Causes of occupational exposure to AIDS and psychological status of medical staff

GU Ming-qin; YANG Qin-qin; SONG Xi-juan

doi:10.3969/j.issn.1007-8134.2018.02.018

Abstract：Objective To investigate and analyze the causes of occupational exposure to AIDS and psychological status of medical staff. Methods Thirty medical staff with occupational exposure to AIDS observed in Chengdu Second People's Hospital from January 2011 to June 2017 were enrolled in the study. The mode, link, causes of occupational exposure, post-exposure treatment and psychological status of medical staff were investigated and statistically analyzed. Results Among the occupational exposure modes, needle injuries accounted for 70.00%. Among the exposure links, invasive intraoperative operation accounted for 30.00%, needle injection accounted for 26.67% and needle pulling accounted for 16.67%. Among the causes of exposure, insufficient self-protection awareness accounted for 30.00%, defective safety management system accounted for 46.67% and weak prevention-control ability accounted for 26.67%. Compared with Chinese norms, scores of somatization, anxiety, depression, fear, interpersonal sensitivity, hostility, paranoid and compulsion of medical staffs with occupational exposure to AIDS were significantly increased (P<0.05). There was no infected case during follow-up. Conclusions Causes of occupational exposure to AIDS include insufficient self-protection awareness, weak prevention-control ability and defective safety management. Medical staff with occupational exposure to AIDS are prone to anxiety, depression, hostility and other psychological symptoms. The protection training should be strengthened to improve the safety awareness and psychological intervention of medical staffs, thus reducing the incidence of occupational exposure.