳物品及被血液碰觸危害，護理人員在工作應提高警覺性、熟練操作技巧及適當使用防護設備，以減少職業危害發生。

The purpose of this study was to understand operating room nurses' awareness of occupational hazards, hazard prevention methods, their degree of worry about occupational hazards and factors that influenced these aspects. A structured questionnaire was developed to collect data form a purposive sampling of nurses who worked in an operating room in one medical center. The results showed that: 1) nurses' awareness of occupational hazards was relatively high; 2) use of preventive methods, which included wearing goggles when in contact with patient blood or body fluids, using needle-holding forceps when loading or unloading blades, and wearing goggles during laser surgery, were relatively low; 3) the degree of worry about occupational hazard ranged form 'a little worried' to 'very worried'; and 4) an inverse significant relationship was found between level of awareness and whether nurses had been splashed in the eyes with blood or body fluids. Whether or not nurses had children was significantly correlated with the use of preventive methods, that is, those nurses who had children ranked significantly higher than those who did not on use of preventive methods. Findings suggest that nurses need to be more alert at work, familiarize themselves with hazard prevention procedures in the operating room, and implement proper hazard prevention techniques to reduce the occurrence of occupational hazards, such as injury from sharp medical objects or blood and body fluid contact.