实践与真空辅助分娩理论模型培训的比较:一个随机对照试验
Claudio Celentano1, Federico Prefumo2, Barbara Matarrelli3
1Department of Obstetrics and Gynaecology, Santo Spirito Hospital, Pescara, affiliated to University G. d'Annunzio Chieti-Pescara, Pescara, Italy; Emergency Advanced Simulation Centre, Santo Spirito Hospital, Pescara, Italy.
针对手术性阴道分娩技能的模拟训练导致12个月的高保留和改进,无论训练顺序如何. 这项研究评估了手术性阴道分娩 (OVD) 培训的有效性.
科学领域:
- 医学教育 医学教育
- 手术模拟器手术模拟器
- 产科和妇科 产科和妇科
背景情况:
- 手术性阴道分娩 (OVD) 是一个关键的产科技能.
- 模拟训练越来越多地用于教导外科手术程序.
- 评估不同模拟培训模式的长期有效性对于居民教育很重要.
研究的目的:
- 为了比较两个模拟培训模式对手术性阴道分娩技能的有效性.
- 评估这些技能的获得和保持随着时间的推移.
主要方法:
- 一项随机对照试验与22名住院医生和专家进行.
- 参与者被分为两组,模拟培训和理论讲座的顺序不同.
- 在基线,8-12周和12个月时,使用技术技能目标结构评估 (OSATS) 和全球评级表 (GRS) 评估技能.
主要成果:
- 两种培训模式都显示出初始表现的显著差异,特别是"求助"和"向妇女和亲属解释".
- 12个月后,技能保留率很高,随着时间的推移,整体成绩有了显著的改善.
- 居住年份并没有独立影响OSATS分数,但特定的技术技能在各组之间显示出差异.
结论:
- 对手术性阴道分娩的模拟训练导致高技能保留,甚至在12个月后得到改善.
- 理论教学和模拟培训的顺序没有显著影响长期技能保留.
- 基于模拟的培训是一种有效的方法来维持和增强操作性阴道分娩技能.
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