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中国防痨杂志 ›› 2022, Vol. 44 ›› Issue (2): 174-180.doi: 10.19982/j.issn.1000-6621.20210544

• 论著 • 上一篇    下一篇

2016—2019年结核感染控制培训班培训效果评价

张灿有, 陈卉, 法立峰, 张慧, 成君()   

  1. 中国疾病预防控制中心结核病预防控制中心,北京 102206
  • 收稿日期:2021-09-13 出版日期:2022-02-10 发布日期:2022-02-14
  • 通信作者: 成君 E-mail:chengjun@chinacdc.cn
  • 基金资助:
    中美新发与再发传染病合作项目

Evaluation of the effects of tuberculosis infection control training courses in China, 2016-2019

ZHANG Can-you, CHEN Hui, FA Li-feng, ZHANG Hui, CHENG Jun()   

  1. National Center for Tuberculosis Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China
  • Received:2021-09-13 Online:2022-02-10 Published:2022-02-14
  • Contact: CHENG Jun E-mail:chengjun@chinacdc.cn
  • Supported by:
    China-U.S. Collaborative Program on Emerging and Re-emerging Infectious Diseases

摘要:

目的: 评价结核感染控制培训班学员感染控制相关知识掌握、传播及运用情况。方法: 采用横断面调查研究的方法,于2020年10月对参加2016—2019年中国疾病预防控制中心举办的结核感染控制培训班的156名学员进行在线问卷调查,有效参加人员131名(84.0%)。使用描述性方法和主题框架分析法,分析学员结核感染控制知识(30题)正确率、培训相关知识传播情况、本机构感染控制现况改善情况、防控新型冠状病毒肺炎(简称“新冠肺炎”)效果,以及本机构在改进结核感染控制中面临的问题和挑战。结果: 调查对象结核感染控制知识应答正确率范围为23.7%(31/131)~100.0%(131/131),正确率中位数(四分位数)为86.7%(80.0%,93.3%),正确率>90%的有18个问题、>80%的有23个问题、<80%的有7个问题。131名调查对象均对培训效果做出反馈,其中,74.8%(98/131)的调查对象向本地区/机构提出了150条结核感染控制改进建议,并有141条(94.0%)被本地区/机构采纳,以个人防护方面的建议最多(28条,18.7%)。48.1%(63/131)的调查对象将学习到的理论与技能在本地区/机构定期培训中进行了传播。85.5%(112/131)的调查对象提出了132条本地区/机构提高结核感染控制水平所面临的问题和挑战。来自收治新冠肺炎患者定点医疗机构的90.6%(48/53)的调查对象反馈培训班内容为成功处理新冠肺炎疫情发挥了重要作用。结论: 培训班在掌握及传播结核感染控制理论与技能、提高地区和机构感染控制现况、帮助应对新冠肺炎疫情等方面均取得了显著效果。感染控制培训仍需更多关注和投入。

关键词: 分枝杆菌,结核, 感染控制, 在职培训, 评价研究(主题)

Abstract:

Objective: To evaluate the mastery, dissemination and application of tuberculosis infection control (TBIC) knowledge among trainees of the TBIC training courses. Methods: A cross-sectional survey was conducted in October, 2020, and 156 trainees who participated in the training course on TBIC held by the Chinese Center for Disease Control and Prevention from 2016 to 2019 were surveyed online, and 131 (84.0%) responded effectively. Descriptive statistics and thematic framework analysis were used to analyze the accuracy rates and dissemination of TBIC knowledge (30 questions), the improvement of the facility’s IC status, and the control effectiveness of coronavirus disease 2019 (COVID-19), as well as the problems and challenges faced by the facilities in improving TBIC. Results: The accuracy rate of TBIC knowledge ranged from 23.7% (31/131) to 100.0% (131/131), and the median accuracy rate (interquartile range) was 86.7% (80.0%, 93.3%). There were 18 questions with an accuracy rate greater than 90%, 23 questions greater than 80%, and 7 questions less than 80%. All 131 respondents gave feedback on the training effect, and 74.8% (98/131) of the respondents put forward 150 suggestions for improvement of TBIC to their regions/facilities, of which 141 (94.0%) were adopted. The regions/facilities adopted the most recommendations on personal protection (28, 18.7%). 48.1% (63/131) of the survey respondents disseminated the learned theories and skills in regular trainings in their regions/facilities. 85.5% (112/131) of the survey respondents raised 132 problems and challenges faced by the regions/facilities to improve the level of TBIC. 90.6% (48/53) of survey respondents from designated hospitals that admitted COVID-19 patients reported that the training course played an important role in successfully handling the COVID-19 epidemic. Conclusion: The training course has achieved remarkable results in mastering and disseminating the theory and skills of TBIC, improving the status of IC in attendees’ regions/facilities, and helping to fight against the COVID-19 epidemic. More attention and investments on IC are still needed.

Key words: Mycobacterium tuberculosis, Infection control, Inservice training, Evaluation studies as topic

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