新型冠状病毒感染疫情期间间隔1年再培训腹膜透析操作者考核得分的变化  

Changes of exam scores of retrained peritoneal dialysis operators with an internal of one year during COVID-19 epidemic

作　　者：楚新新 门春翠 芦丽霞[1] 乔婕[1] 何玉婷 武蓓[1] 赵慧萍[1] 王梅[1] Chu Xinxin;Men Chuncui;Lu Lixia;Qiao Jie;He Yuting;Wu Bei;Zhao Huiping;Wang Mei(Department of Nephrology,Peking University People's Hospital,Beijing 100044,China)

机构地区：[1]北京大学人民医院肾内科,北京100044

出　　处：《中华肾脏病杂志》2024年第10期804-810,共7页Chinese Journal of Nephrology

基　　金：北京市首都市民健康培育专项基金(Z161100000116070);北京大学人民医院研究与发展基金(RDB2014-16)。

摘　　要：目的调查新型冠状病毒感染(新冠感染)疫情期间间隔1年再培训腹膜透析(peritoneal dialysis,PD)操作者(患者本人、家属或保姆)考核得分的变化,以期为针对性培训提供依据。方法该研究为横断面调查研究。纳入2019年11月1日至2021年2月28日新冠感染疫情期间北京大学人民医院肾内科先后参加间隔1年的2次培训的维持性PD患者。新冠感染疫情期间,再培训由常规每6个月1次延长至1年1次。收集患者的临床资料,采用自行设计的培训考核评分表(包括理论知识和操作技能考核)调查2次培训的考核得分,比较间隔1年再培训PD操作者的考核得分总分及分项得分。采用Logistic回归分析法分析考核得分下降的相关因素。结果共59例患者入选该研究,男性35例(59.32%),年龄为(58.41±14.52)岁,透析龄为42(12,84)个月,患者本人操作54例(91.53%),操作者文化程度为大学及以上22例(37.29%)。间隔1年再培训前后PD操作者考核得分总分分别为(83.17±7.90)分和(80.61±8.20)分(t=2.732,P=0.008),其中考核得分下降35例(59.32%)。在分项计分的6项内容中,与1年前相比,1年后并发症处理(t=4.928,P<0.001)和自我监测(t=3.222,P=0.002)考核得分均明显下降;而1年前后环境与卫生、换液操作、出口护理、饮食考核得分差异均无统计学意义(均P>0.05)。透析龄<12个月、36~60个月的PD操作者间隔1年后考核得分总分显著下降(t=2.309,P=0.041;t=3.086,P=0.009),透析龄12~<36个月、>60个月的PD操作者间隔1年后考核得分总分差异均无统计学意义(均P>0.05)。Logistic回归分析结果显示,透析龄是考核得分下降的独立相关因素(透析龄36~60个月/>60个月,OR=6.233,95%CI 1.035~37.529,P=0.046)。结论新冠感染疫情期间减少再培训频率后PD操作者考核得分明显降低,尤其是透析龄36~60个月患者,知识薄弱处集中在并发症处理及自我监测方面,如因特殊情况无法开展定期再培训,应针对重�Objective To investigate the changes of exam scores of retrained peritoneal dialysis(PD)operators(patients,family members,or nannies)with an internal of one year during COVID-19 epidemic and provide basis for targeted training.Methods It was a cross-sectional survey study.The maintenance PD patients who participated in two trainings with an interval of one year during COVID-19 epidemic from November 1,2019 to February 28,2021 in Department of Nephrology in Peking University People's Hospital were enrolled.During COVID-19 epidemic,retraining was extended from once every six months to once a year.The clinical data were collected,the self-designed training exam score table including theoretical knowledge and operational skills assessment was used to investigate the exam scores of two trainings,and the total exam scores and sub-item scores of PD operators before and after one year were compared.Logistic regression analysis was used to analyze the associated factors of the reduction of exam scores.Results A total of 59 patients were enrolled,with 35 males(59.32%),age of(58.41±14.52)years,and dialysis duration of 42(12,84)months.There were 54 patients(91.53%)operating by themselves,22 operators(37.29%)having college degree or above,and 35 operators(59.32%)having decreased exam scores.The total exam scores were 83.17±7.90 and 80.61±8.20 before and after one year,respectively(t=2.732,P=0.008).In the six contents of itemized scoring,compared with one year ago,the exam scores of complication treatment(t=4.928,P<0.001)and self-monitoring(t=3.222,P=0.002)were significantly decreased.There was no statistically significant difference in the exam scores of environment and hygiene,dialysate replacement operation,exit nursing and diet before and after one year(all P>0.05).The total exam scores in patients with dialysis duration<12 months and 36-60 months after one year were significantly lower than before one year(t=2.309,P=0.041;t=3.086,P=0.009).There was no statistically significant difference in the exam scores of PD operat

关 键 词：腹膜透析 教学 新型冠状病毒肺炎 再培训 考核得分 

分 类 号：R-4[医药卫生] C975[经济管理—劳动经济]