“贯穿诊疗全过程”医院感染管理学师资培训方法的研究及应用

Research and application of the training method for hospital infection management teachers through the whole process of diagnosis and treatment

目的探索“贯穿诊疗全过程”医院感染管理学培训方法的有效性。方法2022年1月1日—10月31日选择广州市番禺区中心医院的医院感染兼职人员组建师资队伍。采用随机数表法将师资队伍随机分为对照组和试验组。对照组采用传统理论培训模式进行培训,试验组采用“贯穿诊疗全过程”的模拟医院感染培训教学模式进行培训。通过理论知识考核、操作技能考核及师资满意度评价对两组的培训效果进行比较。结果共纳入师资196人,每组各98人。两组在性别、年龄、学历、专业类别、职称和工作年限比较,差异均无统计学意义(P>0.05)。试验组理论知识考核总分[(88.49±8.33)vs.(80.35±13.57)分;t=5.062,P<0.001]高于对照组;其中,医务人员手卫生规范、无菌操作原则、职业暴露处置、医疗废物分类处置的成绩明显高于对照组(P<0.05)。试验组操作技能考核总分高于对照组[(86.37±5.25)vs.(76.75±7.07)分;t=10.811,P<0.001];其中,操作中、操作后和整体印象的成绩明显高于对照组(P<0.05)。试验组总满意度高于对照组(94.90%vs.72.45%;χ^(2)=18.076,P<0.001),其中对培训方法、培训教材、课程吸引力、临床适用性的满意度均高于对照组(P<0.05)。结论“贯穿诊疗全过程”医院感染管理学培训方法可提升师资的培训效果,值得在各级各类人员的医院感染管理教学中推广。

Objective To study the effect of training methods for hospital infection management that through the whole process of diagnosis and treatment.Methods We selected part-time hospital infection personnel from Panyu Central Hospital of Guangzhou to form a teaching staff between January 1 and October 31,2022.The teaching staff was randomly divided into a control group and an experimental group using a random number table method.The control group received training using traditional theoretical training models,while the experimental group received training using a simulated hospital infection training teaching model that runs through the entire diagnosis and treatment process.The training effects of the two groups through theoretical knowledge assessment,operational skills assessment,and teacher satisfaction evaluation were compared.Results A total of 196 teachers were included,with 98 students in each group.There was no statistically significant difference between the two groups in terms of gender,age,education level,major category,professional title,and years of work experience(P>0.05).The total score of theoretical knowledge examination in the experimental group[(88.49±8.33)vs.(80.35±13.57)points,t=5.062,P<0.001]was higher than the control group.Among them,the scores of hand hygiene standards for medical personnel,principles of aseptic operation,occupational exposure disposal,classification and disposal of medical waste were significantly higher than those of the control group(P<0.05).The total score of the operational skills assessment in the experimental group was higher than that in the control group[(86.37±5.25)vs.(76.75±7.07)points,t=10.811,P<0.001],among which the scores during operation,after operation,and overall impression were significantly higher than the control group(P<0.05).The overall satisfaction in the experimental group was higher than that of the control group(94.90%vs.72.45%,χ^(2)=18.076,P<0.001),among which the satisfaction with training methods,textbook value,course attractiveness,and clinical applicability were higher than those of the control group(P<0.05).Conclusions Through the whole process of diagnosis and treatment training method for hospital infection management can significantly improve the training effectiveness of teachers.It is worth promoting in the teaching of hospital infection management for various levels and types of personnel.