新疆地区医院消毒供应中心培训评估现状调查研究

Investigation on the Evaluation of Training Efficacy of Central Sterile Supply Department of Hospital in Xinjiang.

目的观察“柯氏模型”在新疆地区消毒供应中心培训现状评估及影响因素，建立有效的培训评估体系。方法选取新疆地区乌鲁木齐市三级甲等医院消毒供应中心和2009年12月～2014年12月参加新疆自治区卫生计生委举办的“全疆医院消毒供应中心培训班”的医院、2014年新疆自治区人民医院消毒供应中心进行“帮扶”医院，总计171所。将171所医院采用随机数字分组进行培训，对照组（n=86所）采用传统方法培训，观察组（n=85所）采用“柯氏模型”培训，比较2组培训结果。结果参加有效调查的153所医院中，6所一级医院、115所二级医院、32所三级医院。其中，一级医院和二级医院未培训评估比例最大，分别占100．0％和23．4％；观察组培训后医院“柯氏模型”培训后反应层级、学习层级、行为层级及结果层级评分，显著高于培训前（P〈0．05）；观察组医院培训管理后消毒供应中心工作质量中服务态度、供给及时度、收回及时度及包装质量评分，显著高于对照组（P〈0．05）。结论新疆地区消毒供应中心培训过程中建立“柯氏模型”能了解培训现状，并制定相应的措施处理能提高培训效果，值得推广应用。

Objective To observe the status quo and influence factors of Koch＇s model in central sterile supply de- partments （CSSD） training in Xinjiang, and to establish an effective training evaluation system. Methods One hundred seventy one CSSDs of third grade hospital in Xinjiang Uygur Autonomous Region, hospitals joining CSSD Training Pro- gram from December 2009 to December 2014 and hospitals assisted by Xinjiang Autonomous Region People＇s Hospital in 2014 were selected. These 171 hospitals were grouped randomly into control group and observation group. Control group （n = 86） was trained by traditional methods, while the observation group （n = 85） was trained by ＂Koch＇s model＂. The re- sults of two groups were compared. Results In 153 hospitals being surveyed, 6 were primary hospitals, 115 were sec- ondary hospitals and 32 were tertiary hospitals. In the observation group, the response rate, learning level, behavior level and result grade of the ＂Koch＇s model＂ training were significantly higher than those in the control group （100.0% and 23.4%, respectively）, and the scores of the first class hospital and the second class hospital were the highest （P 〈 0.05）. In the observation group, after training, the scores of the attitude, supplying timely, taking back timely and packing quality were significantly higher than those of the control group （P 〈 0.05）. Conclusion The establishment of ＂Koch＇s model＂ in CSSD training in Xinjiang can understand the present training situation and formulate corresponding measures to improve the training effect, which is worthy of popularization and application.