. Universidade Estadual de Goiás, Goiânia (GO) Brasil.
. Pontifícia Universidade Católica de Goiás, Goiânia (GO) Brasil.
J Bras Pneumol. 2019 Jul 29;45(6):e20180230. doi: 10.1590/1806-3713/e2018-0230.
To evaluate the use of video lessons on the topic of COPD as a training tool for a multidisciplinary team working in the primary health care sector.
This was a quasi-experimental study involving a multidisciplinary team working at a primary health care clinic. The level of knowledge about COPD was measured by applying a specific, 16-item questionnaire - before, immediately after, and three months after the video lessons. In a set of six structured video lessons, the training focused on the prevention, case-finding, treatment, and monitoring of cases of COPD. The data were analyzed with the Friedman test, the Kruskal-Wallis test, Tukey's post hoc test, Dunnett's test, and the Bonferroni test.
There was a significant difference between the periods before and immediately after the training in terms of the scores on 15 of the 16 items on the questionnaire regarding the level of knowledge about COPD. The median total score of the participants increased significantly, from 60 points before the training to 77 points immediately thereafter and 3 months thereafter (p < 0.001 for both). Before the training, 23 (63.9%) and 13 (36.1%) of the members of the multidisciplinary team presented strong and very strong levels of agreement, respectively, among the 16 questionnaire items. After the training, 100% of the individuals presented a very strong degree of agreement.
Multidisciplinary education through video lessons increased the knowledge of COPD on the part of a primary health care team, and the knowledge acquired was retained for at least three months after the intervention.
评估将 COPD 主题的视频课程用作初级保健部门多学科团队培训工具的效果。
这是一项涉及初级保健诊所多学科团队的准实验研究。通过应用特定的、包含 16 个项目的问卷，在视频课程之前、之后即刻以及之后三个月来衡量对 COPD 的了解程度。在一组六个结构化视频课程中，培训重点关注 COPD 的预防、病例发现、治疗和监测。使用 Friedman 检验、Kruskal-Wallis 检验、Tukey 事后检验、Dunnett 检验和 Bonferroni 检验对数据进行分析。
在 COPD 知识问卷的 16 个项目中，有 15 个项目的得分在培训前后有显著差异。参与者的总分中位数显著增加，从培训前的 60 分增加到培训后即刻的 77 分和 3 个月后的 77 分（两者均 p<0.001）。在培训之前，多学科团队的 23 名（63.9%）和 13 名（36.1%）成员对 16 个问卷项目分别表现出强烈和非常强烈的一致性。培训后，所有成员均表现出非常强烈的一致性。
通过视频课程进行多学科教育提高了初级保健团队对 COPD 的认识，并且在干预后至少三个月内保留了所获得的知识。
