Zhu J R, Cui Z, Zhang X J, Wang B R
Department of Nosocomial Infection Management, The First Affiliated Hospital of Bengbu Medical College, Bengbu 233004, China.
Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2020 Apr 20;38(4):278-281. doi: 10.3760/cma.j.cn121094-20190321-00110.
To investigate a new method for occupational protection training for medical staff, and to improve the awareness of occupational protection among medical staff. In August 2018, convenience sampling was performed to select 171 new medical workers in a grade A tertiary teaching hospital as subjects. The subjects were trained according to the requirements for occupational protection knowledge and training objectives. A questionnaire was distributed before training, and the scores were collected as control group; the subjects were trained using the conventional PPT theory, a questionnaire was distributed after training, and the scores were collected as trial group 1; the subjects were trained using the conventional PPT theory combined with the situational simulation teaching method, a questionnaire was distributed after training, and the scores were collected as trial group 2. A total of 171 questionnaires were distributed and collected for each survey, with a questionnaire recovery rate of 100%. Continuous data were expressed as mean±SD and were evaluated by an analysis of variance; categorical data were expressed as rate (%) , and the chi-square test was used for analysis. A total of 171 medical workers, aged 22-33 years (mean 23.63±2.33 years) , participated in the study, among whom 127 (74.27%) were nurses, 146 (85.38%) were female workers, and 93 (54.39%) had a college degree. The awareness rate of occupational protection knowledge was 24.56%-70.18% in the control group, 63.16%-96.49% in the trial group 1, and 86.55%-99.42% in the trial group 2. There was a significant difference in the awareness rate of occupational protection knowledge among all the groups (<0.01) , and there were also significant differences in theoretical test score, skill assessment score, and total score among all the groups (=116.342, 189.424, and 304.904, <0.01) . Theoretical test score, skill assessment score, and total score tended to increase after the training based on the conventional PPT theory or the training based on the conventional PPT theory and situational simulation (=125.042, 352.025, and 444.073, <0.01) . The situational simulation teaching method for the training of occupational protection knowledge for medical staff has a marked training effect and can significantly improve the theoretical and skill levels of medical staff.
探讨医务人员职业防护培训的新方法，提高医务人员职业防护意识。2018年8月，采用方便抽样法选取某三甲教学医院171名新入职医务人员作为研究对象。根据职业防护知识要求及培训目标对研究对象进行培训。培训前发放问卷，收集得分作为对照组；采用传统PPT理论对研究对象进行培训，培训后发放问卷，收集得分作为试验组1；采用传统PPT理论结合情景模拟教学法对研究对象进行培训，培训后发放问卷，收集得分作为试验组2。每次调查共发放并回收问卷171份，问卷回收率为100%。计量资料以均数±标准差表示，采用方差分析进行比较；计数资料以率（%）表示，采用χ²检验进行分析。共有171名医务人员参与研究，年龄22～33岁（平均23.63±2.33岁），其中护士127名（74.27%），女性146名（85.38%），大专学历93名（54.39%）。对照组职业防护知识知晓率为24.56%～70.18%，试验组1为63.16%～96.49%，试验组2为86.55%～99.42%。各组职业防护知识知晓率比较差异有统计学意义（P<0.01），各组理论考试成绩、技能考核成绩及总成绩比较差异也有统计学意义（F=116.342、189.424、304.904，P<0.01）。基于传统PPT理论的培训或基于传统PPT理论与情景模拟的培训后，理论考试成绩、技能考核成绩及总成绩均呈上升趋势（F=125.042、352.025、444.073，P<0.01）。情景模拟教学法用于医务人员职业防护知识培训效果显著，可明显提高医务人员的理论水平和技能水平。
