古卢大学针对医学专业最后一年学生和实习生的生殖健康模拟培训效果：一项前后对照研究。

Efficacy of the Gulu University Reproductive Health Simulation Training for final year medical students and interns: a before-and-after study.

作者信息

Pebolo Pebalo Francis, Okot Jerom, Bongomin Felix, Awor Silvia, Arwinyo Baifa, Ojara Sande, Opee Jimmyy, Jackline Ayikoru, Ssennuni Eric, Ouma Simple

机构信息

Faculty of Medicine, Gulu University, P.O. Box 166, Gulu, Uganda.

Faculty of Medicine, Gulu University, Gulu, Uganda.

出版信息

Ther Adv Reprod Health. 2024 May 24;18:26334941241251967. doi: 10.1177/26334941241251967. eCollection 2024 Jan-Dec.

DOI:10.1177/26334941241251967

PMID:38800825

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11127575/

Abstract

BACKGROUND

Reproductive health emergencies, such as postpartum hemorrhage, contribute significantly to maternal and neonatal morbidity and mortality in Uganda due to knowledge and skills gaps. Medical interns, intern midwives, and nurses are crucial as frontline healthcare workers in responding to these emergencies. Our proposed hands-on strategy involves comprehensive simulation-based training (SBT) to equip these healthcare workers with the essential knowledge to manage common reproductive health emergencies and procedures in the country.

OBJECTIVES

The study aimed to assess the effectiveness of comprehensive SBT in improving the knowledge of interns and fifth-year medical students on reproductive health emergencies and procedures at Gulu University and its Teaching Hospitals in Uganda.

DESIGN

A before-and-after study.

METHODS

A 4-day SBT was conducted for fifth-year medical students and interns (nurses, midwives, and doctors) at Gulu University Teaching Hospitals, focusing on reproductive health emergencies. Pre- and post-tests with 40 multiple-choice questions were used to evaluate knowledge enhancement, the scores were summarized as medians and interquartile ranges. Paired sample -tests was used to test the difference in pre- and post-test scores. Independent sample -tests compared median post-test results between interns and students, with a -value <0.05 considered significant.

RESULTS

A total of 153 participants were enrolled, the majority being males (78.4%, = 120) and medical students (73.9%, = 113). Among the 40 interns, 55% ( = 22) were doctors, 30% ( = 12) were midwives, and 15% ( = 6) were nurses. The study participants showed an increase in knowledge, with median post-test scores higher than pre-test scores for all participants [63% (interquartile ranges, IQR: 57-71%) 49% (42-54%), with a median difference of 14% (8-23%), < 0.001].

CONCLUSION

The SBT effectively imparts key knowledge competencies to the interns and fifth-year medical students. We recommend that SBT be included as part of the course units that students should take and for continuous medical education for qualified healthcare workers in resource-limited settings.

摘要

背景

由于知识和技能差距，诸如产后出血等生殖健康紧急情况在乌干达对孕产妇和新生儿的发病率和死亡率有重大影响。医学实习生、实习助产士和护士作为应对这些紧急情况的一线医护人员至关重要。我们提出的实践策略包括基于模拟的全面培训（SBT），以使这些医护人员具备管理该国常见生殖健康紧急情况和程序的基本知识。

目的

本研究旨在评估全面SBT在提高乌干达古卢大学及其教学医院的实习生和五年级医学生对生殖健康紧急情况和程序的知识方面的有效性。

设计

一项前后对照研究。

方法

在古卢大学教学医院为五年级医学生和实习生（护士、助产士和医生）开展了为期4天的聚焦生殖健康紧急情况的SBT。使用包含40道多项选择题的前后测试来评估知识提升情况，分数汇总为中位数和四分位间距。采用配对样本检验来测试前后测试分数的差异。独立样本检验比较实习生和学生的测试后中位数结果，P值<0.05被视为具有统计学意义。

结果

共招募了153名参与者，其中大多数为男性（78.4%，n = 120）和医学生（73.9%，n = 113）。在40名实习生中，55%（n = 22）为医生，30%（n = 12）为助产士，15%（n = 6）为护士。研究参与者的知识有所增加，所有参与者的测试后中位数分数高于测试前分数[63%（四分位间距，IQR：57 - 71%）对49%（42 - 54%），中位数差异为14%（8 - 23%），P < 0.001]。