通过基于图形的教育工具提高对宏观体的理解:随机对照试验 (MATE)
Kristen A Cagino1, Myra Kurjee1, Emily Hyde1
1Department of Obstetrics, Gynecology and Reproductive Sciences, McGovern Medical School at UTHealth Houston, Houston, Texas.
American journal of perinatology
|March 25, 2025
概括
一个基于图形的教育工具 (GBET) 显著提高了孕妇对巨症风险因素和并发症的知识. 然而,该工具并没有显著改善对宏观的管理选项的了解.
科学领域:
- 产科和妇科 产科和妇科
- 医疗教育 医学教育
- 公共卫生 公共卫生
背景情况:
- 巨症是一种过度胎儿生长的疾病,对母亲和婴儿都有重大风险.
- 孕妇中普遍存在关于宏观症的风险因素,并发症和管理选择的知识差距.
- 有效的患者教育工具对于改善理解和潜在地减轻与宏观症相关的不良结果至关重要.
研究的目的:
- 评估基于图形的教育工具 (GBET) 在提高孕妇对宏观体的知识方面的有效性.
- 为了比较接受GBET和接受常规护理的参与者之间所获得的知识.
- 评估与宏观的风险因素/并发症 (RF/C) 和管理选项 (MO) 相关的知识.
主要方法:
- 一项随机对照试验 (NCT06281301) 针对符合特定妊娠年龄和健康标准的孕妇进行.
- 参与者被随机分配,接受GBET或常规护理.
- 通过使用17个问题问卷评估知识,重点是RF/C (11个问题) 和MO (6个问题) 对于macrosomia.
主要成果:
- 与常规护理组相比,GBET组的整体知识得分明显高 (70%对64%,p < 0.001).
- 在GBET组中,风险因素和并发症 (RF/C) 的知识得分显著提高 (72%对63%,p=0.001).
- 两组之间管理选项 (MO) 的知识得分没有显著差异 (65%对68%,p = 0.084).
结论:
- 这种以图形为基础的教育工具有效地提高了孕妇对宏观症风险因素和并发症的了解.
- 在这个研究群体中,GBET并没有显著提高对宏症管理选择的理解.
- 需要进行进一步的研究,以探索增强的知识是否会转化为改善宏观的临床结果.
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