J Thaneemalai, G Muniswaran, T Boon Nee, P T Gunasegaran
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引用次数: 0
Abstract
Introduction: To evaluate if the Intensive Course in Obstetric Emergencies (ICOE) Shoulder dystocia simulation training module could improve psychomotor and cognitive skills in the management of shoulder dystocia using a Test of Integrated Professional Skills (TIPS).
Materials and method: This was a prospective observational study involving Malaysian health care professionals participating in ICOE shoulder dystocia simulation, where standardized curriculum was used. Pre and post-test skills assessment were conducted to evaluate the effectiveness of the course content and delivery.
Results: 609 Malaysian health care professionals attended ICOE training; 400 midwives, 128 medical officers, 55 specialist and 26 consultants. Participants were derived from 25 consecutive courses, from 2014 to 2019 and tested on predetermined skills in the management of shoulder dystocia. Their mean TIPS pre-test vs post-test score were (2.55 vs 6.77) midwives, (3.78 vs 7.25) medical officers, (5.16 vs 7.82) specialists & (3.62 vs 6.88) consultants. All four group of participants showed statistically significant improvement (51-165%) in their skills (p<0.001). The mean post test score in noting time of dystocia and call for help were significantly higher among midwives than others. All four groups statistically improved their delivery skills in McRoberts manoeuvre and directed suprapubic pressure. Pre-skills for delivery of the posterior arm was suboptimal and post skills test showed statistically significant improvement in all four groups.
Conclusion: ICOE shoulder dystocia simulation training module improved the psychomotor and cognitive skills in the management of delivery of shoulder dystocia.
前言：利用综合专业技能测试（TIPS）评估产科急诊强化课程（ICOE）肩难产模拟训练模块是否可以提高肩难产管理中的精神运动和认知技能。材料和方法：这是一项前瞻性观察研究，涉及马来西亚卫生保健专业人员参加ICOE肩部难产模拟，其中使用标准化课程。进行测试前和测试后的技能评估，以评估课程内容和交付的有效性。结果：609名马来西亚卫生专业人员参加了ICOE培训；400名助产士、128名医务干事、55名专家和26名顾问。参与者来自2014年至2019年的25个连续课程，并对肩部难产管理的预定技能进行了测试。助产士（2.55 vs 6.77）、医务人员（3.78 vs 7.25）、专家（5.16 vs 7.82）和咨询师（3.62 vs 6.88）的平均TIPS测试前与测试后得分分别为：助产士（2.55 vs 6.77）、专家（3.62 vs 6.88）。所有四组参与者的技能均有统计学意义上的显著提高（51-165%）。结论：ICOE肩部难产模拟训练模块提高了处理肩部难产的精神运动和认知技能。
期刊介绍：
Published since 1890 this journal originated as the Journal of the Straits Medical Association. With the formation of the Malaysian Medical Association (MMA), the Journal became the official organ, supervised by an editorial board. Some of the early Hon. Editors were Mr. H.M. McGladdery (1960 - 1964), Dr. A.A. Sandosham (1965 - 1977), Prof. Paul C.Y. Chen (1977 - 1987). It is a scientific journal, published quarterly and can be found in medical libraries in many parts of the world. The Journal also enjoys the status of being listed in the Index Medicus, the internationally accepted reference index of medical journals. The editorial columns often reflect the Association''s views and attitudes towards medical problems in the country. The MJM aims to be a peer reviewed scientific journal of the highest quality. We want to ensure that whatever data is published is true and any opinion expressed important to medical science. We believe being Malaysian is our unique niche; our priority will be for scientific knowledge about diseases found in Malaysia and for the practice of medicine in Malaysia. The MJM will archive knowledge about the changing pattern of human diseases and our endeavours to overcome them. It will also document how medicine develops as a profession in the nation. We will communicate and co-operate with other scientific journals in Malaysia. We seek articles that are of educational value to doctors. We will consider all unsolicited articles submitted to the journal and will commission distinguished Malaysians to write relevant review articles. We want to help doctors make better decisions and be good at judging the value of scientific data. We want to help doctors write better, to be articulate and precise.
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