新型冠状病毒肺炎院内感染防控规范化培训方案的制订与实施

doi:10.3761/j.issn.0254-1769.2020.04.003

摘要/Abstract

摘要： 目的制订综合医院新型冠状病毒肺炎院内感染防控规范化培训方案,并评价其效果。方法培训对象为医护人员和医辅人员。组建职责明确的工作团队、制订个性化的培训内容,采用线上为主、线下为辅的培训方式,对培训效果进行多种形式的追踪与评估。结果实施规范化培训方案7 d后,医护人员院内感染防控知识得分从（69.02±13.21）分上升至（88.49±10.57）分; 医辅人员院内感染防控知识得分从（62.38±13.05）分上升至（75.86±12.19）分,差异均有统计学意义（P< 0.05）。督查人员现场提问回答正确率由82.69%提升至92.31%、外科口罩佩戴规范率由85.36%提升至92.86%,手卫生正确率由92.31%提升至96.30%。结论综合医院新型冠状病毒肺炎院内感染防控规范化培训方案有效提高了医护人员和医辅人员院内感染防控知识、口罩佩戴规范率和手卫生正确率。

关键词: 新型冠状病毒肺炎, 综合医院, 院内感染, 规范化培训, 护理教育

Abstract: Objective To develop a standardized training program for the prevention and control of coronavirus disease（COVID-19）infections in general hospitals and evaluate its effectiveness. Methods The training targets included medical staff and auxiliary staff. A working team with clear responsibilities was set up,and personalized training content was formulated. Online and offline training were adopted,and the effectiveness was tracked and evaluated by multiple methods. Results 7 days after the implementation of the standardized training program,the score of knowledge related to the prevention and control of nosocomial infection rose from 69.02±13.21 to 88.49±10.57 after the training for medical staff. The score of auxiliary staff was also improved from 62.38±13.05 to 75.86±12.19 with statistical significances（P< 0.05）. The correct rate of questions and answers by supervisors on the spot rose from 82.69% to 92.31%,whilethe standard rate of wearing surgical masks increased from 85.36% to 92.86%,and the correct rate of hand hygiene increased from 92.31% to 96.30%. Conclusion The standardized training program for nosocomial infection prevention and control of COVID-19 in general hospitals has effectively improved the knowledge of nosocomial infection prevention and control,the standard rate of wearing masks,and the correct rate of hand hygiene for medical staff and medical assistants

Key words: Coronavirus Disease 2019, General Hospital, Nosocomial Infection, Standardized Training, Nursing Education

吴欣娟, 郭娜, 曹晶, 李真, 焦静, 赵艳伟, 薄海欣, 王巍. 新型冠状病毒肺炎院内感染防控规范化培训方案的制订与实施[J]. 中华护理杂志, 2020, 55(4): 500-503.

WU Xinjuan, GUO Na, CAO Jing, LI Zhen, JIAO Jing, ZHAO Yanwei, BO Haixin, WANG Wei. Establishment and implementation of standardized training program on prevention and control of coronavirus disease 2019 in general hospitals[J]. Chinese Journal of Nursing, 2020, 55(4): 500-503.

参考文献 16

[1]	Khan S,Ali A,Siddique R,et al.Novel coronavirus is putting the whole world on alert[J]. J Hosp Infec,2020,20(11):S195-S6701.
[2]	Wang D,Hu B,Hu C,et al.Clinical characteristics of 138 hospitalized patients with 2019 Novel Coronavirus-infected pneumonia in Wuhan,China[J]. JAMA,2020,20(11):1061-1069.
[3]	王漪. 综合医院传染病预防控制体系的研究[J]. 中国卫生产业,2015(22):175-176.
[4]	刘于,汪晖,陈军华,等. 突发新型冠状病毒肺炎疫情的护理人力及物力应急管理[J]. 中华护理杂志,2020,55(3):343-346.
[5]	黄雪燕,尹张王瑩,冯莺,等. 柯氏模型在杭州市中医护理培训效果评价中的应用[J]. 中华护理杂志,2018,53(1):71-75.
[6]	国家卫生和健康委员会. 新型冠状病毒肺炎诊疗方案(试行第六版)[EB/OL].(2020-01-29)[2020-02-17]. .
[7]	国家卫生和健康委员会. 新型冠状病毒感染的肺炎防控方案(第三版)[EB/OL].(2020-01-29)[2020-02-17].
[8]	邹晓妮,张红梅,李静静,等. 医院感染知识培训方法与效果的荟萃分析[J]. 中华医院感染学杂志,2015,25(11):2600-2603.
[9]	王鹏,丁丽丽,喻玲丽,等. 多元化培训模式在医务人员医院感染预防控制中应用的效果评价[J]. 中华医院感染学杂志,2019, 29(16):2533-2536.
[10]	徐彩娟,金静芬,宋剑平,等. 综合性医院非隔离区域新型冠状病毒肺炎疫情防控的精细化管理[J]. 中华护理杂志,2020,55(3):351-354.
[11]	刘玲玉,张宝珍,杨珍,等. 医务人员重大传染病疫情核心应急能力调查研究[J]. 护理学杂志,2019,34(5):80-82.
[12]	Lam SKK,Kwong EWY,Hung MSY,et al.Nurses' preparedness for infectious disease outbreaks:A literature review and narrative synjournal of qualitative evidence[J]. J Clinic Nurs,2018,27(7/8):e1244-e1255.
[13]	董露婷. 我国公务员培训需求分析理论与应用研究[D]. 南京:南京师范大学,2012.
[14]	吴欣娟,蔡梦歆,曹晶,等. 规范化护理方案在提升卧床患者护理质量中的应用研究[J]. 中华护理杂志,2018,53(6):645-649.
[15]	焦静,徐克珮,应巧燕,等. 新护士规范化培训效果评估体系的构建[J]. 中华护理杂志,2019,9(54):1285-1290.
[16]	王华芬,冯洁惠,邵乐文,等. 新型冠状病毒肺炎集中救护中护理部的应急管理策略[J]. 中华护理杂志,2020,55(3):347-350.