已发表论文

改进产妇高级心血管生命支持培训:评估改良佩顿四步教学法的有效性

 

Authors Zhang X, Sun Z , Lan Q, Xu M , Guo X, Wei B

Received 23 May 2025

Accepted for publication 6 September 2025

Published 10 October 2025 Volume 2025:16 Pages 1837—1845

DOI https://doi.org/10.2147/AMEP.S542286

Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Dr Sateesh B Arja

Xiaoqing Zhang,* Zhuonan Sun,* Qiong Lan, Mao Xu, Xiangyang Guo, Bin Wei

Department of Anesthesiology, Peking University Third Hospital, Beijing, 100191, People’s Republic of China

*These authors contributed equally to this work

Correspondence: Bin Wei, Email binweipku@163.com

Purpose: Maternal Advanced Cardiovascular Life Support (ACLS) training is crucial for effective maternal cardiopulmonary resuscitation education. Traditional lecture-based approach for maternal cardiopulmonary resuscitation falls short in providing opportunities for adequate practice and active participating. Peyton’s four-step teaching method shows advantages in the acquisition of procedural skills. Its effectiveness is constrained in group settings due to the 1:1 teacher-student ratio requirement. This study aims to evaluate the effectiveness of a modified Peyton’s four-step teaching method in maternal ACLS training, with the objective of optimizing clinical training strategies.
Methods: Sixty physicians participating in ACLS training at our hospital from October 2023 to December 2024 were enrolled and randomly divided into an experimental group (n = 30) and a control group (n = 30). The experimental group received the modified Peyton’s four-step teaching method, while the control group underwent traditional lecture-based training. Teaching effectiveness was compared through knowledge assessments, skill evaluations, and feedback questionnaires.
Results: No significant difference was observed in knowledge scores between the two groups (experimental group: 94.6 ± 4.1 vs control group: 94.3 ± 3.9, P > 0.05). However, the experimental group demonstrated significantly higher accuracy in skill operations, including uterine displacement maneuvers, peripartum cesarean section decision-making, defibrillation, and resuscitation drug administration (P < 0.05). Teamwork performance and adherence to maternal cardiac arrest (CA) protocols were also superior in the experimental group (P < 0.05). Questionnaire results indicated higher satisfaction (4.5 ± 0.7 vs 4.1 ± 0.5, P < 0.05) and greater learning engagement (4.5± 0.6 vs 4.0± 0.6, P < 0.05) in the experimental group.
Conclusion: The modified Peyton’s four-step teaching method significantly enhances physicians’ mastery of maternal ACLS skills, improves teamwork capabilities, and elevates both teaching quality and learner satisfaction.

Keywords: Peyton’s four-step teaching method, cardiac arrest, maternal, advanced cardiovascular life support, physician