ABSTRACT
Objective@#To understand the current situation of blood-borne occupational exposure among health care workers and evaluate the intervention effect of PDCA.@*Methods@#Retrospective survey was adopted to investigate and analyze the blood-borne occupational exposure incidents in a hospital from January 2015 to December 2018, and to compare the intervention effects after PDCA management.@*Results@#A total of 82 cases of occupational exposure occurred from 2015 to 2017, and only 9 cases happened after the implementation of PDCA intervention. The exposed population was mainly consisted of nurses (59 cases, 64.83%) , and mainly with low-working age (1-5 years) (56 cases, 61.54%) , and the main source of exposure was hepatitis B (34 cases, 37.36%) . In addition, after the implementation of PDCA, the vaccination rate of personnel was 77.78%, the standardized field treatment rate was 100%, the preventive drug use rate was 88.89%; The qualified rate of occupational protection assessment was higher than that before intervention, which all shows the difference was statistically significant (P<0.05) .@*Conclusion@#With the guide of PDCA management, Strengthen the training of new employees or ones with low working years as well as their awareness of protection, and standardize the relevant operational procedures, which can significantly improve the prevention of blood-borne occupational exposure and stress management of medical staff.
ABSTRACT
Cancer patients need not only advanced therapeutic method but also spiritual counseling. Therefore clinical nurses need to analyze the negative psychological status and discuss the effect of psychological support and intervention on the improvement of patients' psychological burden, thus to establish effective intervention plans for patients. A total of 30 patients with cancer were selected for study. They were divided into blank group, intervention group and control group. Patients in three groups were orally administrated amitriptyline if necessary. Patients in blank group directly filled in the form of self-perceived burden and self-made questionnaire of general material of patients. Different groups were interfered with psychological support in different patterns for 3 months. The differences of SPB experience, MCMQ and QLQ-CCC in two groups were compared respectively. It was found that SPB score of cancer patients in blank group was in moderate level of burden, while SPB score in intervention group and control group were relatively lower, and score of MCMQ and QLO-CCC in intervention group were higher than that in control group. It was concluded that the experience of self-perceived burden existed in most cancer chemotherapy patients. Psychological support and intervention can obviously reduce the SPB experience of cancer patients and improve patients' living quality