摘要
目的探讨全科医师医院感染相关知识及技能培养模式的改革与创新,以期降低社区感染率。方法选取医院实习的全科医师作为研究对象,以2010年7月-2011年1月实习的189名全科医师为对照组,以2011年7月-2012年1月实习的195名全科医师作为观察组;对照组采取传统方式进行带教与培训,观察组采取自行设计符合卫生部全科医师培训要求的培养模式进行社区带教管理;对比两组考核结果,评估培养新模式的优劣并提出改进方法。结果对照组189名医师的综合实习成绩评定合格162名,合格率为80.4%,观察组195名医师合格183名,合格率为93.8%,组间比较差异有统计学意义(P<0.05);观察组全科医师实习后医院感染相关知识和技能得分分别为(92.1±7.5)分和(90.3±9.4)分,对照组分别为(84.4±9.3)分和(81.1±11.9)分;两组比较差异均有统计学意义(P<0.05);观察组全科医师对各项满意度调查其满意度均明显高于对照组(P<0.05)。结论采取自行设计符合卫生部全科医师培训要求的培养模式进行社区带教管理,全科医师考核成绩明显得到提高。
OBJECTIVE To study the reform and innovation of training mode of knowledge and skills relating to the nosocomial infections of the general practitioners so as to reduce the incidence of community-associated infections. METHODS The general practitioners were enrolled in the study,totally 189general practitioners who practiced from Jul 2010 to Jan 2011were set as the control group,while 195general practitioners who practiced from Jul 2011 to Jan 2012were assigned as the observation group;the conventional method was adopted for the teaching and training in the control group,while the self-designed training mode that complied to the requirements of training of doctors by the Ministry of Health was implemented in the observation group,then the effects were assessed and compared between the two groups,the advantages of the new training mode were evaluated,and the disadvantages were improved.RESULTS Of totally 189general practitioners in the control group,162 were qualified for the grading of comprehensive practice with the qualified rate of 80.4%;of totally 195general practitioners in the observation group,183 were qualified with the qualified rate of 93.8%,the difference between the two groups was significant（P0.05）.The score of the knowledge relating to the nosocomial infection after the practice was（92.1±7.5）points in the observation group,（84.4±9.3）points in the control group;the score of the skills relating to the nosocomial infections after the practice was（90.3±9.4）points in the observation group,（81.1± 11.9）points in the control group,the difference between the two groups was significant（P0.05）;the satisfaction with all the items was significantly higher in the observation group than in the control group（P0.05）. CONCLUSIONThrough the self-designed training mode that complies to the requirements of training of doctors by the Ministry of Health,the assessment scores of the general practitioners are significantly improved.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2014年第1期239-241,共3页
Chinese Journal of Nosocomiology
基金
重庆市卫生厅基金资助项目(YW-2009B-1104)
关键词
全科医师
实习
医院感染
知识及技能
培养模式
General practitioners
Internship
Nosocomial infection
Knowledge and skill
Training mode
