全面使用安全針具可降低針扎事件的發生嗎？

Can Comprehensive provision of safety-engineered devices reduce needlestick injuries?

本研究目的為探討護理人員在安全針具使用概況與感受，以及同時期針扎情形與相關之原因分析，探橫斷式研究的調查法收集臺北市醫療院所護理人員對安全針具使用的認知與使用情形。接著採立意取樣方式，收集某區域醫院於自2013年到2018年全面使用安全針具前、後與針扎發生率的情形統計與原因分析。結果：立法實施有95.01％護理人員認為臨床照護需要使用安全針具；對於法規完全清楚者僅佔23.79％；針扎發生率在安全針具全面導入前為2.63％－3.41％；導入後為1.37％－3.77％。研究發現：使用安全針具時間穩定後確可降低針扎發生率，但導入期間對於安全針具的評估與人員的教育訓練都是重要的影響因素，此研究結果可以做為未來醫療單位政策推動相關政策之參考。

This study aimed to review the perception and use of safety-engineered devices by nursing staff members from medical institutions in Taipei. Needlestick injuries incidences and their causes were also analyzed. A cross-sectional research method was used to randomly sample nursing staff members from all medical institutions in Taipei in 2013. Purposive sampling was adopted in order to collect data on needlestick injuries incidences after the introduction to comprehensive use of safety-engineered devices in the hospitals in a certain regional hospital, as well as to analyze the cause of the needlestick injuries. Among the nursing staff members surveyed 95.01% considered it to be necessary to use safety-engineered devices in clinical care, and only 23.79% had a clear idea of existing regulations. The incidences of needlestick injuries before and after the comprehensive use of safety-engineered devices were 2.63% - 3.41% and 1.37% - 3.77%, respectively. In conclusions, Regular use of safety-engineered devices can reduce the incidence of needlestick injuries, however during an initial introduction period, it is of great importance to evaluate the effectiveness of the use of safety-engineered devices, as well as to strengthen the education and training of nursing staff. The results of this study may provide value for medical institutions to better promote relevant safety policies.