医院后勤保洁感染防控模拟培训的建立及评价

Establishment of simulation training system for control and prevention of infections of healthcare logistics cleaning staff

  • 摘要: 目的 建立适合医院后勤保洁人员感染防控知识的培训方法及评价,助力医院后勤管理。方法 选取2023年11月-2024年7月在上海交通大学医学院附属第六人民医院工作的129名后勤保洁人员为研究对象。随机分为两组,采用常规培训和本研究建立的模拟培训方法进行穿脱个人防护装备、手部卫生、消毒液配制、终末清洁及血液等分泌物处置的培训,培训后通过统一的考核表进行考核。结果 培训结束后,模拟培训组消毒液配置得分(88.50(80.42,94.33)分、个人防护用品穿脱得分91.50(86.48,94.13)分、血液等分泌物处置及终末消毒得分88.50(77.17,92.84)分均有提高(P<0.05); 女性对消毒液配制工作操作规范性优于男性(P<0.05); 不同学历后勤保洁人员对消毒液配制操作规范性不同(P<0.05),学历越高, 其考核均值得分反而越低; 不同入职年限的后勤保洁人员对消毒液配制操作和血液等分泌物处置及终末消毒的操作规范性不同(P<0.05),其中入职1年内的对消毒液配制操作最熟悉。后勤保洁人员对本次模拟培训方法均非常满意,但也随之增加了他们的工作负担或焦虑情绪。结论 医院的后勤保洁人员在接受了专门的模拟培训后,他们的考核效果均有所提高,尤其对新进职工,进一步提高后勤的实践能力。

     

    Abstract: OBJECTIVE To establish a training system for infection control and prevention knowledge that is suitable for the healthcare logistics cleaning staff so as to facilitate the logistics management. METHODS A total of 129 logistics cleaning staff were recruited from Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine from Nov. 2023 to Jul. 2024 and were randomly divided into two groups. The conventional training method and simulation-based training method developed in this study were employed to carry out the training of donning and doffing personal protective equipment, hand hygiene, preparation of disinfectant solutions, terminal cleaning and handling of blood and other secretions. The training effects were assessed through the uniform evaluation form after the training. RESULTS The score of disinfectant solution preparation (88.50(80.42,94.33)points, score of donning and doffing personal protective equipment 91.50(86.48,94.13)points and score of handling secretions such as blood and terminal disinfection 88.50(77.17,92.84)points of the simulation-based training group were improved after the training (P<0.05). The female staff were superior to the male staff in standardability of disinfectant solutions preparation (P<0.05). The logistics cleaning staff with different education backgrounds varied in the standardability of disinfectant solutions preparation(P<0.05); the higher the education background, the lower the average score of assessment. The logistics cleaning staff with different working years varied in the standardability of disinfectant solutions preparations, disposal of secretions like blood and terminal disinfection (P<0.05), and the staff with less than 1 year of working years were most familiar with the disinfectant solution preparations. The logistics cleaning staff were all satisfied with the simulation training method, which accordingly increased their workload or anxiety. CONCLUSIONS The assessment effect of the logistics cleaning staff is remarkably improved after they receive the specialized simulation training, and it is necessary to further boost the practical ability of the logistics cleaning staff, the newly hired staff in particularly.

     

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