手把手传授与录像演示在胎头吸引器助产教学中的效果评估  

Evaluation of hands-on instruction versus video demonstration for vacuum delivery training

作　　者：钟逸锋[1] 宋英娜[1] 汤萍萍[1] 尹婕[1] ZHONG Yi-feng;SONG Ying-na;TANG Ping-ping;YIN Jie(Department of Obstetrics and Gynecology,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100730,China)

机构地区：[1]中国医学科学院北京协和医学院北京协和医院妇产科,北京100730

出　　处：《基础医学与临床》2021年第6期918-922,共5页Basic and Clinical Medicine

摘　　要：目的评价两种教学方法在胎头吸引器助产模拟培训中的效果。方法将49名住院医师随机分为两组,一组有导师现场讲解并手把手演示操作(简称“导师组”),另一组通过录像观看理论讲解和演示操作(简称“录像组”)。两组均在课前和课后进行自信心问卷调查,前者在听导师讲解课件后、后者在观看录像后进行理论笔试,最后进行实际操作并采用客观结构化的技能考核评估体系评分。结果在课后的问卷调查中,导师组比录像组对模拟培训重要性的评价更高(4.96±0.20 vs 4.68±0.48,P<0.05);在笔试的环节,导师组的得分显著高于录像组(83.00±7.18 vs 70.56±10.37,P<0.001);实践操作评分方面,导师组在检查设备完整性(0.96±0.20 vs 0.52±0.51,P<0.01)、俯屈点的正确放置(0.50±0.51 vs 0.08±0.28,P<0.01)和客观总分(6.79±1.02 vs 5.32±0.95,P<0.001)明显优于录像组。导师组在放置胎吸前后检查软组织受夹(0.63±0.50 vs 0.32±0.48,P<0.05)方面优于录像组。结论导师组手把手教学的模拟培训效果总体优于录像组,两组均能增强学员学习和运用助产技能的自信心。Objective To evaluate two methods applied to simulation training of vacuum delivery.Methods A total of 49 residents were randomly divided into two groups.One group was given on-site instruction by directors and hands-on demonstration(referred to as“tutor group”)and the other group was given demonstration through video(referred to as“video group”).Before and after the training,the two groups were surveyed with a self-confidence questionnaire.Written examination was implemented and compared results of group trained by vedio demonstration and the group of on-site instruction by tutors.The practical operation was evaluated by the Objective Structured Assessment of Technical Skills(OSATS).Results The on-site instructed group had a significantly higher score than that of the video group(4.96±0.20 vs 4.68±0.48,P<0.05).The score of written examination of on-site instructed group was significantly higher than that of the video group(83.00±7.18 vs 70.56±10.37,P<0.001).In the OSATS,the score of equipment integrity in on-site instrcted group was significantly higher(0.96±0.20 vs 0.52±0.51 P<0.01),the correct placement of the flexion point(0.50±0.51 vs 0.08±0.28,P<0.01)and the objective total score(6.79±1.02 vs 5.32±0.95,P<0.001)of on-site instructed group were all The same phenomenon was also found in the soft tissue clamping(0.63±0.50 vs 0.32±0.48,P<0.05).Conclusions The on-site and tutor instructed simulation training has shown a better outcome comparing to the video demonstration.However,both groups can enhance the students confidence in learning and using operative vaginal delivery skills.

关 键 词：模拟教学 阴道手术助产 客观结构化技能考核评估 胎头吸引器助产 

分 类 号：R71[医药卫生—妇产科学]