中国实用口腔科杂志

中国实用口腔科杂志 ›› 2023, Vol. 16 ›› Issue (5): 580-584.DOI: 10.19538/j.kq.2023.05.014

• 论著 • 上一篇    下一篇

口腔专科医务人员锐器伤发生率及其影响因素的系统评价

曾    江1，陈飘飘1，洪飞若2，俞雪芬2   

  1. 1. 浙江大学医学院，浙江 杭州 310030；2. 浙江大学医学院附属口腔医院，浙江省口腔疾病临床医学研究中心，浙江省口腔生物医学研究重点实验室，浙江大学癌症研究院，浙江 杭州  310006
  • 出版日期:2023-09-30 发布日期:2023-11-01
  • 基金资助:
    浙江省医药卫生科技计划项目（2023KY131）

  • Online:2023-09-30 Published:2023-11-01

摘要： 目的    对口腔专科医务人员锐器伤发生率及影响因素进行系统评价。方法    检索2000年1月至2022年1月中国知网、万方数据库、维普网、PubMed、Cochrane Library、Embase、Scopus和Web of Science数据库中口腔专科锐器伤的相关文献，通过Meta分析统计口腔专科医务人员锐器伤发生率，并描述性分析不同因素对口腔专科医务人员锐器伤发生率的影响。结果    共纳入9篇横断面研究。Meta分析结果显示，口腔专科医务人员从业1年内锐器伤发生率为57%（RD = 0.57，95%CI：0.31 ~ 0.83，P < 0.001）；在整个职业生涯中，锐器伤发生率为56%（RD = 0.56，95%CI：0.45 ~ 0.67，P < 0.001）；且口腔专科医务人员年龄、工作年限、工作地点、临床工作经验、接诊人数、职业防护（包括锐器伤防护行为和锐器伤相关知识）及压力、疲劳、注意力不集中等可能为锐器伤发生率的影响因素。结论    口腔专科医务人员锐器伤发生率高，并受多种因素影响，可根据影响因素制定相应干预措施，降低口腔专科医务人员锐器伤发生率。

关键词: 口腔专科, 锐器伤, 影响因素, 系统评价

Abstract: Objective    To evaluate the incidence rate and influencing factors of sharp instrument injury in dental medical staff. Methods    Literatures on sharp instrument injuries in stomatology were retrieved in CNKI，Wanfang Database，VIP database，PubMed，Cochrane Library，Embase，Scopus and Web of Science database from January 2000 to January 2022. Analyze the incidence of sharp instrument injury among dental medical staff by Meta-analysis，and analyze the influence of different factors on sharp instrument injury among dental medical staff by descriptive analysis. Results    Totally 9 cross-sectional studies were included. The results of meta-analysis showed that the incidence of sharp instrument injury in dental medical staff within one year of employment was 57%（RD = 0.57，95%CI：0.31 - 0.83，P < 0.001）. In the whole career，the incidence of sharp injury was 56%（RD = 0.56，95%CI：0.45 - 0.67，P < 0.001）. The age，employment years，working place，clinical work experience，the number of patients，occupational protection（including sharp injury protection behavior and sharps injury related knowledge），stress，fatigue，and inattention of dental medical staff could be the influencing factors of the incidence of sharp instrument injury. Conclusion    The incidence of sharp instrument injury in dental medical staff is high and is affected by many factors. Corresponding intervention measures can be formulated according to the influencing factors to reduce the incidence of sharp instrument injury in stomatology.

Key words: dental specialty, sharp instrument injury, influencing factors, systematic review