岗前培训中融入医院感染暴发案例剖析的教学效果评价

Evaluation of the teaching effect of pre-job training combined with analysis of nosocomial infection outbreak case

目的探索实习医学生医院感染防控知识岗前培训融入医院感染暴发案例剖析的教学效果及其满意度。方法采用试验对照方法,选取2020年4月至2020年6月在南通大学附属医院参加临床实习的282名医学生作为研究对象,采用随机数字表法将其分为试验组和对照组,每组141名学生。试验组采用传统教学融入医院感染暴发案例剖析的教学方式,对照组采用传统教学方式。教学结束后,比较两组学生对医院感染防控知识和七步洗手法的掌握情况及其对教学方式的满意度。采用SPSS 23.0软件对相关数据进行统计处理,组间比较采用t检验和χ2检验。结果试验组学生医院感染防控理论知识和七步洗手法考试分数,分别为(93.3±4.4)分和(92.4±5.3)分,对照组学生考试分数分别为(86.1±4.8)分和(83.8±6.0)分,其差异均具有统计学意义(均P<0.01)。试验组学生对融入医院感染暴发案例剖析教学方式的满意度(非常满意和满意)占比[52.5%(74/141)]高于对照组学生[19.1%(27/141)],其差异具有统计学意义(P<0.01)。结论医院感染防控知识岗前培训融入医院感染暴发案例剖析后,教学效果和满意度均优于传统教学方式。

Objective Exploring the teaching effect of pre-job training of internship students focusing on control and prevention of nosocomial infection combined with case analysis and trainees'satisfaction with this case-based training.Methods This study uses the experimental control method.Totally 282 medical students who participated in the clinical internship from April 2020 to June 2020 in Nantong University Affiliated Hospital were recruited as research objects.They were randomly divided into experiment group and control group with 141 in each.In the experimental group,traditional teaching was combined with analysis of hospital infection outbreak cases,while in the control group the traditional teaching was implemented without case analysis.The two groups were compared on knowledge of hospital infection prevention and control and trainees'satisfaction with teaching methods.SPSS 23.0 was used for data statistics and the comparison between the two groups was performed by t test andχ2 test.Results The scores of the theoretical knowledge about nosocomial infection prevention and control and the seven-step hand-washing skill in experiment group were(93.3±4.4)and(92.4±5.3)respectively,which were significantly higher than those of the control group[(86.1±4.8)and(83.8±6.0)respectively)](all P<0.01).The degree of satisfaction(very satisfied or satisfied)of students in the experimental group[52.5%(74/141)]was significantly higher than that in the control group[19.1%(27/141)](P<0.01).Conclusions The effect of this case-based pre-job training and trainees'satisfaction with it are superior to traditional teaching methods.