自主式视频教学与基于导师的新生儿复苏培训的比较：一项随机对照、盲法、非劣效性、多中心国际研究。
Self-directed video versus instructor-based neonatal resuscitation training: a randomized controlled blinded non-inferiority multicenter international study.
机构信息
The University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.
Icahn School of Medicine at Mount Sinai, New York, NY, USA.
出版信息
J Perinatol. 2021 Jul;41(7):1583-1589. doi: 10.1038/s41372-021-00941-x. Epub 2021 Feb 15.
OBJECTIVE
To compare the efficacy of video-assisted self-directed neonatal resuscitation skills course with video-assisted facilitator-led course.
METHODS
This multicenter, randomized, blinded, non-inferiority-controlled trial compared two methods of teaching basic neonatal resuscitation skills using mask ventilation. Groups of novice providers watched an instructional video. One group received instructor facilitation (Ins-Video). The other group did not (Self-Video). An Objective Structured Clinical Exam (OSCE) measured skills performance, and a written test gauged knowledge.
RESULTS
One hundred and thirty-four students completed the study. Sixty-three of 68 in the Self-Video Group (92.6%) and 59 of 66 in the Ins-Video Group (89.4%) achieved post-training competency in positive pressure ventilation (primary outcome). OSCE passing rates were low in both groups. Knowledge survey scores were comparable between groups and non-inferior.
CONCLUSIONS
Video self-instruction taught novice providers positive pressure ventilation skills and theoretical knowledge, but it was insufficient for mastery of basic neonatal resuscitation in simulation environment.
目的
比较视频辅助自我指导新生儿复苏技能课程与视频辅助导师指导课程的效果。
方法
这是一项多中心、随机、盲法、非劣效性对照试验，比较了两种使用面罩通气的基本新生儿复苏技能教学方法。新手提供者观看教学视频。一组接受讲师指导（Ins-Video），另一组则不接受（Self-Video）。客观结构化临床考试（OSCE）测量技能表现，书面测试衡量知识。
结果
134 名学生完成了研究。在 Self-Video 组中，有 63 名/68 名（92.6%）和 Ins-Video 组中 59 名/66 名（89.4%）的学生在正压通气（主要结果）方面达到了培训后的能力水平。两组的 OSCE 通过率都较低。两组之间的知识调查分数相当，且非劣效。
结论
视频自我指导教新手提供者正压通气技能和理论知识，但在模拟环境中，对于掌握基本新生儿复苏技能来说还不够。
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