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电子学习显著提高了产科专业人员对先天性巨细胞病毒预防指南的认识。

eLearning significantly improves maternity professionals' knowledge of the congenital cytomegalovirus prevention guidelines.

机构信息

Cerebral Palsy Alliance Research Institute, Sydney Medical School, The University of Sydney, Camperdown, New South Wales, Australia.

Nursing and Midwifery Office, ACT Health, Canberra, ustralian Capital Territory, Australia.

出版信息

Aust N Z J Obstet Gynaecol. 2022 Jun;62(3):445-452. doi: 10.1111/ajo.13500. Epub 2022 Mar 29.

Abstract

AIMS

Cytomegalovirus (CMV) is a preventable cause of neurodevelopmental disability. Australian guidelines recommend that pregnant women are informed about CMV to reduce their risk of infection; however, less than 10% of maternity health professionals routinely provide prevention advice. The aim was to develop and evaluate the effectiveness of an eLearning course for midwives to improve knowledge and confidence about CMV.

MATERIALS AND METHODS

Participants undertaking the course between March and November 2020 were invited to complete an evaluation questionnaire: before the course (T1), immediately after (T2) and three months post completion (T3). A linear mixed model was used to evaluate change in participant scores; P < 0.05 was considered statistically significant.

RESULTS

Midwives (316/363, 87%), midwifery students (29/363, 8%) and nurses (18/363, 5%) participated. At T1 80% indicated they had not received education about CMV. Total adjusted mean scores for questionnaires completed between T1 (n = 363) and T2 (n = 238) increased significantly (from 17.2 to 22.8, P < 0.001). Limited available T3 scores (n = 27) (-1.7, P < 0.001), while lower than T2, remained higher than at T1 (+3.6, P < 0.001). Participants' awareness of CMV information resources improved from 10 to 97% from T1 to T2. Confidence in providing CMV advice increased from 6 to 95% between T1 and T2 (P < 0.001) and was maintained at T3. Almost all (99%) participants indicated they would recommend the course to colleagues.

CONCLUSION

Participants who completed the eLearning course had significantly improved knowledge and confidence in providing advice about CMV. Programs targeting other maternity health professionals should be considered, to further support the implementation of the congenital CMV prevention guidelines.

摘要

目的

巨细胞病毒(CMV)是导致神经发育障碍的可预防病因。澳大利亚指南建议告知孕妇有关 CMV 的信息,以降低其感染风险;然而,不到 10%的产科卫生专业人员常规提供预防建议。本研究旨在开发并评估针对助产士的电子学习课程,以提高他们对 CMV 的知识和信心。

材料与方法

2020 年 3 月至 11 月期间参加该课程的参与者被邀请完成评估问卷:课程前(T1)、课程后即刻(T2)和课程完成后三个月(T3)。采用线性混合模型评估参与者得分的变化;P 值<0.05 被认为具有统计学意义。

结果

共有 316 名助产士(87%)、29 名助产士学生(8%)和 18 名护士(5%)参加了该课程。在 T1 时,80%的参与者表示他们没有接受过关于 CMV 的教育。在 T1(n=363)和 T2(n=238)之间完成的问卷的总调整后平均分数显著增加(从 17.2 增加到 22.8,P<0.001)。T3 时的可用分数有限(n=27)(-1.7,P<0.001),虽然低于 T2,但仍高于 T1(+3.6,P<0.001)。参与者对 CMV 信息资源的认识从 T1 时的 10%提高到 T2 时的 97%。在 T1 到 T2 之间,提供 CMV 建议的信心从 6%增加到 95%(P<0.001),并在 T3 时保持不变。几乎所有(99%)的参与者表示他们将向同事推荐该课程。

结论

完成电子学习课程的参与者在提供 CMV 咨询方面的知识和信心显著提高。应考虑针对其他产科卫生专业人员的方案,以进一步支持实施先天性 CMV 预防指南。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1602/9541485/8198854c4b0c/AJO-62-445-g001.jpg

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