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[培训研讨会对住院医师和高级住院医师诊断及修复肛门括约肌和直肠黏膜产科损伤技能的影响]

[Impact of a training workshop on residents and senior registrar skill in diagnosis and repair of anal sphincter and rectal mucosae obstetrical injuries].

作者信息

Vieille P, de Tayrac R, Hudry D, Boucoiran I, Wafo E, Badiou W

机构信息

Service de gynécologie-obstétrique, CHU Carémeau, place du Robert-Debré, 30029 Nîmes cedex 9, France.

Service de gynécologie-obstétrique, CHU Carémeau, place du Robert-Debré, 30029 Nîmes cedex 9, France.

出版信息

Prog Urol. 2014 Mar;24(4):240-6. doi: 10.1016/j.purol.2013.10.010. Epub 2013 Nov 28.

DOI:10.1016/j.purol.2013.10.010
PMID:24560293
Abstract

OBJECTIVE

To evaluate the impact of a training workshop on residents and senior registrar skill in repair of anal sphincter and rectal mucosae obstetrical injury.

MATERIAL AND METHODS

Residents and senior registrar practical and theoretical knowledge were evaluated by a questionnaire sent, using AGOF (association des gynécologues-obstétriciens en formation) mailing list. This questionnaire includes questions about epidemiology, risk factors and sutures types. Scores were compared according to the participation or not at the workshop.

RESULTS

There were 106 residents or senior registrar (48.4%) in the workshop group and 113 (51.6%) in the control group. Scores were significantly higher in the workshop group than in the control group for theoretical knowledge (4.1 vs. 3.7), practical knowledge (17.6 vs. 15.9) and global scores (21.7 vs. 19.7). There was no difference according to the participation before or after the third residency semester. Residents global scores were statistically higher in the workshop group compared to the control group (21.8 vs. 19.5) but there was no significant difference between the senior registrar of the two group. Participants in the workshop group estimate themselves significantly more efficient than in the control group concerning anal sphincter injury repair and rectal mucosae repair.

CONCLUSION

A training workshop seems to improve the theoretical and practical skill.

LEVEL OF EVIDENCE

摘要

目的

评估培训工作坊对住院医师和高级住院医师修复肛门括约肌及直肠黏膜产科损伤技能的影响。

材料与方法

通过使用AGOF(妇产科住院医师协会)邮件列表发送问卷,对住院医师和高级住院医师的实践及理论知识进行评估。该问卷包括有关流行病学、危险因素和缝合类型的问题。根据是否参加工作坊对分数进行比较。

结果

工作坊组有106名住院医师或高级住院医师(48.4%),对照组有113名(51.6%)。工作坊组在理论知识(4.1对3.7)、实践知识(17.6对15.9)和总体分数(21.7对19.7)方面的得分显著高于对照组。在住院医师第三学期之前或之后参加工作坊的情况没有差异。工作坊组住院医师的总体分数在统计学上高于对照组(21.8对19.5),但两组高级住院医师之间没有显著差异。工作坊组的参与者认为自己在修复肛门括约肌损伤和直肠黏膜方面比对照组效率显著更高。

结论

培训工作坊似乎能提高理论和实践技能。

证据水平

4级。

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