卫生监督员医院感染知识培训效果评价

Effect of training of related knowledge about nosocomial infections of health supervisors in dental clinic

目的了解卫生监督员对口腔门诊医院感染管理相关知识的掌握情况,对培训效果进行分析评价,以便改进培训方式,提高卫生监督员监管能力。方法采用问卷调查的形式,随机选取北京市16个区(县)卫生监督所(含燕山)从事传染病防治日常卫生监督执法的卫生监督员60名进行调查。结果培训前口腔门诊医院感染相关知识平均正确回答率为53.83%,培训后为78.78%,比培训前有显著增加,差异有统计学意义(χ2=8.36,P<0.01);培训前卫生监督员对口腔门诊布局及环境、口腔清洗消毒方面知识知晓程度较高,分别为70.56%和70.00%;培训后分别达到96.94%和93.15%,对口腔器械灭菌监测和消毒灭菌物品管理方面培训前后知识掌握程度较低,培训后仅达67.08%和58.10%。结论创新培训方式,采取理论与实践相结合的培训模式,运用参观、经验交流、监管模式研究等方法,完善监督管理指南,提升培训效果,建立口腔医院感染管理监管长效机制。

OBJECTIVE To understand current situation of understanding of knowledge about the management of hospital infections of the health supervision staff in dental clinic and analyze the training effect so as to improve the training approach and the supervision of heath supervisors.METHODS By means of the knowledge questionnaires,totally 60 health supervision staff,who engaged the daily prevention of infectious diseases,were randomly selected from 16 districts of Beijing（including Yanshan）.RESULTS Before the training,the correct answer rate of questions about hospital infections in dental clinic was 53.83%,78.78% after the training,significantly increased as compared with that before the training,the difference was statistically significant（χ2=8.36,P0.01）.The health supervision staff＇s awareness was improved through the training,the awareness rates of knowledge about the clinic layout and the environment and oral disinfection were respectively 70.56% and70.00% before the training,reaching up to 96.94% and 93.15% after the training;however,the awareness rates of the monitoring of sterilization of dental instruments and the management of sterilization articles were relatively low,which were only 67.08% and 58.10%,respectively.CONCLUSION To innovate the training method,adopt the theory combined with practice training mode,use the study methods as the visit,experience exchange,and supervision mode study,and consummate the guideline of supervision management is useful to establish long-term mechanism of oral infection management and supervision.