Efeito do Treinamento de Habilidades baseado em simulação na ansiedade e autoconfiança dos estudantes de Medicina em relação ao exame pélvico e de mamas

Detalhes bibliográficos
Ano de defesa: 2018
Autor(a) principal: ORSI, T. D. lattes
Orientador(a): MOURA, A. S. lattes
Banca de defesa: FERNANDES, A. L. R. V. lattes, DINIZ, S. S. A. lattes
Tipo de documento: Dissertação
Tipo de acesso: Acesso aberto
Idioma: por
Instituição de defesa: Universidade José do Rosário Vellano
Programa de Pós-Graduação: Programa de Mestrado em Ensino em Saúde
Departamento: Pós-Graduação
País: Brasil
Palavras-chave em Português:
Área do conhecimento CNPq:
Link de acesso: http://tede2.unifenas.br:8080/jspui/handle/jspui/226
Resumo: Introduction: The use of mannequin simulation in the learning of gynecology has become important in medical graduation in order to prepare students to perform the gynecological examination with confidence, competence, and reduction of anxiety. Objective: To evaluate the effect of simulation-based educational activity on anxiety and self-confidence concern pelvic and breast exam. Methods: A longitudinal quantitative study with 80 students was applied to fourth-grade medical students from José do Rosário Vellano University / UNIFENAS, campus Alfenas, who responded to questionnaires prior and post simulation-based training (THBS) in gynecology and obstetrics. The questionnaires were divided into socio-demographic questions, anxiety questions before and after practice, and satisfaction and self-confidence questions after the educational activity. Results: 72 students, mostly women, were included and it was observed that the students' anxiety as to pelvic exam was greater than that of breast examination (p <0.001). There was no statistically significant difference in baseline anxiety between males and females in the pelvic examination, breast examination and overall anxiety scores. The main reason for the students' basal anxiety about pelvic examination was their fear of hurting the patient, followed by the fact that they had never attended a pelvic exam before. The THBS significantly reduced students’ anxiety concerning to pelvic and breast examination with no difference between the sexes (2.04 vs. 1.46, respectively, p <0.001). Students satisfaction and self-confidence were high (98,75% and 71,7%, respectively), with no difference between the sexes. Conclusion: The THBS educational activity is a learning model that favors the reduction of anxiety and elevates the students’ satisfaction and self-confidence in performing the gynecological examination with no differences between the sexes.
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spelling MOURA, A. S.00199217645http://lattes.cnpq.br/9237452333174548FERNANDES, A. L. R. V.41432843672http://lattes.cnpq.br/0307310630939374DINIZ, S. S. A.49918915668http://lattes.cnpq.br/506637063269999853689437687http://lattes.cnpq.br/6464138279981235ORSI, T. D.2019-06-12T17:49:49Z2018-12-12ORSI, T. D. Efeito do Treinamento de Habilidades baseado em simulação na ansiedade e autoconfiança dos estudantes de Medicina em relação ao exame pélvico e de mamas. 2018. 56f. Dissertação (Programa de Mestrado em Ensino em Saúde) - Faculdade de Medicina, Universidade José do Rosário Vellano, Belo Horizonte, 2018.http://tede2.unifenas.br:8080/jspui/handle/jspui/226Introduction: The use of mannequin simulation in the learning of gynecology has become important in medical graduation in order to prepare students to perform the gynecological examination with confidence, competence, and reduction of anxiety. Objective: To evaluate the effect of simulation-based educational activity on anxiety and self-confidence concern pelvic and breast exam. Methods: A longitudinal quantitative study with 80 students was applied to fourth-grade medical students from José do Rosário Vellano University / UNIFENAS, campus Alfenas, who responded to questionnaires prior and post simulation-based training (THBS) in gynecology and obstetrics. The questionnaires were divided into socio-demographic questions, anxiety questions before and after practice, and satisfaction and self-confidence questions after the educational activity. Results: 72 students, mostly women, were included and it was observed that the students' anxiety as to pelvic exam was greater than that of breast examination (p <0.001). There was no statistically significant difference in baseline anxiety between males and females in the pelvic examination, breast examination and overall anxiety scores. The main reason for the students' basal anxiety about pelvic examination was their fear of hurting the patient, followed by the fact that they had never attended a pelvic exam before. The THBS significantly reduced students’ anxiety concerning to pelvic and breast examination with no difference between the sexes (2.04 vs. 1.46, respectively, p <0.001). Students satisfaction and self-confidence were high (98,75% and 71,7%, respectively), with no difference between the sexes. Conclusion: The THBS educational activity is a learning model that favors the reduction of anxiety and elevates the students’ satisfaction and self-confidence in performing the gynecological examination with no differences between the sexes.Introdução: O emprego da simulação em manequim no aprendizado da Ginecologia tem se tornado importante na graduação médica com objetivo de preparar alunos para realizar o exame ginecológico com confiança, competência e redução de ansiedade. Objetivo: Avaliar o efeito de uma atividade educacional baseada em simulação na ansiedade e autoconfiança em relação ao exame pélvico e de mamas. Métodos: Estudo quantitativo longitudinal com 80 alunos do quarto ano de Medicina da Universidade José do Rosário Vellano/UNIFENAS, campus de Alfenas, em que foram aplicados questionários antes e depois de treinamento de atividades baseado em simulação (THBS), durante o estágio de Ginecologia e obstetrícia. Os questionários foram divididos em perguntas sócio-demográficas, perguntas de ansiedade, antes e depois do treinamento e perguntas de satisfação e autoconfiança após a atividade educacional. Resultados: 72 alunos, a maioria mulheres, foram incluidos no estudo. Observou-se que a ansiedade dos alunos em relação ao exame pélvico foi maior do que a ansiedade em relação ao exame das mamas (p < 0,001). Não houve diferença estatisticamente significativa na ansiedade basal entre sexo masculino e feminino nos escores relativos ao exame pélvico, exame de mamas e na ansiedade global. O principal motivo da ansiedade basal dos estudantes em relação ao exame pélvico foi o receio de machucar a paciente, seguido do fato de nunca ter assistido previamente a um exame pélvico. O THBS reduziu significativamente a ansiedade dos alunos em relação ao exame pélvico e de mamas sem diferença entre os sexos (2,04 vs. 1,46, respectivamente; p <0,001), A satisfação e autoconfiança dos estudantes foram altas (98,75% e 71,7% respectivamente), sem diferença entre sexos. Conclusão: O THBS atividade educacional é um modelo de aprendizagem que favorece a dimuição da ansiedade e eleva a satisfação e autoconfiança dos estudantes em realizar exame ginecológico sem diferenças entre os sexos.Submitted by Kely Alves (kely.alves@unifenas.br) on 2019-06-10T18:10:19Z No. of bitstreams: 1 Dissertacao Talles.pdf: 2815816 bytes, checksum: 68d3b4b0fa450dc2216fe66d4d0d8722 (MD5)Approved for entry into archive by Kely Alves (kely.alves@unifenas.br) on 2019-06-12T17:43:31Z (GMT) No. of bitstreams: 1 Dissertacao Talles.pdf: 2815816 bytes, checksum: 68d3b4b0fa450dc2216fe66d4d0d8722 (MD5)Approved for entry into archive by Kely Alves (kely.alves@unifenas.br) on 2019-06-12T17:49:27Z (GMT) No. of bitstreams: 1 Dissertacao Talles.pdf: 2815816 bytes, checksum: 68d3b4b0fa450dc2216fe66d4d0d8722 (MD5)Made available in DSpace on 2019-06-12T17:49:49Z (GMT). No. of bitstreams: 1 Dissertacao Talles.pdf: 2815816 bytes, checksum: 68d3b4b0fa450dc2216fe66d4d0d8722 (MD5) Previous issue date: 2018-12-12application/pdfporUniversidade José do Rosário VellanoPrograma de Mestrado em Ensino em SaúdeUNIFENASBrasilPós-GraduaçãoABRAHAM, S. et al. Anxiety and feelings of medical students conducting their first gynecological examination. Journal of Psychosomatic Obstetrics & Gynecology, Sydney, v. 24, n. 1, p. 39-44, 2003. ALMEIDA, Rodrigo Guimarães dos Santos. Validação para a língua portuguesa da escala Student Satisfactionand Self-Confidence in Learning. Revista Latino-americana de Enfermagem, Ribeirão Preto, v. 23, n. 6, p. 1007-1013, 2015. AMARAL, E.; AZEVEDO, G. D.; ABBADE, J. The teaching and learning of gynecology and obstetrics at the undergraduate level: challenges and trends. Revista Brasileira de Ginecologia e Obstetrícia, Rio de Janeiro, v. 29, n. 11, p. 551-554, 2007. BENINCASA, T. A. et al. 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Medical Education, Dundee, v. 37, n. s1, p. 34-41, 2003. KER, Jean; BRADLEY, Paul. Simulation in medical education. Understanding medical education: Evidence, theory and practice. Dundee, v. 1, 2010. LOVELESS, M. B. et al. A simulation program for teaching obstetrics and gynecology residents the pediatric gynecology examination and procedures. Journal of pediatric and adolescent gynecology, Louisville, v. 24, n. 3, p. 127-136, 2011. MADAN, A. K. et al. Education of medical students in clinical breast examination during surgical clerkship. The American journal of surgery, Memphis, v. 184, n. 6, p. 637-640, 2002. MARTINS, A. P. V. Visões do feminino: a medicina da mulher nos séculos XIX e XX. SciELO-Editora FIOCRUZ. Campinas, 2004. MCDERMOTT, M. M.; DOLAN, N. C.; RADEMAKER, A. Effect of breast-tissue characteristics on the outcome of clinical breast examination training. Academic medicine: journal of the Association of American Medical Colleges, Chicago, v. 71, n. 5, p. 505-507, 1996. MOL, S. S. L.; PEELEN, J. H.; KUYVENHOVEN, M. M. Patients’ views on student participation in general practice consultations: a comprehensive review. Medical Teacher, Utrecht, v. 33, n. 7, p. e397-e400, 2011. OKUDA, Y. et al. The utility of simulation in medical education: what is the evidence? Mount Sinai Journal of Medicine: A Journal of Translational and Personalized Medicine. New York, v. 76, n. 4, p. 330-343, 2009. PIESSEN, G. et al. Mise en place et évaluation d’un apprentissage par simulation des examens gynécologiques. Gynécologie Obstétrique & Fertilité, Lille, v. 42, n. 9, p. 591-596, 2014. PILGRIM, C. et al. Improving clinical breast examination training in a medical school. Journal of general internal medicine, Wilmington, v. 8, n. 12, p. 685-688, 1993. POSNER, G. D.; HAMSTRA; STANLEY J. Too much small talk? Medical students’ pelvic examination skills falter with pleasant patients. Medical education, Ottawa, v. 47, n. 12, p. 1209-1214, 2013. POSNER, G. D. 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SARTIN, J. S. J. Marion Sims, the father of gynecology: Hero or villain? Southern medical journal, La Crosse, v. 97, n. 5, p. 500-506, 2004. SCHUBART, J. R. et al. Use of breast simulators compared with standardized patients in teaching the clinical breast examination to medical students. Journal of surgical education, Hershey, v. 69, n. 3, p. 416-422, 2012. SELINGMAN, M.E.P.; WALKER, E.F.; ROSENHAN, D.L. Abnormal Psychology. 4th ed. New York: WW Norton & Company Inc., 2001 SIWE, K.; WIJMA, K. Validation of the Fear of Pelvic Examination Scale (F-PEXS)–measuring students’ fear of performing a pelvic examination. Journal of Psychosomatic Obstetrics & Gynecology, Linköping, v. 36, n. 1, p. 23-28, 2015. TRONCON, L. E. A. Utilização de pacientes simulados no ensino e na avaliação de habilidades clínicas. Medicina, Ribeirão Preto, v. 40, n. 2, p. 180-191, 2007.-7785865496449744764500500600-7642911903105032531-969369452308786627Educação Médica. Exame Ginecológico. Estudantes de Medicina. Treinamento por Simulação. Ansiedade. Confiança. Satisfação Pessoal.CIENCIAS DA SAUDE::MEDICINAEfeito do Treinamento de Habilidades baseado em simulação na ansiedade e autoconfiança dos estudantes de Medicina em relação ao exame pélvico e de mamasinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisinfo:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da UNIFENASinstname:Universidade José do Rosário Vellano (UNIFENAS)instacron:UNIFENASLICENSElicense.txtlicense.txttext/plain; charset=utf-81067http://tede2.unifenas.br:8080/tede/bitstream/jspui/226/1/license.txtce865adf02546587cc75770c22b270c2MD51ORIGINALDissertacao Talles.pdfDissertacao Talles.pdfapplication/pdf2815816http://tede2.unifenas.br:8080/tede/bitstream/jspui/226/2/Dissertacao+Talles.pdf68d3b4b0fa450dc2216fe66d4d0d8722MD52jspui/2262019-06-12 14:49:49.44oai:tede2.unifenas.br: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Biblioteca Digital de Teses e Dissertaçõeshttp://tede2.unifenas.br:8080/jspui/http://tede2.unifenas.br:8080/oai/requestbiblioteca@unifenas.br||biblioteca@unifenas.bropendoar:2019-06-12T17:49:49Biblioteca Digital de Teses e Dissertações da UNIFENAS - Universidade José do Rosário Vellano (UNIFENAS)false
dc.title.por.fl_str_mv Efeito do Treinamento de Habilidades baseado em simulação na ansiedade e autoconfiança dos estudantes de Medicina em relação ao exame pélvico e de mamas
title Efeito do Treinamento de Habilidades baseado em simulação na ansiedade e autoconfiança dos estudantes de Medicina em relação ao exame pélvico e de mamas
spellingShingle Efeito do Treinamento de Habilidades baseado em simulação na ansiedade e autoconfiança dos estudantes de Medicina em relação ao exame pélvico e de mamas
ORSI, T. D.
Educação Médica. Exame Ginecológico. Estudantes de Medicina. Treinamento por Simulação. Ansiedade. Confiança. Satisfação Pessoal.
CIENCIAS DA SAUDE::MEDICINA
title_short Efeito do Treinamento de Habilidades baseado em simulação na ansiedade e autoconfiança dos estudantes de Medicina em relação ao exame pélvico e de mamas
title_full Efeito do Treinamento de Habilidades baseado em simulação na ansiedade e autoconfiança dos estudantes de Medicina em relação ao exame pélvico e de mamas
title_fullStr Efeito do Treinamento de Habilidades baseado em simulação na ansiedade e autoconfiança dos estudantes de Medicina em relação ao exame pélvico e de mamas
title_full_unstemmed Efeito do Treinamento de Habilidades baseado em simulação na ansiedade e autoconfiança dos estudantes de Medicina em relação ao exame pélvico e de mamas
title_sort Efeito do Treinamento de Habilidades baseado em simulação na ansiedade e autoconfiança dos estudantes de Medicina em relação ao exame pélvico e de mamas
author ORSI, T. D.
author_facet ORSI, T. D.
author_role author
dc.contributor.advisor1.fl_str_mv MOURA, A. S.
dc.contributor.advisor1ID.fl_str_mv 00199217645
dc.contributor.advisor1Lattes.fl_str_mv http://lattes.cnpq.br/9237452333174548
dc.contributor.referee1.fl_str_mv FERNANDES, A. L. R. V.
dc.contributor.referee1ID.fl_str_mv 41432843672
dc.contributor.referee1Lattes.fl_str_mv http://lattes.cnpq.br/0307310630939374
dc.contributor.referee2.fl_str_mv DINIZ, S. S. A.
dc.contributor.referee2ID.fl_str_mv 49918915668
dc.contributor.referee2Lattes.fl_str_mv http://lattes.cnpq.br/5066370632699998
dc.contributor.authorID.fl_str_mv 53689437687
dc.contributor.authorLattes.fl_str_mv http://lattes.cnpq.br/6464138279981235
dc.contributor.author.fl_str_mv ORSI, T. D.
contributor_str_mv MOURA, A. S.
FERNANDES, A. L. R. V.
DINIZ, S. S. A.
dc.subject.por.fl_str_mv Educação Médica. Exame Ginecológico. Estudantes de Medicina. Treinamento por Simulação. Ansiedade. Confiança. Satisfação Pessoal.
topic Educação Médica. Exame Ginecológico. Estudantes de Medicina. Treinamento por Simulação. Ansiedade. Confiança. Satisfação Pessoal.
CIENCIAS DA SAUDE::MEDICINA
dc.subject.cnpq.fl_str_mv CIENCIAS DA SAUDE::MEDICINA
description Introduction: The use of mannequin simulation in the learning of gynecology has become important in medical graduation in order to prepare students to perform the gynecological examination with confidence, competence, and reduction of anxiety. Objective: To evaluate the effect of simulation-based educational activity on anxiety and self-confidence concern pelvic and breast exam. Methods: A longitudinal quantitative study with 80 students was applied to fourth-grade medical students from José do Rosário Vellano University / UNIFENAS, campus Alfenas, who responded to questionnaires prior and post simulation-based training (THBS) in gynecology and obstetrics. The questionnaires were divided into socio-demographic questions, anxiety questions before and after practice, and satisfaction and self-confidence questions after the educational activity. Results: 72 students, mostly women, were included and it was observed that the students' anxiety as to pelvic exam was greater than that of breast examination (p <0.001). There was no statistically significant difference in baseline anxiety between males and females in the pelvic examination, breast examination and overall anxiety scores. The main reason for the students' basal anxiety about pelvic examination was their fear of hurting the patient, followed by the fact that they had never attended a pelvic exam before. The THBS significantly reduced students’ anxiety concerning to pelvic and breast examination with no difference between the sexes (2.04 vs. 1.46, respectively, p <0.001). Students satisfaction and self-confidence were high (98,75% and 71,7%, respectively), with no difference between the sexes. Conclusion: The THBS educational activity is a learning model that favors the reduction of anxiety and elevates the students’ satisfaction and self-confidence in performing the gynecological examination with no differences between the sexes.
publishDate 2018
dc.date.issued.fl_str_mv 2018-12-12
dc.date.accessioned.fl_str_mv 2019-06-12T17:49:49Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/masterThesis
format masterThesis
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dc.identifier.citation.fl_str_mv ORSI, T. D. Efeito do Treinamento de Habilidades baseado em simulação na ansiedade e autoconfiança dos estudantes de Medicina em relação ao exame pélvico e de mamas. 2018. 56f. Dissertação (Programa de Mestrado em Ensino em Saúde) - Faculdade de Medicina, Universidade José do Rosário Vellano, Belo Horizonte, 2018.
dc.identifier.uri.fl_str_mv http://tede2.unifenas.br:8080/jspui/handle/jspui/226
identifier_str_mv ORSI, T. D. Efeito do Treinamento de Habilidades baseado em simulação na ansiedade e autoconfiança dos estudantes de Medicina em relação ao exame pélvico e de mamas. 2018. 56f. Dissertação (Programa de Mestrado em Ensino em Saúde) - Faculdade de Medicina, Universidade José do Rosário Vellano, Belo Horizonte, 2018.
url http://tede2.unifenas.br:8080/jspui/handle/jspui/226
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dc.relation.references.por.fl_str_mv ABRAHAM, S. et al. Anxiety and feelings of medical students conducting their first gynecological examination. Journal of Psychosomatic Obstetrics & Gynecology, Sydney, v. 24, n. 1, p. 39-44, 2003. ALMEIDA, Rodrigo Guimarães dos Santos. Validação para a língua portuguesa da escala Student Satisfactionand Self-Confidence in Learning. Revista Latino-americana de Enfermagem, Ribeirão Preto, v. 23, n. 6, p. 1007-1013, 2015. AMARAL, E.; AZEVEDO, G. D.; ABBADE, J. The teaching and learning of gynecology and obstetrics at the undergraduate level: challenges and trends. Revista Brasileira de Ginecologia e Obstetrícia, Rio de Janeiro, v. 29, n. 11, p. 551-554, 2007. BENINCASA, T. A. et al. Results of an office‐based training program in clinical breast examination for primary care physicians. Journal of Cancer Education, Cheltenham, v. 11, n. 1, p. 25-31, 1996. BODDEN-HEIDRICH, R. et al. 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Medical Teacher, Utrecht, v. 33, n. 7, p. e397-e400, 2011. OKUDA, Y. et al. The utility of simulation in medical education: what is the evidence? Mount Sinai Journal of Medicine: A Journal of Translational and Personalized Medicine. New York, v. 76, n. 4, p. 330-343, 2009. PIESSEN, G. et al. Mise en place et évaluation d’un apprentissage par simulation des examens gynécologiques. Gynécologie Obstétrique & Fertilité, Lille, v. 42, n. 9, p. 591-596, 2014. PILGRIM, C. et al. Improving clinical breast examination training in a medical school. Journal of general internal medicine, Wilmington, v. 8, n. 12, p. 685-688, 1993. POSNER, G. D.; HAMSTRA; STANLEY J. Too much small talk? Medical students’ pelvic examination skills falter with pleasant patients. Medical education, Ottawa, v. 47, n. 12, p. 1209-1214, 2013. POSNER, G. D. The quandary of the sacred vagina: exploring the value of gynaecological teaching associates. Medical education, Ottawa, v. 49, n. 12, p. 1179-1180, 2015. PUGH, C. M.; SALUD, L. H. Fear of missing a lesion: use of simulated breast models to decrease student anxiety when learning clinical breast examinations. The American journal of surgery, Chicago, v. 193, n. 6, p. 766-770, 2007. PUGH, C.M.; OBADINA, E. T.; AIDOO, K. A. Fear of causing harm: use of mannequin-based simulation to decrease student anxiety prior to interacting with female teaching associates. Teaching and Learning in Medicine, Chicago, v. 21, n. 2, p. 116-120, 2009. RAKESTRAW, P. G.; VONTVER, L. A.; IRBY, D. M. Utilization of an anthropomorphic model in pelvic examination instruction. Academic Medicine, Seattle, v. 60, n. 4, p. 343-5, 1985. RIO, S. M. P. et al. Experience of women attended by medical students in gynecological care. Revista Brasileira de Educação Médica, Rio de Janeiro, v. 37, n. 4, p. 492-500, 2013. SARTIN, J. S. J. Marion Sims, the father of gynecology: Hero or villain? Southern medical journal, La Crosse, v. 97, n. 5, p. 500-506, 2004. SCHUBART, J. R. et al. Use of breast simulators compared with standardized patients in teaching the clinical breast examination to medical students. Journal of surgical education, Hershey, v. 69, n. 3, p. 416-422, 2012. SELINGMAN, M.E.P.; WALKER, E.F.; ROSENHAN, D.L. Abnormal Psychology. 4th ed. New York: WW Norton & Company Inc., 2001 SIWE, K.; WIJMA, K. Validation of the Fear of Pelvic Examination Scale (F-PEXS)–measuring students’ fear of performing a pelvic examination. Journal of Psychosomatic Obstetrics & Gynecology, Linköping, v. 36, n. 1, p. 23-28, 2015. TRONCON, L. E. A. Utilização de pacientes simulados no ensino e na avaliação de habilidades clínicas. Medicina, Ribeirão Preto, v. 40, n. 2, p. 180-191, 2007.
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