2020年3月湖北黄石新型冠状病毒肺炎防控期间感控全员培训效果及其影响因素  

Effect of training of all staff and influencing factors in Huangshi, Hubei province during prevention and control of COVID-19 in March 2020

作　　者：何苗 张卫红 邢虎[4] 赵丽华[2] 陈翠芳[2] 李占结 HE Miao;ZHANG Wei-hong;XING Hu;ZHAO Li-hua;CHEN Cui-fang;LI Zhan-jie(First Affiliated Hospital of Nanjing Media University,Nanjing,Jiangsu 210029,China)

机构地区：[1]南京医科大学第一附属医院感染管理处,江苏南京210029 [2]鄂东医疗集团黄石市中心医院(湖北理工学院附属医院),湖北黄石433100 [3]南京医科大学附属江苏盛泽医院院长办公室,江苏苏州215228 [4]江苏大学附属医院感染管理科,江苏镇江212001

出　　处：《中华医院感染学杂志》2021年第22期3470-3473,共4页Chinese Journal of Nosocomiology

基　　金：国家科技攻关基金资助项目(2020YFC0848100);中国老年医学学会感染防控研究基金资助项目(GRYJ-LRK2018016);江苏省医院管理创新研究基金资助项目(JSYGY-3-2019-484)。

摘　　要：目的了解湖北黄石新型冠状病毒肺炎防控期间医务人员感控知识掌握情况、培训效果以及影响因素。方法选取黄石市所有医疗机构的医务人员,在2020年3月11日-3月24日期间,使用"四步法"进行线上培训考核。结果全市医务人员培训考核的覆盖率93.48%,培训后平均分由第一阶段(69.11±15.27)分提高到了第四阶段(80.51±15.38)分。不同区域及不同性别、年龄层、工作年限、专业背景及职称的医务人员在第四阶段考核平均得分均高于第一阶段考核平均得分,差异具有统计学意义(P<0.001)。不同类型知识点的正确率由第一阶段的69.17%提高到第四阶段的80.40%,差异具有统计学意义(P<0.001)。线性回归发现第四阶段中区域、性别、年龄、工作年限、专业背景和职称均对医务人员得分产生影响。结论全市医务人员对感控知识了解不足,经过系统性培训,整体掌握情况有大幅度提升。新型冠状病毒肺炎相关知识掌握情况较好,消毒灭菌知识欠缺,应作为后续培训的重点内容。OBJECTIVE To understand the status of acquisition of knowledge of infection control and observe the effect of training and influencing factors in Huangshi, Hubei province during prevention and control of COVID-19. METHODS The medical staff from all of the medical institutions of Huangshi City were enrolled in the study, the online training and check was conducted by using ‘four-step’ method from Mar 11, 2020 to Mar 24, 2020. RESULTS The coverage rate of training and assessment of medical staff was 93.48% in the city, and the average score has increased from(69.11±15.27) points in the first stage to(80.51±15.38) points in the fourth stage. The average scores of assessment of the medical staff from different areas, with different genders, age, professional backgrounds and professional titles were significantly higher in the fourth stage than in the first stage, and there(P<0.001). The correct rate of the knowledge points was increased from 69.17% in the first stage to 80.40% in the fourth stage, and there was significant difference(P<0.001). Linear regression analysis showed that the scores of the medical staff were affected by the area, gender, age, working years, professional background and title in the fourth stage. CONCLUSION The medical staff of the city are less aware of the knowledge of infection control, the status of overall mastery is remarkably improved after systematic training. The status of mastery of COVID-19-related knowledge is good, and it is necessary to focus on the training of knowledge of disinfection and sterilization.

关 键 词：新型冠状病毒肺炎 医院感染 培训 全员 

分 类 号：R197.3[医药卫生—卫生事业管理]