Kurniawati Eighty Mardiyan, Bachtiar Citra Aulia, Joewono Hermanto Tri, Utomo Budi
Urogynecology Reconstruction Division, Obstetrics and Gynecology Department, Faculty of Medicine, Universitas Airlangga, Indonesia.
Obstetrics and Gynecology Department, Faculty of Medicine, Universitas Airlangga Indonesia, Indonesia.
Heliyon. 2023 Feb 21;9(3):e13907. doi: 10.1016/j.heliyon.2023.e13907. eCollection 2023 Mar.
Cesarean section rates are increasing worldwide. Obstetrics and gynecology residents are required to be experts in this surgery to provide safe procedures. Because of the COVID-19 pandemic situation, an alternative teaching strategy is needed to achieve adequate cesarean section skills. The purpose of this study was to identify the effect of video, mannequins, and the combination of video mannequins on residents' knowledge and confidence regarding cesarean section.
A study with pre-test and post-test designs was done. Based on stratified random sampling, 33 obstetrics and gynecology residents involved as study participant. Three groups were formed and received different interventions, learning using videos, mannequins, and a combination of video-mannequins. Two kinds of questionnaires were used to examine residents' knowledge and their confidence levels. The collected data were analyzed statistically.
Video (0.42(CI95%-0.11-0.9)), mannequin simulation (0.60(CI95%-0.04-1.25)), and the combination of video-mannequin (1.3(CI95%0.73-1.93)) significantly increased resident's knowledge regarding caesarean section skill. Study participant showed increased scores regarding confidence in their caesarean section skills according to all learning subjects (p < 0.05) but a difference in confidence level occurred in level - 7th semester residents (p < 0.05).
The combination of videos and mannequin simulations is the best method for increasing knowledge of cesarean sections, compared to single video and mannequin simulations. The confidence level has been shown to increase in all subject studies but the effectiveness at each level of resident needs to be investigated further.
剖宫产率在全球范围内呈上升趋势。妇产科住院医师需要成为该手术的专家，以提供安全的手术操作。由于新冠疫情形势，需要一种替代教学策略来培养足够的剖宫产技能。本研究的目的是确定视频、人体模型以及视频与人体模型相结合的方式对住院医师剖宫产知识和信心的影响。
采用前后测试设计进行研究。基于分层随机抽样，33名妇产科住院医师作为研究参与者。分为三组，分别接受不同干预，即通过视频学习、通过人体模型学习以及通过视频与人体模型相结合的方式学习。使用两种问卷来检验住院医师的知识和信心水平。对收集到的数据进行统计分析。
视频（0.42（95%置信区间-0.11-0.9））、人体模型模拟（0.60（95%置信区间-0.04-1.25））以及视频与人体模型相结合的方式（1.3（95%置信区间0.73-1.93））显著提高了住院医师关于剖宫产技能的知识。所有学习组的研究参与者在剖宫产技能方面的信心得分均有所提高（p<0.05），但在七年级住院医师中信心水平存在差异（p<0.05）。
与单一的视频和人体模型模拟相比，视频与人体模型模拟相结合是增加剖宫产知识的最佳方法。在所有学科研究中，信心水平均有所提高，但每个住院医师水平的有效性还需要进一步研究。
