2022 年第 9 期 第 17 卷

疫情防控常态化背景下基层医护人员感染控制培训方案构建的探讨

Discussion on the construction of infection control training program for primary medical staff under the background of normalization of epidemic prevention and control

作者：赵京红1,2吴瑛1

英文作者：Zhao Jinghong12 Wu Ying1

单位：1首都医科大学护理学院，北京100069；2首都医科大学附属北京潞河医院院长办公室，北京101149

英文单位：1School of Nursing Capital Medical University Beijing 100069 China; 2President′s Office Beijing Luhe Hospital Capital Medical University Beijing 101149 China

关键词：基层医疗机构；泰勒目标模式；医院感染；Delphi法；培训方案

英文关键词：Primarymedicalinstitutions;Taylortargetmodel;Nosocomialinfection;Delphimethod;Trainingprogram

• 摘要：

• 目的 构建科学、合理、有效的基层医疗机构医护人员感染控制培训方案，为培训及考核基层医护人员感染控制能力提供参考。方法  以泰勒目标模式为基本框架，在文献回顾、问卷调查同时结合国家相关文件要求基础上形成培训方案草案，运用Delphi法对草案进行2轮专家问卷函询，对专家函询结果进行统计分析评价，最终形成培训方案。结果  两轮问卷有效回收率均为100%，专家权威系数为0.892。第2轮专家函询问卷重要性程度评分为3.54～4.54，变异系数为0.114～0.192，一、二、三级指标肯德尔和谐系数分别为0.364、0.323、0.370，显著性检验差异均有统计学意义（均P＜0.05）。最终确立的培训方案包括4个一级指标、12个二级指标、27个三级指标，64项具体培训内容，40培训学时。结论 本研究构建的培训方案具有现实性、科学性、可靠性及创新性，在疫情防控常态化背景下对基层医疗机构医护人员感染控制培训具有指导意义。

• Objective  To construct a scientific, reasonable and effective training program for medical staff in primary medical institutions, so as to provide reference for training and assessing the ability of medical staff in primary medical institutions. Methods  According to the Taylor target model, the training program draft was formed based on literature review, questionnaire survey and the requirements of relevant national documents. Delphi method was used to conduct two rounds of expert correspondence on the draft, carrying out statistical analysis and evaluation on the results of expert correspondence, and finally formed a training plan. Results  The effective recovery rate of the two rounds of questionnaires was 100%, and the expert authority coefficient was 0.892. In the second round of expert consultation questionnaire, the importance degree score was 3.54-4.54, the coefficient of variation was 0.114-0.192, and the Kendall harmony coefficient of the first, second and third level indicators was 0.364, 0.323 and 0.370, respectively. The difference in significance test was statistically significant(all P<0.05). The training program finally established included 4 primary indicators, 12 secondary indicators, 27 tertiary indicators, 64 specific training contents, and 40 training hours. Conclusion  The training scheme constructed in this study is realistic, scientific, reliable and innovative, and has guiding significance for the infection control training of medical staff in primary medical institutions under the background of normalization of epidemic prevention and control.