在高保真围产期模拟中使用可穿戴设备监测压力和测量满意度：一项随机对照研究

IF 3.3 3区医学 Q1 NURSING

Nurse Education in Practice Pub Date : 2025-07-08 DOI:10.1016/j.nepr.2025.104460

Ayse Akalin , Florence D'haenens , Dennis Demedts , Joeri Vermeulen , Maaike Fobelets , Sandra Tricas-Sauras

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引用次数: 0

摘要

目的利用可穿戴设备（emppatica©E4腕带）持续监测助产学学生在高保真围产期模拟过程中的生理应激，评估压力集中答问对其生理和心理应激及满意度的影响。高保真模拟是一种创新的培训方法，可提高医疗保健（包括助产）的满意度和学习。然而，学生可能会感受到压力，这可能会导致模拟过程中的压力。设计两组随机对照。方法本研究在比利时一所大学学院的高保真围产期模拟中心进行。参与者包括56名二年级和三年级的助产士学生。干预组在标准的情况汇报之外，还接受了以压力为重点的情况汇报，而对照组则接受了常规的标准情况汇报。使用E4腕带持续监测生理应激，测量皮肤电活动、心率、血压和体温。测量分为三个时间段：模拟前（T0）、场景运行（T1）、汇报（T2）和模拟后（T3）。在T0和T3阶段采用短期应激状态问卷评估心理应激，在T3阶段采用模拟体验量表满意度评估满意度。结果干预组患者心理压力明显降低，满意度明显高于对照组（p <； 0.001）。干预组T2时的皮电活动和T3时的心率明显低于对照组（p <； 0.05）。结论压力导向述职能有效降低助产学学生的心理和生理压力，提高满意度。皮电活动和心率参数提供了宝贵的见解，学生的生理反应围产期模拟。

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Monitoring stress using a wearable device and measuring satisfaction during high-fidelity perinatal simulation: A randomized controlled study

Aim

To continuously monitor midwifery students' physiological stress during high-fidelity perinatal simulation using a wearable device (Empatica© E4 wristband) and assess the impact of a stress-focused debriefing on their physiological and psychological stress and satisfaction.

Background

High-fidelity simulation is an innovative training method that improves satisfaction and learning in healthcare, including midwifery. However, students might experience pressure and this can result in stress during simulations.

Design

A two-group randomized controlled.

Methods

The study was conducted at a University College’s High-Fidelity Perinatal Simulation Centre in Belgium. Participants included fifty-six second- and third-year midwifery students. The intervention group received a stress-focused debriefing in addition to a standard debriefing, while the control group received routine standard debriefing. Physiological stress was continuously monitored using the E4 wristband, which measures electrodermal activity, heart rate, blood pressure and temperature. Measurements were divided into time periods: pre-simulation (T₀), scenario-running (T₁), debriefing (T₂) and post-simulation (T₃). Psychological stress was assessed at T₀ and T₃ using the Short Stress State Questionnaire and satisfaction was evaluated the Satisfaction with Simulation Experience Scale at T₃.

Results

The intervention group showed a significant reduction in psychological stress and higher satisfaction than the control group (p < 0.001). Electrodermal activity at T₂ and heart rate at T₃ were significantly lower in the intervention group than the control group (p < 0.05).

Conclusions

A stress-focused debriefing effectively reduces midwifery students' psychological and physiological stress while enhancing satisfaction. Electrodermal activity and heart rate parameters offered valuable insights into the students' physiological responses during perinatal simulation.

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来源期刊

Nurse Education in Practice NURSING-

CiteScore

5.40

自引率

9.40%

发文量

180

审稿时长

51 days

期刊介绍： Nurse Education in Practice enables lecturers and practitioners to both share and disseminate evidence that demonstrates the actual practice of education as it is experienced in the realities of their respective work environments. It is supportive of new authors and will be at the forefront in publishing individual and collaborative papers that demonstrate the link between education and practice.