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针对本科麻醉专业学生的基于模拟的新生儿复苏教育:知识与临床技能的前后评估

Simulation-Based Neonatal Resuscitation Education for Undergraduate Anesthesia Students: A Pre- and Post-Evaluation of Knowledge and Clinical Skills.

作者信息

Yaregal Melesse Debas, Enyew Ashagrie Henos

机构信息

Department of Anesthesia, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.

出版信息

Anesthesiol Res Pract. 2022 Jun 24;2022:7628220. doi: 10.1155/2022/7628220. eCollection 2022.

DOI:10.1155/2022/7628220
PMID:35783545
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9249533/
Abstract

BACKGROUND

Nearly one in five hundred babies unexpectedly need resuscitation at birth, and the need for resuscitation is often unpredictable. A large majority of these deaths occur in low-resource settings and are preventable. Appropriate resuscitation techniques are crucial to the survival of newborn infants. Therefore, producing skilled health professionals in teaching institutions is mandatory to perform this activity.

OBJECTIVE

The study aimed a pre- and post-evaluation of knowledge and clinical skills performance of anesthesia students completing simulation-based neonatal resuscitation training at a Teaching Referral Hospital.

METHODS

A pre-post-intervention study was conducted on undergraduate final-year anesthesia students at Comprehensive and Specialized Teaching Referral Hospital, Ethiopia. We used a validated checklist to follow the students' performance (American Heart Association, 2005, and Ogunlesi et al., 2012). The data were collected through this checklist. The collected data were analyzed with statistical package for social sciences (SPSS) version 20. Categorical variables were analyzed with chi-square test, and a -value <0.05 was considered as statistically significant.

RESULTS

A total of 51 students participated in the study. Twenty of them were females. The pre-intervention knowledge of the respondents about aspects of evaluation for neonatal resuscitation was 90.2%, and post-intervention was 94.1%; the knowledge of the respondents about aspects of appropriate actions at pre- and post-interventions was 73.4% and 83.1%, respectively. : This study showed that there was improvement of post-interventions knowledge and clinical skills of undergraduate anesthesia students for both aspects of evaluation and appropriate actions for neonatal resuscitation. We recommend that students who attached clinical anesthesia practice should take at least simulation-based training at skill laboratories timely.

摘要

背景

每五百名婴儿中就有近一名在出生时意外需要复苏,而且复苏的需求往往不可预测。这些死亡中的绝大多数发生在资源匮乏地区,并且是可以预防的。适当的复苏技术对新生儿的存活至关重要。因此,在教学机构培养熟练的卫生专业人员来开展这项工作是必不可少的。

目的

本研究旨在对在一家教学转诊医院完成基于模拟的新生儿复苏培训的麻醉专业学生的知识和临床技能表现进行前后评估。

方法

在埃塞俄比亚综合及专科教学转诊医院对本科最后一年的麻醉专业学生进行了一项干预前后研究。我们使用一份经过验证的清单来跟踪学生的表现(美国心脏协会,2005年,以及奥贡莱西等人,2012年)。通过这份清单收集数据。使用社会科学统计软件包(SPSS)20版对收集到的数据进行分析。分类变量采用卡方检验进行分析,P值<0.05被认为具有统计学意义。

结果

共有51名学生参与了该研究。其中20名是女性。干预前受访者对新生儿复苏评估方面的知识为90.2%,干预后为94.1%;受访者对干预前后适当行动方面的知识分别为73.4%和83.1%。该研究表明,本科麻醉专业学生在新生儿复苏评估和适当行动这两个方面的干预后知识和临床技能都有提高。我们建议,从事临床麻醉实践的学生应及时在技能实验室至少接受基于模拟的培训。

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Mapping Evidence of Neonatal Resuscitation Training on the Practices of Unskilled Birth Attendants in Low-Resource Countries: Protocol for a Scoping Review.低资源国家非专业助产人员新生儿复苏培训实践的证据映射:一项范围综述方案
JMIR Res Protoc. 2021 Mar 31;10(3):e18935. doi: 10.2196/18935.
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Ann Thorac Med. 2021 Jan-Mar;16(1):126. doi: 10.4103/atm.ATM_518_20. Epub 2021 Jan 14.
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