The effect of peer-assisted episiotomy repair simulation on anxiety and self-efficacy levels in midwifery students


Inan Kirmizigul E., Yetiskin Erogul G., Damsarsan S., ŞİMŞEK KÜÇÜKKELEPÇE D., GÖLBAŞI Z.

BMC Medical Education, cilt.25, sa.1, 2025 (SCI-Expanded, SSCI, Scopus) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 25 Sayı: 1
  • Basım Tarihi: 2025
  • Doi Numarası: 10.1186/s12909-025-07972-4
  • Dergi Adı: BMC Medical Education
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, MEDLINE, Directory of Open Access Journals
  • Anahtar Kelimeler: Episiotomy, Midwifery, Peer, Perineal injury, Simulation
  • Lokman Hekim Üniversitesi Adresli: Evet

Özet

Backround: Perineal injury repair skills should be taught to students in midwifery education. One of these methods is peer-supported simulation training in simulation environments. This study aimed to determine the effect of peer-assisted episiotomy and perineal injury repair simulation on midwifery students’ anxiety and self-efficacy. Methods: A pretest-posttest, one-group quasi-experimental design. The study was carried out with 39 third-year midwifery students studying at a foundation university. Episiotomy repair simulation was carried out peer-assisted using sponge and chicken breast. The “Introductory Information Form,” the “State-Trait Anxiety Inventory,” and the “General Self-Efficacy Scale” were used as data collection tools. In the analysis of the data, descriptive statistics and dependent group t-tests were employed to evaluate the difference between the pre-test and post-test. Results: The mean age of the students was 21.44 ± 1.68 years (Min = 20; Max = 30). According to the results, there was a significant decrease in the mean scores of the State and Trait Anxiety scales in the pre-and post-simulation periods (Pre: State Anxiety mean 34.41 ± 9.58, Trait Anxiety 44.79 ± 9.57; Post: State Anxiety mean 30.48 ± 9.31, Trait Anxiety 41.33 ± 10.82; p < 0.05). While no difference was observed between the pre-test and post-test in the total score of general self-efficacy (Pre: mean 62.48 ± 9.74; Post: mean 62.59 ± 11.92; p > 0.05) of the students, there was a significant difference in the sub-dimension of Sustaining Effort & Persistence (p < 0.05). Conclusions: The findings of this study demonstrated that peer-assisted episiotomy repair simulation training effectively reduced students’ anxiety. It is recommended that peer support be included in pre-clinical episiotomy and perineal injury repair simulation practice.