国际旅行卫生保健中心医务人员职业暴露干预模式及效果评价

    王玉兰1，付汝坤2，杨录魁1，王学军1，杨慧丽1

    1.日照国际旅行卫生保健中心，山东日照 276800；2.山东出入境检验检疫局岚山办事处

   摘要：目的从影响行为的3个要素出发识别国际旅行卫生保健中心（以下简称“保健中心”）医务人员职业暴露风险，建立并评价干预模式降低该人群职业暴露风险的有效性。方法采用行为流行病学干预前后对比研究的方法，通过定量与定性相结合的方式收集所需数据。结果干预模式实施后，保健中心医务人员较干预前职业暴露防护知识、自我防护意识和标准防护技能应用的主动性提高，职业暴露防护资源数量增加，有关规章制度可操作性提高，防护资源可获得性有所保障，一定程度上缓解职业紧张，职业暴露风险行为发生显著降低。结论干预模式的应用能够有效降低保健中心医务人员职业暴露风险，增加其标准防护资源的获取和标准防护利用。

    关键词：国际旅行卫生保健中心；职业暴露；干预模式；效果评价

    中图分类号：R136　文献标识码：B

    Intervention mode and effect evaluation foroccupational exposure of

    medical staff in international travel healthcarecenter

    WANG Yu-lan*, FU Ru-kun, YANG Lukui, WANG Xue-jun,YANG Hui-li

    *Rizhao International Travel HealthcareCenter,Rizhao,Shandong 276800,China

    Abstract:   Objective   To identifyoccupational exposure risk for international travel healthcarecenter medical staff from three behavioral factors for establishingintervention and evaluating its effect.   Methods   Thebehavioral epidemiology method was used to collect quantitative andqualitative data  before and after intervention.  Results   After intervening,occupational exposure knowledge,self-protection awareness and standard protection skills have beenimproved. The number of occupational exposure resources has beenincreased, occupational exposure regulations operability has beenimproved, resource availability has been guaranteed, tension hasbeen relieved and risk has been significantly reduced. Conclusion  The intervention can effectively reduce occupationalexposure risk and make full use of the standard protection.

    Key words:   Occupational exposure;Intervention; Evaluation

    《中国国境卫生检疫杂志》2013年10月刊