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六步指导在线培训项目提高儿科医生肺炎知识的效果:一项前后测研究

Effectiveness of the six-step approach guided online training program to improve knowledge of pneumonia among pediatricians: a pretest-posttest study.

作者信息

Wang Jiayu, Wang Qing, Wang Yi, Gui Yonghao, Lu Quan, Yin Yong, Zhang Jianhua, Wang Libo, Dong Xiaoyan, Wang Yingwen, Ye Yingzi, Xu Hong, Gu Danping, He Wen, Ding Guodong, Zhang Xiaobo

机构信息

National Health Commission (NHC) Key Laboratory of Neonatal Diseases, Fudan University, Children's Hospital of Fudan University, Shanghai, China.

Department of Respiratory Medicine, Children's Hospital of Fudan University, Shanghai, China.

出版信息

Transl Pediatr. 2024 May 31;13(5):760-769. doi: 10.21037/tp-24-53. Epub 2024 May 24.

DOI:10.21037/tp-24-53
PMID:38840684
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11148742/
Abstract

BACKGROUND

In 2023, China witnessed an earlier and more widespread outbreak of pneumonia (MPP). To address this situation, an online training program was designed to enhance the knowledge of MPP among pediatricians in Shanghai, China.

METHODS

An online training program on the diagnosis and treatment of MPP, guided by Kern's six-step approach, was developed by the Shanghai Pediatric Clinical Quality Control Center. A pre- and post-training survey was conducted using a 20-item self-administered questionnaire to investigate the pediatricians' knowledge of MPP. A linkage mechanism was established to match pretest/posttest questionnaires using personal identifiers. Paired -tests and McNemar tests were performed to measure the differences, as appropriate, between pre- and post-training groups. A higher survey score indicated better knowledge.

RESULTS

There were 289 participants performed pre- and post-tests. The average age of the respondents was 38.7 years (standard deviation: 8.9). Over 80% of the participants were primary (32.5%) and intermediate (47.8%) pediatricians. Those from specialized hospitals accounted for the highest proportion (41.5%). The post-training group achieved significantly higher total scores than the pre-training group (91.3 67.7, =22.48, P<0.001), regardless of the professional titles or hospital levels (all P<0.001). The accuracy rates of each question increased significantly in the post-training group (all P<0.001).

CONCLUSIONS

The online training program effectively enhanced pediatricians' understanding of diagnosing and treating MPP. It is recommended to maintain continuous education and training targeting all healthcare providers.

摘要

背景

2023年,中国肺炎支原体肺炎(MPP)的暴发时间更早且范围更广。为应对这一情况,设计了一项在线培训项目,以增强中国上海儿科医生对MPP的认识。

方法

上海儿科临床质量控制中心以克恩六步法为指导,开发了一项关于MPP诊断和治疗的在线培训项目。使用一份包含20个条目的自填式问卷进行培训前和培训后的调查,以调查儿科医生对MPP的了解情况。建立了一种关联机制,使用个人标识符匹配测试前/测试后问卷。酌情进行配对检验和 McNemar 检验,以测量培训前和培训后组之间的差异。调查得分越高表明知识掌握越好。

结果

289名参与者进行了测试前和测试后评估。受访者的平均年龄为38.7岁(标准差:8.9)。超过80%的参与者是初级(32.5%)和中级(47.8%)儿科医生。来自专科医院的参与者占比最高(41.5%)。无论职称或医院级别如何(所有P<0.001),培训后组的总分均显著高于培训前组(91.3对67.7,t = 22.48,P<0.001)。培训后组每个问题的正确率均显著提高(所有P<0.001)。

结论

该在线培训项目有效增强了儿科医生对MPP诊断和治疗的理解。建议针对所有医疗服务提供者开展持续教育和培训。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8426/11148742/6bc514ccab16/tp-13-05-760-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8426/11148742/e4a75c9477b3/tp-13-05-760-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8426/11148742/6bc514ccab16/tp-13-05-760-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8426/11148742/e4a75c9477b3/tp-13-05-760-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8426/11148742/6bc514ccab16/tp-13-05-760-f2.jpg

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