Investigation on the current situation of needlestick injuries among nurses in tertiary general hospitals and analysis of influencing factors
三级综合医院护士锐器伤现状调查及影响因素分析

摘要

目的 调查三级综合医院护士锐器伤的发生现状及影响因素。方法 招募3所三级综合医院作为多中心研究单位，以3所医院的1230名注册护士为研究对象，行问卷调查，并对调查结果进行统计分析。结果 1230名三级综合医院护士中锐器伤发生率为（29.76%），未发生锐器伤护士的学历、职称、医院安全氛围评分、知信行水平、婚姻状况与发生锐器护士存在差异（P<0.05）。结论 三级综合医院护士锐器伤发生率较高，职称、培训强度、知识水平、行为表现、安全工作的阻碍是护士锐器伤发生的预测因素，医院应加强护士职业管理，提升医院安全文化，对不同人群制定分层防护策略，根据影响因素制定针对性措施，以减少锐器伤发生。

Abstract

Objective To investigate the occurrence and influencing factors of sharps injuries in nurses in tertiary general hospitals.
Methods Three tertiary general hospitals were selected as multi-center research units, with 1,230 registered nurses from these hospitals serving as the study subjects. A questionnaire survey was conducted, and the results were statistically analyzed.
Results Among the 1,230 nurses in tertiary general hospitals, the incidence of needlestick injuries was (29.76%). There were significant differences in educational background, professional title, hospital safety culture score, knowledge, belief, and behavior level, and marital status between nurses who did not experience needlestick injuries and those who did (P<0.05).
Conclusion   Nurses in tertiary general hospitals have a higher incidence of needlestick injuries. Professional title, training intensity, knowledge level, behavioral performance, and barriers to safe work are predictive factors for needlestick injuries. Hospitals should strengthen nurse management, enhance hospital safety culture, develop stratified prevention strategies for different groups, and implement targeted measures based on influencing factors to reduce the occurrence of needlestick injuries.