某醫學中心護理部安全針具使用成效之探討

Effect of the use of safety needle

國家政策推動醫療機構提供安全針具，期提升醫療執業場所的安全。本研究旨在探討中部某醫學中心護理部推動安全針具的成效、問題及護理人員扎傷的趨勢。研究方法採實地訪查及扎傷案例分析收集資料。結果發現40個護理單位，醫院所提供的安全針具共有12類29種規格，除安全空針外，其它均已使用院方提供之安全針具。統計2013年至2017年護理人員扎傷的發生率由2.6％降至1.7％，一般針具扎傷由35件降至18件，安全針具扎傷由3件增加至11件，但發現開刀房及照護躁動病人時發生針扎事件無明顯改善。結果分析：推動安全針具確實可以降低扎傷事件發生，但因伴隨安全針具使用量的增加，更應落實在實務操作性的教育訓練，才能真正有效減少扎傷事件發生。

As a national policy, the government of Taiwan encourages medical institutions to provide safety needles to improve safety at medical on-sites. The purpose of this study was to investigate the current situations and problems with safety needles and the trend in needlestick injuries in nursing departments in a hospital in central Taiwan. This study collected data from an on-site survey and a needle case analysis. In 40 nursing units, 29 types of safety needles of 12 different categories were used. Except for safety syringes, safety needles were provided by the hospital. According to statistics, from 2013 to 2017, the incidence of paramedic injuries reduced from 2.6% to 1.7%. In general, needle puncture injuries reduced from 35 to 18, while safety needlestick injuries increased from 3 to 11. No significant improvement was observed in needlestick incidences in the operation room and from the care of agitated patients. Analysis of the results showed that the promotion of safety needles could reduce the incidence of needlestick injuries. However, the increased use of safety needles demands more practical education and training to reduce the incidence of needlestick injuries.