微信公众号培训实习生对其医院感染防控行为的影响研究

Impact of WeChat public number-based training of interns on prevention and control of nosocomial infections

  • 摘要: 目的 研究微信公众号培训护士实习生对实习生医院感染的防控行为实际影响,为构建科学合理、本土化的涉外型护理人才培养模式提供理论指导。方法 选取2014年2月-2016年4月郑州三甲医院实习的护理实习生102名为研究对象,分成两组,其中51名接受常规实习培训的实习生为对照组;其余51名采用微信公众号辅助强化实习的实习生为试验组,通过实际操作表现、诊治专业度、疾病护理诊断正确率、消毒操作掌握程度等4方面对实习生进行评价,并于实习结束后进行最终考核;对两组实习生感染控制相关措施认知情况及执行情况进行对比,并对实习期间使用仪器合格率、手部卫生合格率、空气清洁程度以及消毒合格率等医院感染卫生指标进行分析和比较。结果 试验组实习生培训期间实际操作、诊治专业程度、疾病护理诊断正确率以及消毒操作等各项评分均高于对照组实习生;最终考核方面,试验组实习生分数为(57.15±13.54)分,对照组实习生分数(44.87±11.35)分;两组比较差异有统计学意义(P<0.05);试验组感染科实习生在使用仪器、手部卫生、空气清洁以及消毒等方面合格率均高于对照组,两组比较差异有统计学意义(P<0.05)。培训结束后,两组实习生经自制调查问卷显示,试验组在医院感染基本情况掌握度和感控措施认知度方面均优于对照组,差异有统计学意义(P<0.05)。结论 以微信公众号培训实习生能够有效提高对感染相关知识的认知度和防控措施的依从性,从而尽可能降低感染发生风险,培训效果显著,微信公众号培训方式作为一种科学合理、本土化的涉外型护理人才培养模式,适合临床推广。

     

    Abstract: OBJECTIVE To observe the tangible impact of WeChat public number-based training of interns on prevention and control of nosocomial infections so as to provide the theoretical basis for construction of scientific, reasonable and localized training mode of foreign-related nursing talents.METHODS A total of 102 nursing interns who had their internships in a three-A hospital of Zhengzhou from Feb 2014 to Apr 2016 were recruited as the study objects and divided into two groups; 51 nursing interns who received conventional internship training were assigned as the control group, and the rest of 51 nursing interns who received WeChat public number-assisted training were set as the experimental group. The nursing interns were evaluated based on 4 aspects, including the actual operation performance, professional degree of diagnosis and treatment, accuracy of diagnosis of diseases and mastery degree of disinfection procedures, and they were finally assessed at the end of their internships. The awareness rate and implementation rate of related measures for control of infections were compared between the two groups of interns; the nosocomial infection health indexes such as qualified rate of use of instruments, qualified rate of hand hygiene, degree of air cleanliness and qualified rate of disinfection were observed and compared between the two groups during the internship.RESULTS The scores of actual operations, professional degree of diagnosis and treatment, accuracy of diagnosis and nursing and disinfection operation were higher in the experimental group than in the control group during the training. In regard to the final assessment, the score of the interns was (57.15±13.54) points in the experimental group, (44.87±11.35) points in the control group, and there was significant difference between the two groups (P<0.05). The qualified rates of use of instruments, hand hygiene, air cleaning and disinfection of the experimental group were higher than those of the control group, and there were significant differences between the two groups (P<0.05). The result of self-designed questionnaire survey showed that the mastery degree of basic information of nosocomial infection and awareness rate of infection control measures were higher in the experimental group than in the control group after the training, and there were significant differences (P<0.05).CONCLUSION WeChat public number-based training may effectively raise the interns' cognition about infection-related knowledge and improve the compliance of prevention and control measures so as to reduce the risk of infections, and the training has achieve remarkable effect. As a scientific, reasonable and localized training mode of foreign-related nursing talents, WeChat public number-based training is worthy to be promoted in hospitals.

     

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