针对低收入和中等收入国家环境量身定制的在线胎心监护课程的开发与评估：在斯里兰卡一家三级护理医院进行的可行性研究
Development and evaluation of an online cardiotocography course tailored to LMIC settings: a feasibility study conducted in a tertiary care hospital in Sri Lanka.
作者信息
Rishard M, Weerasundara I, Fonseka R, de Abrew A, Wijesinghe M S D, Senanayake H, Lazzerini M
机构信息
Faculty of Medicine, University of Colombo, Colombo, Sri Lanka.
De Soysa Hospital for Women, Colombo, Sri Lanka.
出版信息
BMC Res Notes. 2025 Apr 12;18(1):163. doi: 10.1186/s13104-025-07239-7.
OBJECTIVE
Effective cardiotocography (CTG) training is crucial for accurate interpretation and timely interventions in low-resource settings. This mixed-method study in Sri Lanka developed and assessed an online CTG course to address training gaps and improve neonatal outcomes. The study involved a clinical audit, course development, implementation, and evaluation via the Kirkpatrick model.
RESULTS
The audit revealed lapses in CTG documentation, interpretation, and interventions. The posttest scores improved by 40.6% (152.8%), but some participants did not complete the course because of a lack of motivation, time constraints, and inadequate facilities. Postimplementation audits revealed improvements in practices, although uterine contraction documentation and overall impression recording declined. The findings suggest the feasibility and effectiveness of online self-learning courses in improving CTG knowledge and practices in Sri Lanka. However, motivation, incentives, and reinforcement measures are needed for better outcomes.
目的
有效的胎心监护（CTG）培训对于在资源匮乏地区进行准确解读和及时干预至关重要。这项在斯里兰卡开展的混合方法研究开发并评估了一门在线CTG课程，以弥补培训差距并改善新生儿结局。该研究包括一次临床审计、课程开发、实施以及通过柯克帕特里克模型进行评估。
结果
审计发现CTG记录、解读和干预方面存在失误。后测分数提高了40.6%（152.8%），但一些参与者因缺乏动力、时间限制和设施不足而未完成课程。实施后审计显示实践有所改善，尽管子宫收缩记录和总体印象记录有所下降。研究结果表明在线自学课程在提高斯里兰卡CTG知识和实践方面具有可行性和有效性。然而，为了取得更好的效果，需要激励措施和强化措施。
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