情景模拟培训在塞拉利昂医院保洁人员埃博拉出血热防控中的应用

Application of scenario simulation training to prevent and control Ebola virus disease spread among cleaners in Sierra Leone

目的：探讨情景模拟培训法对塞拉利昂医院保洁人员防控技能培训的效果。方法对塞方40名保洁人员进行情景模拟演练培训，即针对需解决的防控问题进行情景设计、演练、培训，最后按评价和考核标准进行考核。结果经过培训后40名塞方保洁人员在焦虑、紧张、害怕、失眠、抑郁等方面均有减轻，培训前后比较差异均有统计学意义（χ2值分别为16．2，39．7，34．3，15．9，5．2；P＜0．05）。培训前40名保洁人员对环境布局改造满意者7名，培训后工作满意度提高，对环境布局改造满意者39名，培训前后比较差异有统计学意义（χ2＝52．4，P＜0．01）；培训后40名保洁人员对培训效果和培训内容满意度均达100％；考试得分最高98分，最低68分，合格39人；工作状态良好，未发生院内感染的不良事件。结论分步骤、全流程情景模拟培训是提高保洁人员防控知识和技能的有效途径。

Objective To explore the application effect of scenario simulation training to prevent and control Ebola virus disease spread among cleaners in Sierra Leone .Methods A total of forty local cleaners in Sierra Leone were given scenario simulation training program designed to resolve the problems of Ebola infection prevention and control , and they were required to be appraised by corresponding criteria after drilling and training.Results After training, all cases were significantly improved in anxiety , tense, fear, agrypnia and depression.There were statistical difference before and after training （χ2 =16.2,39.7,34.3,15.9,5.2, respectively;P〈0.05）.Seven of forty cleaners had satisfaction with environment layout modification before training compared with thirty nine of forty having satisfaction after training （χ2 =52.4,P〈0.01）.100% of participants presented the satisfaction of training contents and effects .The highest score of examination was 98 and lowest was 68 that 39 of them reached passed level .All cleaners showed excellent working status and there was no infections happened .Conclusions It is an effective way to take step-by-step and whole-procedure scenario simulation training to increase the knowledge and skills of infection prevention and control .