目的 调查在新型冠状病毒肺炎疫情期间医院工作人员自身防护知识现状,研究开展现场培训对医院工作人员掌握自身防护知识的效果,为有效降低医务人员感染提供依据。方法 选择中南大学湘雅二医院2020年1月30日至2月19日参加自身防护知识培训的全部2 137名学员为研究对象,在保证安全的情况下分批次对医院工作人员进行现场培训,在培训前后分别采用调查问卷了解工作人员自身防护知识现状,调查其对现场培训的满意程度。结果 培训前,72.8%(1 556/2 137) 的人员未接受过穿脱防护服培训,85.5%(1 827/2 137) 的人员未穿过防护服,只有16.8%(359/2 137) 的人员认为如果接触确诊病例肯定会进行个人防护,84.4%(1 804/2 137)的人员认为需要进行自身防护现场培训。培训前后分别完成测试2 137例和1 930例。培训后测试所有项目正确率均得到提高,特别是手卫生正确率提高最明显,由培训前的38.6%(825/2 137)提高到73.3%(1 414/1 930),其差异具有统计学意义(P<0.01)。培训后调查结果显示,绝大部分参加培训的人员认为现场培训非常有必要,对培训内容及安排非常满意、培训效果非常符合自己的预期,现场培训可以提高其应对新冠肺炎的信心。结论 现场培训前医院工作人员自身防护意识和能力不足,在确保安全的情况下,开展现场培训可以较好地提高医院工作人员自身防护意识和防护能力,增强抗击疫情的信心。

Objective To study the effect of on-site training during the epidemic period of COVID-19 on hospital staffs' self-protection knowledge and confidence against COVID-19, and to provide theoretical basis for reducing the infection of medical staff.Methods From January 30 to February 19, 2020, all of the 2 137 staffs who attended the on-site training were enrolled. A 9-item question test was taken before and after the on-site training to evaluate the training effect. A survey of current status of the staffs was done before the on-site training and a satisfaction of on-site training was investigated after the training to understand the satisfaction degree of on-site training.Results The pre-training survey show that 72.8%(1 556/2 137) of the staffs have not received training in wearing biosuit, 85.5% (1 827/2 137)had never worn biosuit, and only 16.8% (359/2 137) believed personal protection would be warranted if exposed to a confirmed case,84.4% (1 804/2 137) of them thought an on-site training of personal protective knowledge was needed. Compared with pre-training test, the correct rate of all 9 items after training was improved, especially for hand hygiene, from 38.6% (825/2 137) before training to 73.3% (1 414/1 930) after training, the difference was statistically significant (P<0.01). Vast majority of the participants considered it necessary to attend the on-site training and very satisfied with the training content and training arrangements. The training was consistent with their expectations and can increase their confidence to fight with COVID-19 .Conclusions On-line training is not enough to help the hospital staff doing self-protection during the epidemic period of COVID-19. It is necessary to organize on-site training under the condition of ensuring safety, systematic on-site training can improve the self-protection awareness and self-protection ability of hospital staff, and increase confidence in coping with COVID-19.