目的 探讨思维导图应在医院感染防控知识和技能培训中的应用效果,为医学生的医院感染防控培训模式改革提供参考依据。方法 采用实验对照方法和问卷调查方法。选取2017年7月至2018年6月在重庆医科大学附属永川医院儿科实习、轮转或进行规范化培训的204名医学生为研究对象,按照时间先后将其分为试验组(102人)和对照组(102人)。试验组学生采用思维导图培训方法,对照组学生采用传统培训方法。教学结束后,对两组学生进行考核和问卷调查。结果 试验组学生的理论知识考核成绩为(88.18±3.81)分,对照组学生为(76.82±3.88)分;试验组学生操作技能考核成绩为(92.43±2.68)分,对照组学生为(85.22±4.33)分;试验组学生的手卫生依从率为91.8%,对照组学生为62.4%;试验组学生满意度为(93.20±3.62)分,对照组学生为(77.55±6.37)分,两组差异均具有统计学意义(均P＜0.05)。结论 思维导图不但提高了医学生对医院感染防控知识的认知度和操作技能,而且其手卫生依从率和满意度也得到提高,有助于保障患者的医疗安全。
Objective To explore the application effect of mind mapping in the knowledge and skill training of nosocomial infection prevention and control for medical students, and to provide reference basis for the training mode of medical students for nosocomial infection prevention and control. Methods The study used the experimental control method and the questionnaire survey method.A total of 204 students from July 2017 to June 2018 were selected for internship, rotation or standardized training in Pediatrics Department of Yongchuan Hospital of Chongqing Medical University. They were divided into experimental group (102 students) and control group (102 students) according to time sequence.The experimental group used mind mapping training methods, while the control group used traditional training methods.The two groups of students were assessed and joined a questionnaire survey after the training. Results The theoretical scores: (76.82±3.88) in the control group and (88.18±3.81) in the experimental group. Practice skills score: (85.22±4.33) in the control group and (92.43±2.68) in the experimental group.Hand hygiene compliance rate: 62.4% in the control group, 91.8% in the experimental group.Student satisfaction: (77.55±6.37) in the control group and (93.20±3.62) in the experimental group, the difference of the two groups was statistically significant (all P＜0.05). Conclusions Mind mapping not only improves medical students' awareness and operational skills of nosocomial infection prevention and control knowledge, but also improves their hand hygiene compliance and satisfaction, thus further guaranteeing the medical safety of children.
[1] 李静, 胡爱香, 张越巍, 等. 医学生医院感染防控知识培训效果评价[J].中华医院感染学杂志,2018,28(19):3016-3018,3022. DOI: 10.11816/cn.ni.2018-182524.
[2]孙建, 徐华, 张静, 等. 多药耐药菌医院感染对患者住院日和住院费用的影响[J].中华医院感染学杂志,2016,26(18):4277-4279. DOI: 10.11816/cn.ni.2016-161987.
[3]Xie DS, Xiong W, Xiang LL, et al. Point prevalence surveys of healthcare-associated infection in 13 hospitals in Hubei Province, China, 2007-2008[J]. J Hosp Infect, 2010, 76(2):150-155.DOI: 10.1016/j.jhin.2010.04.003.
[4]丁娟, 王虹, 陈红宇, 等. 基于思维导图教学法的本科新护士岗前培训效果评价[J].护士进修杂志,2016,31(6):555-557. DOI: 10.16821/j.cnki.hsjx.2016.06.026.
[5]Ireland S, Cross R, Decker K, et al. Perceptions of an educational programme for registered nurses who work at non-major trauma services in Victoria, Australia: the nursing emergency external trauma programme[J].Australas Emerg Nurs J, 2017, 20(3):131-138.DOI: 10.1016/j.aenj.2017.05.002.
[6]Edwards S, Cooper N. Mind mapping as a teaching resource[J]. Clin Teach, 2010, 7(4):236-239.DOI: 10.1111/j.1743-498X.2010.00395.x.
[7]Noonan M. Mind maps: enhancing midwifery education[J]. Nurse Educ Today, 2013, 33(8):847-852.DOI:10.1016/j.nedt.2012.02.003.
[8]东尼·博赞.大脑使用说明书[M].张鼎昆,徐克茹,译.北京:外语教学与研究出版社,2005:1.
[9]Squires JE, Linklater S, Grimshaw JM, et al. Understanding practice: factors that influence physician hand hygiene compliance[J]. Infect Control Hosp Epidemiol, 2014,35(12):1511-1520. DOI: 10.1086/678597.
[10]王新刚, 张新, 杨宁. 儿科病房医院感染因素分析与控制措施[J].中华医院感染学杂志,2014,24(20):5134-5135,5144. DOI: 10.11816/cn.ni.2014-134012.
[11]Alsubaie S, Ab M, Alalmaei W, et al. Determinants of hand hygiene noncompliance in intensive care units[J]. Am J Infect Control, 2013,41(2):131-135. DOI: 10.1016/j.ajic.2012.02.035.
[12]Sobol' VN, Lukicheva TA, Karniz AF. Influence of hospital factors on the spread of nosocomial infections[J]. Gig Sanit, 2010(5):60-63.
[13]van der Kooi TI, Manniën J, Wille JC, et al. Prevalence of nosocomial infections in The Netherlands, 2007-2008: results of the first four national studies[J]. J Hosp Infect, 2010, 75(3):168-172.DOI: 10.1016/j.jhin.2009.11.020.
[14]Sax H, Perneger T, Hugonnet S, et al. Knowledge of standard and isolation precautions in a large teaching hospital[J]. Infect Control Hosp Epidemiol, 2005, 26(3):298-304.DOI:10.1039/b604543j.
[15]李晖,曹迎东,侯睿,等.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[J].中华医院感染学杂志,2018,28(6):953-956.DOI:10.11816/cn.ni.2017-171272.
[16]陈松婷,韩广营,李黎静, 等.晨交班科室培训可提升医务人员医院感染知识认知率[J].中国感染控制杂志,2017,16(9):858-861. DOI:10.3969/j.issn.1671-9638.2017.09.017.
