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通过调查32所乡镇卫生院及11所县区医院476名医务人员,发现其艾滋病职业暴露防护相关法律认知正确率不高,对皮肤及黏膜发生暴露后的局部处理、防护血液体液飞溅面部的措施、职业暴露后抗体检测等问题,乡镇卫生院明显低于县级医院(P<0.05)。在黏膜发生暴露后的处理上,防保人员高于医生和护士(P<0.05),在防护血液、体液飞溅面部的措施上,防保人员高于医生(P<0.05),而在皮肤发生职业暴露后的局部处理上,医生高于防保人员(P<0.05),各岗位间认知水平总体比较并无统计学差异。研究表明,当前需要进一步加强基层医院《医务人员艾滋病病毒职业暴露防护工作指导原则》的培训,建立标准化的防护体系,保障医务人员的职业安全。
By investigating 476 medical personnel in 32 township hospitals and 11 county hospitals, it was found that the relevant laws and regulations on HIV / AIDS occupational exposure were not correctly recognized in the relevant laws, and the local treatment on skin and mucous membranes was exposed after the exposure and the blood and splashed on the face Measures, detection of antibodies after occupational exposure and other issues, township hospitals was significantly lower than the county hospitals (P <0.05). In the post-exposure treatment of mucosal membrane, the number of anti-insured persons was higher than that of doctors and nurses (P <0.05). In the measures to protect the blood and body fluids from splattering, the insured persons were higher than the physicians (P <0.05) The local treatment after occupational exposure, the doctor is higher than the protection of staff (P <0.05), the overall cognitive level between the posts was no significant difference. Research shows that currently, there is a need to further strengthen the training of grass-roots hospital “medical workers HIV occupational exposure Guiding Principles” training, the establishment of standardized protection system to protect the occupational safety of medical personnel.