Tỷ lệ tổn thương do vật sắc nhọn y tế ở sinh viên cử nhân điều dưỡng Trường Đại học Y khoa Phạm Ngọc Thạch năm 2024 và một số yếu tố liên quan

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Tác giả: Thiện Khiêm Lê, Vĩ Khang Võ

Ngôn ngữ: vie

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Thông tin xuất bản: Tạp chí Y Dược học Phạm Ngọc Thạch, 2024

Mô tả vật lý: tr.165

Bộ sưu tập: Metadata

ID: 286503

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Mục tiêu: Mô tả tỷ lệ tổn thương do vật sắc nhọn y tế ở sinh viên điều dưỡng năm 3 và năm 4 tại Trường Đại học Y khoa Phạm Ngọc Thạch năm 2024 và xác định một số yếu tố liên quan giữa tỷ lệ tổn thương do vật sắc nhọn y tế với thông tin chung của sinh viên điều dưỡng năm 3 và năm 4 tại Trường Đại học Y khoa Phạm Ngọc Thạch năm 2024. Đối tượng và phương pháp nghiên cứu: Nghiên cứu cắt ngang thực hiện trên 261 sinh viên điều dưỡng năm 3 và năm 4 trong năm học 2023-2024. Chọn mẫu toàn bộ 266 sinh viên điều dưỡng năm 3 và năm 4. Sử dụng thống kê mô tả đối với các biến số đặc điểm đối tượng nghiên cứu. Sử dụng phép kiểm định Chi bình phương để tìm mối liên quan giữa tỷ lệ tổn thương do vậy sắc nhọn y tế với đặc điểm của đối tượng nghiên cứu. Bộ công cụ thu thập số liệu tham khảo và sử dụng bộ câu hỏi giấy soạn sẵn. Kết quả: Có 73,18% sinh viên điều dưỡng năm 3 và năm 4 đã từng bị tổn thương VSN trong thực hành lâm sàng trong đó nhóm tổn thương từ 1 - 5 lần chiếm 69,73% và >
5 lần chiếm 3,45%. Kết luận: Có 73,18% sinh viên điều dưỡng năm 3 và năm 4 đã từng bị tổn thương VSN trong thực hành lâm sàng. Các nguyên nhân gây tai nạn cho sinh viên hàng đầu đó là sinh viên phải làm nhanh gấp chiếm 69,1%, kế tiếp là do sinh viên căng thẳng, mệt mỏi chiếm 22%. Thao tác gây ra tổn thương nhiều nhất là bẻ ống thủy tinh chiếm 51,1%. Kiến nghị: Nhà trường cần tổ chức các buổi học truyền thông, tập huấn về xử lý tổn thương do vật sắc nhọn y tế. Cần phải lặp lại chương trình tập huấn cho sinh viên năm 3 và năm 4 chuẩn bị hoặc đã và đang tham gia thực tập lâm sàng tại bệnh viện hoặc cơ sở y tế. Về phía bệnh viện, tăng cường các hoạt động hỗ trợ, hướng dẫn và giám sát quá trình thực tập của sinh viên. Bản thân mỗi sinh viên phải có ý thức bảo vệ bản thân trong việc đi lâm sàng, như tiêm ngừa đầy đủ, tuân thủ nghiêm các quy trình thao tác làm việc. Abstract Objective: Describe the proportion of injuries caused by sharps medical objects in 3rd and 4th year nursing students at Pham Ngoc Thach University of Medicine in 2024 and identify some related factors to the proportion of injuries caused by sharps medical objects and general information of 3rd and 4th year nursing students at Pham Ngoc Thach University of Medicine in 2024. Subjects and methods of research: Cross-sectional study conducted on 261 3rd and 4th year nursing students in the 2023 - 2024 school year. Use descriptive statistics for research subject characteristics variables. Use the Chi-square test to find the relationship between the rate of medical sharp injuries and the characteristics of the research subjects. Toolkit for collecting reference data and using pre-prepared paper questionnaires. Results: 73.18% of 3rd and 4th year nursing students have had VSN injuries during clinical practice, of which the group of injuries from 1 - 5 times accounts for 69.73% and >
5 times accounts for 3. 45%. Conclusions: 73.18% of 3rd and 4th year nursing students have suffered VSN injuries during clinical practice. The leading causes of accidents for students are students having to work quickly, accounting for 69.1%, followed by students being stressed and tired, accounting for 22%. The action that causes the most damage is breaking the glass tube, accounting for 51.1%. Recommendation: Schools need to organize communication and training sessions on handling injuries caused by medical sharp objects. It is necessary to repeat the training program for 3rd and 4th year students preparing for or already participating in clinical internships at hospitals or medical facilities. On the hospital side, increase support activities, guidance and supervision of students’ internship process. Each student must be aware of protecting themselves during clinical visits, such as being fully vaccinated and strictly following working procedures. DOI: 10.59715/pntjmp.3.4.20

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