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首页> 外文期刊>Journal of advanced nursing >A training programme for prevention of occupational exposure to bloodborne pathogens: impact on knowledge, behaviour and incidence of needle stick injuries among student nurses in Changsha, People's Republic of China.
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A training programme for prevention of occupational exposure to bloodborne pathogens: impact on knowledge, behaviour and incidence of needle stick injuries among student nurses in Changsha, People's Republic of China.

机译：预防职业接触血源性病原体的培训计划：对中华人民共和国长沙市学生护士的知识，行为和针刺伤害发生率的影响。

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BACKGROUND: Although the human immunodeficiency virus (HIV) epidemic in China is expanding rapidly, the principles of universal precautions (UP) are not widely disseminated in Chinese hospitals. Lack of training about occupational prevention of bloodborne pathogens (BBP) may place student nurses at risk when they are in clinical practice. AIM: To examine the impact of structured training on prevention of occupational exposure to BBP on knowledge, behaviour, and incidence of medical sharp injuries among student nurses in Changsha, China. METHODS: A quasi-experimental study evaluated changes in knowledge, self-reported UP behaviours, observed adherence to UP, and needle stick/sharp injuries during a 4-month follow-up period. The study population consisted of 106 student nurses in two classes. One class served as the experimental group, while the other served as a control group. Students in the experimental group participated in a structured training intervention consisting of lectures and demonstrations.RESULTS: At 4 months, the group that received the BBP training scored significantly higher than the standard education group on both knowledge (P < 0.001) and behaviour (P = 0.002). Although students in the experimental group were not observed to practise UP significantly more frequently than those in the control group, they were less likely to experience needle stick/sharp injuries (OR = 0.29; 95% CI 0.11, 0.74; P = 0.004). CONCLUSION: Structured training in prevention of occupational exposure to BBP improved knowledge and behaviour and reduced the number of needle stick/sharp injuries among Chinese student nurses, compared with students who did not receive the training. Training in the techniques of UP could play a role in reducing the risk for occupational exposure to BBP among Chinese future nurses. In view of the accelerating HIV epidemic, implementation and evaluation of such training programmes are urgently needed.
机译：背景：尽管在中国，人类免疫缺陷病毒（HIV）的流行正在迅速扩大，但普遍预防措施（UP）的原则并未在中国医院中广泛传播。缺乏关于职业性预防血源性病原体（BBP）的培训可能会使学生护士在临床实践中处于危险之中。目的：研究结构性培训对预防职业性接触BBP对长沙学生护士的知识，行为和医疗锐伤发生率的影响。方法：一项准实验研究在4个月的随访期内评估了知识的变化，自我报告的UP行为，观察到的对UP的依从性以及针刺/尖锐伤害。研究人群由两班的106名学生护士组成。一班为实验组，另一班为对照组。实验组的学生参加了由讲座和演示组成的结构化培训干预。结果：在四个月时，接受BBP培训的组在知识（P <0.001）和行为（P = 0.002）。尽管没有观察到实验组的学生练习UP的频率明显高于对照组，但他们遭受针刺/尖锐损伤的可能性较小（OR = 0.29; 95％CI 0.11，0.74; P = 0.004）。结论：与未接受培训的学生相比，预防职业接触BBP的结构化培训可提高中国学生护士的知识和行为，并减少针刺/锋利受伤的次数。在中国未来的护士中，UP技术的培训可能会降低职业接触BBP的风险。鉴于艾滋病毒流行加快，迫切需要对此类培训计划进行实施和评估。

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