强化培训在医学生职业暴露防护中的干预效果
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邱克

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R192

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2012年孝感市中心医院医学生临床带教研究课题(xgyy2012018)


Intervention effectiveness of intensive training in medical interns’ occupational exposure protection
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    摘要:

    目的了解强化培训在医学生职业暴露防护中的干预效果。方法选择2011—2015年武汉7所大中专院校的医学生,分为对照组(2011—2013年的675名医学生,上岗前进行医院感染控制综合培训,即一次性大培训)和干预组(2014—2015年的682名医学生,实施院-科-带教导师三步式实习生强化培训),比较两组实习生职业暴露发生情况、暴露知识知晓情况等。结果干预组各项职业暴露防护知识的知晓率、防护措施执行率均高于对照组,差异均有统计学意义(均P<0.05)。干预组职业暴露发生率为21.70%(148名),低于对照组的65.33%(441名),差异有统计学意义(χ2=262.91,P<0.01);干预组主动进行血清病毒检测和强化接种乙肝病毒疫苗的医学生所占比率分别为14.66%(100名)、11.73%(80名),均高于对照组[分别为2.96%(20名)、2.67%(18名)]。干预前后职业暴露发生率最高的操作环节均为配药,干预组职业暴露报告率为72.97%(108/148),高于对照组的50.11%(221/441),差异有统计学意义(χ2 =52.78,P<0.01)。结论对医学生进行职业暴露防护知识强化培训,能提高职业防护意识和技能,降低职业暴露的发生。

    Abstract:

    ObjectiveTo study the intervention effectiveness of intensive training in medical interns’ occupational exposure protection. MethodsMedical interns in seven colleges and universities in Wuhan between 2011 and 2015 were chosen and divided into control group (675 medical interns in 2011-2013,comprehensive training about healthcareassociated infection control was conducted for once before internship) and intervention group (682 medical interns in 2014-2015, hospitaldepartmenttutor three steps of intensive training was conducted),  the occurrence of occupational exposure and exposure knowledge awareness between two groups were compared. ResultsThe awareness rate of knowledge about occupational exposure protection and the implementation rate of protective measures in intervention group were both  higher than  control group (all P<0.05). Incidence of occupational exposure in intervention group was lower than control group (21.70%[n=148] vs 65.33%[n=441], χ2=262.91,P<0.01);percentage of interns who conducted active serological virus detection and intensified vaccination of hepatitis B virus were both higher than control group (14.66%[n=100] vs 2.96%[n=20];  11.73%[n=80] vs 2.67%[n=18],respectively). Occupational exposure before and after intervention occurred most frequently when interns were preparing medicine, occupational exposure reporting rate in intervention group was higher than control group (72.97%[108/148] vs 50.11%[221/441], χ2=52.78,P<0.01).ConclusionThe intensive training of occupational exposure protection among medical interns can improve the awareness and skills of occupational protection, and reduce the occurrence of occupational exposure.

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邱萌,邹毅,程利民,等.强化培训在医学生职业暴露防护中的干预效果[J]. 中国感染控制杂志,2016,15(7):524-526. DOI:10.3969/j. issn.1671-9638.2016.07.022.
QIU Meng, ZOU Yi, CHENG Limin, et al. Intervention effectiveness of intensive training in medical interns’ occupational exposure protection[J]. Chin J Infect Control, 2016,15(7):524-526. DOI:10.3969/j. issn.1671-9638.2016.07.022.

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  • 收稿日期:2016-01-12
  • 最后修改日期:2016-03-12
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  • 在线发布日期: 2016-07-30
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