基于ASK模型的四步培训法联合工作坊在医学生院感防控培训中的应用

张煜; 孙佐君; 李占结

doi:10.3760/cma.j.cn116021-20211117-01489

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基于ASK模型的四步培训法联合工作坊在医学生院感防控培训中的应用

临床教学 | 更新时间：2023-12-12

- 基于ASK模型的四步培训法联合工作坊在医学生院感防控培训中的应用
- Application of a ASK model-based four-step training method combined with workshops in training on the prevention and control of nosocomial infection for medical students
- 中华医学教育探索杂志 2023年22卷第11期页码：1676-1679
- 作者机构：
  
  1.徐州医科大学第二附属医院院感管理科，徐州　221006
  2.南京医科大学第一附属医院感染管理处，南京　210029
- 作者简介：
  
  李占结，Email：1936290801@qq.com
- 基金信息：
  
  国家科技攻关基金资助项目(2020YFC0848100);中国老年医学学会感染防控研究基金资助项目(GRYJ-LRK2018016);江苏省医院协会医院管理创新研究课题(JSYGY-3-2021-118)
- DOI：10.3760/cma.j.cn116021-20211117-01489
  中图分类号： R-05
- 纸质出版日期：2023-11-20，
  
  收稿日期：2021-11-17，
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张煜, 孙佐君, 李占结. 基于ASK模型的四步培训法联合工作坊在医学生院感防控培训中的应用[J]. 中华医学教育探索杂志, 2023, 22(11): 1676-1679.

Zhang Yu, Sun Zuojun, Li Zhanjie. Application of a ASK model-based four-step training method combined with workshops in training on the prevention and control of nosocomial infection for medical students[J]. Chinese Journal of Medical Education Research, 2023,22(11):1676-1679.
张煜, 孙佐君, 李占结. 基于ASK模型的四步培训法联合工作坊在医学生院感防控培训中的应用[J]. 中华医学教育探索杂志, 2023, 22(11): 1676-1679. DOI： 10.3760/cma.j.cn116021-20211117-01489.

Zhang Yu, Sun Zuojun, Li Zhanjie. Application of a ASK model-based four-step training method combined with workshops in training on the prevention and control of nosocomial infection for medical students[J]. Chinese Journal of Medical Education Research, 2023,22(11):1676-1679. DOI： 10.3760/cma.j.cn116021-20211117-01489.

摘要

目的

探讨基于ASK模型[包括态度（attitude，A）、技能（skill，S）、知识（knowledge，K）]的四步培训法联合工作坊在实习生院感防控培训的应用效果，为医学生的院感防控培训模式改革及建立院感防控培训体系提供参考依据。

方法

选取2018至2020年进院实习的5所医学院校的医学生，分为对照组（2018至2019年208名医学生，进行院感防控常规培训）和试验组（2019至2020年216名医学生，实施基于ASK模型的四步培训法联合工作坊的院感防控培训），比较两组医学生手卫生依从率、院感防控理论及技能考核达标率、医疗废物处置正确率、职业暴露发生情况、教学满意度。运用SPSS 19.0统计软件进行卡方检验和

检验。

结果

试验组学生各项指标均优于对照组，差异均有统计学意义（均

0.05）。试验组手卫生依从率（

=4.92，

=0.027）、医疗废物处置正确率（

=5.13，

=0.023）、院感防控理论达标率（

=4.03，

=0.038）及技能达标率（

=6.71，

=0.010）、教学满意度均高于对照组[（98.03±2.16）分 vs. （92.53±2.01）分]。试验组学生未发生职业暴露，对照组发生3例职业暴露。

结论

基于ASK模型的四步培训法联合工作坊对实习生院感防控培训模式有效，作为一种创新培训方法，提升了临床带教的满意度，为建立院感防控培训体系提供了依据。

Abstract

Objective

To explore the effects of applying a four-step training method based on an attitude-skill-knowledge (ASK) model combined with workshops in training on the prevention and control of nosocomial infection among medical students

and to provide a reference for reforming nosocomial infection prevention and control training for medical students and establishing a nosocomial infection prevention and control training system.

Methods

Medical students from five medical schools entering clerkships during 2018 to 2020 were selected. They were divided into control group (218 medical students in 2018-2019 receiving conventional nosocomial infection control training) and experimental group (216 medical students in 2019-2020 receiving nosocomial infection control training based on the ASK model-based four-step method combined with workshops). The two groups were compared in terms of the compliance rate of hand hygiene

the pass rates of nosocomial infection control theory and skill examinations

the correct rate of medical waste disposal

the incidence of occupational exposure

and the degree of satisfaction with teaching.

Results

All the indices of the experimental group were significantly better than those of the control group: the compliance rate of hand hygiene (

=4.92

=0.027)

the correct rate of medical waste disposal (

=5.13

=0.023)

the pass rate of nosocomial infection control theory examination (

=4.03

=0.038)

the pass rate of nosocomial infection control skill examination (

=6.71

=0.010)

and the degree of satisfaction with teaching [(98.03±2.16) vs. (92.53±2.01)

0.001]. No one had occupational exposure in the experimental group

while there were three cases in the control group.

Conclusion

The ASK model-based four-step method combined with workshops is effective in nosocomial infection prevention and control training for medical students. This innovative training method improves students' satisfaction with clinical teaching

providing a basis for the establishment of a training system for the prevention and control of nosocomial infection.

关键词

感控培训ASK模型四步法工作坊

Keywords

Infection control trainingAttitude-skill-knowledge modelFour-step methodWorkshop

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