会阴切开缝合仿真实训模型研制及应用效果观察

Development of Emulate Practical Teaching Model for Episiotomy and Repair and Its Effect

目的探讨会阴切开缝合仿真实训模型研制及应用效果。方法自行研制实训模型并应用于本校2008级助产专业学生。2008级助产专业2个班共98名学生为研究对象,1班50名为试验组,采用自行研制的会阴切开缝合仿真实训模型进行技能实训;2班48名为对照组,采用原购买的会阴切开缝合模型进行技能实训。结果试验组与对照组实训课后针对这项技能相关知识掌握情况进行调查问卷比较,除持会阴切开剪的手法外,其余项目差异均有统计学意义(P<0.05)。两组实训课后技能操作考核成绩比较,差异有统计学意义(P<0.01)。两组在产房临床实习后针对这项技能掌握的状况进行问卷调查,会阴切开缝合技能重要知识点掌握的人数比较,差异有统计学意义(P<0.01)。结论采用自行研制的会阴切开缝合仿真实训模型较原购买的模型进行技能实训更有助于助产专业学生对会阴切开缝合技能的掌握,值得推广。

Objective To investigate the development of a emulate practical teaching model for the episiotomy and repair skills and its effects.Methods The studied included midwife students of Grade 2008 including 98 students,who were divided into experiment group（50 students in class A） and control group（48 students in class B）,and in experiment group,the skill training of episiotomy and repair with the self-developed model was provided while those in control group the purchased classical model.Results Compared with students in control group,those in experiment group after the practical class presented a better understanding of the knowledge about episiotomy and repair except for the method of holding scissors and the differences was statistically significant（P〈0.05）;the scores of episiotomy and repair tests after class showed a significant difference in statistics（P〈0.01） between two groups.After clinical practice,students in experiment group showed better understanding of knowledge and skills about episiotomy and repair than those in control group did（P0.01）.Conclusion The self-developed emulate practical teaching model is more helpful for midwife students to master the skills of episiotomy and repair.