Objectives:To observe the status quo and influence factors of Koch's model disinfection supply center training in Xinjiang,and to establish an effective training evaluation system.Methods:CSSD was conducted in tertiary hospital of Xinjiang Uygur Autonomous Region from Dec.2009 to Dec.2014.CSSD Training Program was held in Xinjiang Autonomous Region.CSSD was held in Xinjiang Autonomous Region People's Hospital in 2014.And 171 hospitals were selected as the research objects under the sampling framework.86 hospitals were trained by traditional methods,while the observation group (n =85) was trained by "Koch's model".Results:Of the 153 hospitals surveyed,6were primary hospitals,115 were secondary hospitals and 32 were tertiary hospitals.In the observation group,the response rate,learning level,behavior level and result grade of the "Koch's model" training were significantly higher than those in the control group (100.0％ and 23.4％,respectively),and the scores of the first class hospital and the second class hospital were the highest (P ＜0.05).In the observation group,the attitude,timely supply,timely recovery and quality score of the quality of the disinfection supply center were significantly higher than those of the control group (P ＜0.05).Conclusion:The establishment of "Koch's model" in the process of disinfection and supply center training in Xinjiang can understand the present training situation and formulate corresponding measures to improve the training effect,which is worthy of popularization and application.%目的:观察“柯氏模型”在新疆地区消毒供应中心培训现状评估及影响因素,建立有效的培训评估体系.方法:选取新疆地区乌鲁木齐市三级甲等医院消毒供应中心和2009年12月～2014年12月参加新疆自治区卫生计生委举办的“全疆医院消毒供应中心培训班”的医院、2014年新疆自治区人民医院消毒供应中心进行“帮扶”医院,总计171所.将171所医院采用随机数字分组进行培训,对照组(n=86所)采用传统方法培训,观察组(n=85所)采用“柯氏模型”培训,比较2组培训结果.结果:参加有效调查的153所医院中,6所一级医院、115所二级医院、32所三级医院.其中,一级医院和二级医院未培训评估比例最大,分别占100.0％和23.4％;观察组培训后医院“柯氏模型”培训后反应层级、学习层级、行为层级及结果层级评分,显著高于培训前(P＜0.05);观察组医院培训管理后消毒供应中心工作质量中服务态度、供给及时度、收回及时度及包装质量评分,显著高于对照组(P＜0.05).结论:新疆地区消毒供应中心培训过程中建立“柯氏模型”能了解培训现状,并制定相应的措施处理能提高培训效果,值得推广应用.
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