亲自与在线训练模拟帮助婴儿呼吸:一个随机对照试验
Peter Kfoury1, Faouzi Maalouf2, Fatima Nasser2
1Faculty of Medicine, American University of Beirut Medical Center, Beirut, LBN.
Cureus
|August 16, 2024
概括
帮助婴儿呼吸 (HBB) 的在线模拟培训与医学学生的面对面培训同样有效. 这两种方法都显示出可比的结果,尽管参与者需要进一步练习才能通过客观结构化临床考试 (OSCE).
科学领域:
- 医疗教育 医学教育
- 新生儿复苏新生儿的复苏
- 基于模拟的培训
背景情况:
- 出生窒息是新生儿死亡的主要原因,特别是在低收入和中等收入国家.
- 帮助婴儿呼吸 (HBB) 计划有效地培训医疗保健提供者掌握新生儿复苏的基本技能.
- 虚拟学习对HBB培训的有效性仍未得到充分探索.
研究的目的:
- 为了比较在线与面对面学习对HBB课程的有效性.
- 评估学生对两种学习方式的满意度和信心.
- 评估HBB培训后的客观结构化临床考试 (OSCE) 绩效.
主要方法:
- 一个双臂并行随机非劣势受控试验,涉及医学和护理学生.
- 在HBB模拟实验室期间随机分配在线或面对面的汇报.
- 评估使用基于利克特的问卷,在医疗学生版本 (DASH-SV) 模拟的汇报评估简单表格,和欧安组织的分数.
主要成果:
- 47名参与者完成了这项研究,两只手臂的基线特征相似.
- 在线和面对面的组中,报告了参与者的高满意度和信心,没有显著差异.
- 在线和面对面的武器之间观察到可比的DASH分数 (p=0.07) 和欧安组织平均分数 (p=0.22),两组都未能完成欧安组织.
结论:
- 对于HBB的在线模拟培训,其有效性与传统的面对面模拟相美.
- 这两种学习模式都导致参与者在欧安组织中失败,这表明需要额外的HBB培训和实践.
- 需要进一步的研究来验证这些发现,并调查虚拟新生儿复苏教育的长期影响.
更多相关视频
04:56Laryngeal Mask Airway LMA Placement in a Neonatal Patient Simulator Using a Non-Inflatable Supraglottic Airway SGA
Published on: July 14, 2023
2.7K
05:04Author Spotlight: Evaluating Clinicians' Adoption of Ultrasound-Guided Vascular Cannulation Through Simulation Training
Published on: August 9, 2024
888
相关概念视频
01:05Breathing
The process of breathing, inhaling and exhaling, involves the coordinated movement of the chest wall, the lungs, and the muscles that move them. Two muscle groups with important roles in breathing are the diaphragm, located directly below the lungs, and the intercostal muscles, which lie between the ribs. When the diaphragm contracts, it moves downward, increasing the volume of the thoracic cavity and creating more room for the lungs to expand. When the intercostal muscles contract, the ribs...
01:29Assessment of Ventilation II: Respiratory Depth and Rhythm
Respiratory Depth
Respiratory depth measures the volume of air inhaled or exhaled during a breath. It can vary from shallow to deep and typically remains consistent when a person is at rest or asleep. Occasionally, individuals will automatically inhale deeply, known as sighing, which inflates the lungs with more air than normal breathing.
To assess respiratory depth, observe the degree of chest excursion or movement:
Respiratory depth measures the volume of air inhaled or exhaled during a breath. It can vary from shallow to deep and typically remains consistent when a person is at rest or asleep. Occasionally, individuals will automatically inhale deeply, known as sighing, which inflates the lungs with more air than normal breathing.
To assess respiratory depth, observe the degree of chest excursion or movement: