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基于之前研究中的生物监测数据,与护士被抗瘤药物内部污染相关的因素

Antoine Villa¹, Arna Geshkovska², Gauthier Bellagamba³

¹Univ. Bordeaux, Inserm, Bordeaux Population Health Research Center, Epicene Team, UMR 1219, F-33000, Bordeaux, France; Centre régional de Consultations de Pathologies Professionnelles et Environnementales, APHM, Hôpital Timone, Marseille, 13005, Marseille, France.

International journal of hygiene and environmental health

|September 30, 2023

概括

医疗保健专业人员面临来自抗瘤药物 (ADs) 的内部污染. 正确使用手套和任务意识是关键的保护因素,而信息不足和特定的患者护理任务增加了污染风险.

科学领域:

职业健康职业健康职业健康
环境健康环境健康
药理学药理学是指药理学的学科.

背景情况:

对抗瘤药物 (ADs) 的内部污染是医疗保健专业人员的重大职业健康问题.
美国国家职业安全与健康研究所 (NIOSH) 将这些化合物归类为危险的.
了解影响内部污染的因素对于改善预防策略至关重要.

研究的目的:

确定与护理人员处理抗瘤药物的内部污染相关的因素.
分析自我报告的做法,工作环境和尿样中可检测到的ADS水平之间的关系.

主要方法:

一项涉及法国两家医院护士的横截面观察研究.
对68名护士 (39名受污染,29名未受污染) 的尿样进行元数据分析.
多变量渐进下降回归模型,使用自我问卷数据和污染状态来识别相关因素.

主要成果:

高手套佩戴得分 (OR:0.957) 和多年处理ADs (OR:0.797) 是防止内部污染的保护因素.
感觉有足够的信息 (OR:9.585),拥有专门的垃圾桶 (OR:8.04),以及更换病人床单 (OR:10.479) 是重要的因素.

结论:

一贯使用手套和处理ADs的广泛经验与减少内部污染有关.
工作人员信息不足和特定的病人护理任务,如更换床单,增加了污染的风险.
调查结果强调需要加强培训,改善安全协议,并提高医疗保健机构对高风险任务的认识.

关键词:

抗瘤药物是一种抗瘤药物.与因素相关的因素.内部污染内部污染护士护士是一个护士.职业暴露职业暴露

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