董桂秋，刘晓新，关雪，刘雅玲

（1.上海交通大学附属苏州九龙医院骨科，江苏苏州215000；2.沈阳医学院护理学院）

在骨科实习护生中开展职业防护补偿教育的实践研究

董桂秋1，刘晓新1，关雪1，刘雅玲2*

（1.上海交通大学附属苏州九龙医院骨科，江苏苏州215000；2.沈阳医学院护理学院）

目的：探讨在骨科实习护生中开展职业防护补偿教育，对其职业防护知识水平和职业损伤的影响。方法：2013至2014年度骨科实习护生未接受过职业防护补偿教育，2014至2015年度护生接受骨科实习前职业防护补偿教育，分别在两届护生骨科实习结束时进行问卷调查。结果：2014至2015年度骨科实习护生职业防护知识得分总分高于2013至2014年度护生（P＜0.05），而实习期间发生职业损伤人次数量明显低于2013至2014年度护生（P＜0.01）。结论：加强护生职业防护补偿教育，能提高临床实习护生的职业安全知识和防护能力，降低其职业损伤的发生。

骨科；实习；护理学生；职业防护；补偿教育

［Abstract］Objective：To explore the effect of occupational protection compensation education carried out in nursing students practice in department of orthopedic on the occupational protection knowledge level and occupational injuries.Methods：From 2013 to 2014，nursing students practice in department of orthopedics did not receives occupational protection compensation education，from 2014 to 2015，nursing students received occupational protection compensation education before practice.Questionnaire investigation of nursing students at the end of practice was done.Results：Compared with nursing students practice in department of orthopedic from 2013 to 2014，occupational protection knowledge score was higher and the number of occupational injuries occurred during internship people was significantly lower in nursing students practice in department of orthopedic from 2014 to 2015（P＜0.05 and 0.01）.Conclusion：To strengthen the occupational protection compensation education in nursing students，can improve knowledge of occupational safety and protective ability，reduce occurred rate of the occupational injuries.

［Key words］orthopedics；practice；nursing students；occupational protection；compensation education

随着我国临床医学技术的发展和治疗技术的逐步提高，骨科疾病的治疗方式和手术设备也在不断更新和完善。然而，骨科护理人员所面临的职业伤害也随之增加，不仅不可避免地接触到具有感染性的各种体液、血液、排泄物等，还可能被护理工作中出现的新的化学物质和职业危险因素所伤害，如新型化学消毒剂、刺激性或有毒气体、噪声、放射线等多种有害因子，其危害也向隐匿性、长期性和慢性转变［1］。对于即将进入骨科实习的学生来说，由于职业防护意识不强，经验不足、操作不熟练等因素，职业伤害远高于其他医护人员［2］。……