晨交班科室培训可提升医务人员医院感染知识认知率

Training at morning shift meeting can improve awareness rate of healthcare-associated infection knowledge among health care workers

目的评价晨交班科室培训方式对提升医务人员医院感染预防控制水平的培训效果。方法 2016年7月11—22日某院医院感染管理专职人员利用晨交班时间,进入新建的8个临床科室和1个检验室对医务人员进行医院感染预防控制知识的培训,培训前、当场培训后和培训三个月后分别进行问卷调查,评价培训效果。结果需接受培训的医务人员共239名,其中医生85名(35.6%),护士150名(62.8%),技师4名(1.7%)。医务人员最想了解的医院感染预防控制知识为职业暴露与职业防护(85.6%);医务人员最想获取医院感染知识的渠道为感控专职人员进入科室培训(87.1%)。医院感染知识总知晓率培训前、当场培训后、培训三个月后分别为45.1%、96.7%、83.9%,差异有统计学意义(P<0.001);组间比较,培训三个月后医务人员对医院感染的影响因素、手卫生时机、隔离措施具体项目及医疗废物分类的认知率均低于当场培训后(均P<0.001)。医务人员医院感染预防控制知识平均得分当场培训后和培训三个月后均高于培训前(P<0.001);医务人员医院感染预防控制知识平均得分培训三个月后较当场培训后下降(P<0.001)。结论利用晨交班时间进入临床科室进行培训可提高医务人员对医院感染防控知识的认知率。

Objective To investigate the effectiveness of training at morning shift meeting in improving healthcare-associated infection（HAI） prevention and control among health care workers（HCWs） in newly established hospital departments.Methods On July 11-22, 2016, HAI management full-time personnel performed training for HCWs about HAI prevention and control at morning shift meeting of 8 newly established clinical departments and 1 laboratory, the questionnaire survey was conducted before, immediately after, and 3 months after training, training effectiveness was evaluated.Results A total of 239 HCWs were required to receive training, including 85 doctors （35.6%）, 150 nurses （62.8%）, and 4 technicians （1.7%）.The knowledge of HAI prevention and control that most HCWs wanted to know was occupational exposure and occupational precaution（85.6%）;most HCWs wanted to obtain knowledge of HAI through training in their respective department by HAI management full-time personnel（87.1%）.Total awareness rates of HAI knowledge before, immediately after, and 3 months after training were 45.1%, 96.7%, and 83.9% respectively, difference was significant（P〈0.001）;comparison among groups showed that HCWs＇＇ awareness in influencing factors of HAI, hand hygiene opportunity, isolation measures, and medical waste classification 3 months after training was significantly lower than immediately after training（all P〈0.001）;the average scores of HAI prevention and control knowledge among HCWs immediately after and 3 months after training were both higher than before training（P〈0.001）;average score of HAI prevention and control knowledge among HCWs 3 months after training was lower than that of immediately after training（P〈0.001）.Conclusion The training at morning shift meeting of clinical departments can improve the awareness of HAI prevention and control knowledge among HCWs.