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基于信息-动机-行为技能模型的个人防护装备(PPE)培训对COVID-19个人防护装备应用实践的效果分析

An Analysis of the Effect of Personal Protective Equipment (PPE) Training Based on the Information-Motivation-Behavior Skills Model in the Practice of COVID-19 PPE Application.

作者信息

Song Yan, Zhang Lijun, Wang Wenhui

机构信息

Department of Nursing, The Second Hospital of Nanjing, Nanjing University of Chinese Medicine, Nanjing, 210000, People's Republic of China.

出版信息

Infect Drug Resist. 2022 Aug 24;15:4829-4835. doi: 10.2147/IDR.S366049. eCollection 2022.

Abstract

OBJECTIVE

The aim of this study is to improve the effectiveness of training in putting on and removing personal protective equipment (PPE) during COVID-19.

METHODS

An information-motivation-behavioral skills (IMB) model intervention team was established with the adoption of the IMB model to intervene in putting on and removing PPE by medical staff during COVID-19. Specifically, the information intervention was strengthened through the formulation of the hospital manual for PPE application. In the present study's five-stage motivational interview, the personal motivation and social motivation of medical staff were deeply understood, helping the medical staff to improve their belief in the importance of correct PPE application and to establish the correct attitude toward PPE application. In terms of behavioral skills, there are numerous issues that could interfere with the establishment of proper PPE application, including material supply, double duty, simultaneous supervision of entering and leaving, continuous supervision, video supervision, and nosocomial infection inspection. The scores relating to PPE application knowledge and self-efficacy as well as the PPE usage qualification rate were calculated in the control group and the IMB intervention group and subsequently compared.

RESULTS

For the control group and the IMB intervention group, the scores for PPE application knowledge were 87.78 ± 10.46 and 95.56 ± 9.06 points, respectively. For self-efficacy, the scores were 25.19 ± 0.97 and 33.79 ± 2.05 points, and the PPE usage qualification rates were 64.8% and 90.0%, respectively. The differences in all the scores were statistically significant between the two groups.

CONCLUSION

The application of the IMB model could improve the relevant knowledge relating to PPE application, strengthen the belief in the importance of and motivation for correct PPE application, improve the qualification rate for PPE application, and provide a theoretical and practical basis for reducing the occurrence of nosocomial infection.

摘要

目的

本研究旨在提高新冠疫情期间穿脱个人防护装备(PPE)培训的有效性。

方法

组建信息-动机-行为技能(IMB)模型干预团队,采用IMB模型对新冠疫情期间医护人员穿脱PPE进行干预。具体而言,通过制定医院PPE应用手册强化信息干预。在本研究的五阶段动机访谈中,深入了解医护人员的个人动机和社会动机,帮助医护人员增强对正确应用PPE重要性的信念,并树立正确的PPE应用态度。在行为技能方面,有诸多问题可能干扰正确的PPE应用,包括物资供应、身兼数职、进出同时监管、持续监管、视频监管以及医院感染检查。计算对照组和IMB干预组与PPE应用知识、自我效能相关的得分以及PPE使用合格率,随后进行比较。

结果

对照组和IMB干预组的PPE应用知识得分分别为87.78±10.46分和95.56±9.06分。自我效能得分分别为25.19±0.97分和33.79±2.05分,PPE使用合格率分别为64.8%和90.0%。两组所有得分差异均具有统计学意义。

结论

IMB模型的应用可提高与PPE应用相关的知识,强化对正确应用PPE重要性和动机的信念,提高PPE应用合格率,为降低医院感染发生率提供理论和实践依据。

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