Surgical Department, Nordsjaellands Hospital, Hillerød, Denmark.
Acta Obstet Gynecol Scand. 2014 May;93(5):517-20. doi: 10.1111/aogs.12372.
The objective was to compare two teaching methods for postpartum hemorrhage management: interactive hands-on training and non-interactive video training. In a controlled intervention study at a secondary health care center in Kenya, the two training methods, based on the Advanced Life Support in Obstetrics curriculum, were evaluated utilizing structured observation of a standardized scenario before and after training. Both intervention groups significantly increased in performance scores after receiving hands-on training: 40% (95% CI 29.5-47.0) and video training: 34.5% (95% CI 25.0-42.0); likewise, pass rates improved significantly. No significant differences in performance score or pass rates were found between the two methods. The findings indicate that postpartum hemorrhage management training by mobile media might be just as effective as conventional hands-on training and a feasible way to overcome the outreach gap in sub-Saharan Africa's rural areas, where peripheral health facilities are generally difficult to reach with conventional training programs.
互动式实践培训和非互动式视频培训。在肯尼亚一家二级保健中心的对照干预研究中，基于《产科高级生命支持》课程，利用培训前后对标准化场景的结构化观察来评估这两种培训方法。接受实践培训后，两组干预组的表现评分均显著提高：40%（95%CI 29.5-47.0）和视频培训：34.5%（95%CI 25.0-42.0）；同样，通过率也显著提高。两种方法之间的表现评分或通过率没有显著差异。研究结果表明，通过移动媒体进行产后出血管理培训可能与传统实践培训一样有效，是克服撒哈拉以南非洲农村地区外联差距的可行方法，在这些地区，常规培训计划通常难以到达外围医疗设施。
