检验医学生实习前生物安全理论培训效果的评估

Evaluation of the Effectiveness of Bio-Safety Theory Training before Laboratory Medicine Internship

目的：评估检验医学生实习前生物安全理论强化训练的效果。方法收集湖南三所大学实习前医学检验专业学生共220名，按不同学校、同学校不同年级、同班级培训前后方法进行分组，按照基本概念、微生物危害评估、实验室个人防护装备、生物安全操作技术规范四个方面内容进行培训，并于培训前后进行无记名现场问卷调查，通过比较评价培训前后效果。结果三所大学培训前差异无统计学意义（χ^2＝0.081～3.135，P 值均＞0.05）。同一所大学湖南中医药大学两个年级学生，培训前学生对各部分考核存在差异（P＝0.000），基本概念和微生物危害评估掌握较好（P＝0.000，0.000）；培训后学生对各部分考核也存在差异（P＝0.000），基本概念和生物安全操作技术规范掌握较好（P＝0.000，0.002）。同一所大学湖南中医药大学检验专业2008级和2009级的学生培训前后，发现前者除实验室个人防护装备使用外其他均无差异（χ^2＝0.096～2.408，P值均＞0.05）；而后者除基本概念外其他均存在差异（χ^2＝4.821～12.27，P值均＜0.05）。结论生物安全强化培训对动手操作技能有良好的作用，要根据学生的具体情况有的放矢培训，使学生真正受益，保证学生的实验室安全。

Objective To evaluate the effectiveness of bio-safety theory intensive training before laboratory medicine intern-ship.Methods Collected 220 students of three universities in human before laboratory medicine internship,according to dif-ferent university,and the different grade of the same university,and the same class grouping pre-and post-the bio-safety in-tensive training,the objects of study in accordance with the training scheme to do on-site questionnaire survey by secret way in three universities,comparing the effectiveness pre-and post-training.Results Three universities had no difference before training of laboratory medicine students （χ^2=0.081~3.135,P〉0.05）.However,in the same university,pre-training,the basic concepts and microbiological hazards assessment could be better grasped （respectively,P=0.000,0.000）.Post-train-ing,the basic concepts and bio-safety operation specification could be promoted （respectively,P=0.000,0.002）.In the same class between pre-and post-training,test results had no difference （χ^2=0.096~2.408,P〉0.05）except personal protec-tive equipmentin 2008 grade students,while in 2009 grade test performance was improved （χ^2=4.821~12.27,P〈0.05） except the basic concepts.Conclusion Bio-safety intensive training has good effects to operation skills,according to the spe-cific situation of students targeted training,which made students real benefit,and ensure laboratory medicine students’labo-ratory safety.