虚拟现实评估居民在COVID-19期间对即将发生的呼吸系统衰竭的认识
James D Odum1,2, Francis J Real3,4, Joshua Rice2
1Division of Critical Care.
Hospital pediatrics
|May 26, 2023
概括
儿科居民在COVID-19流行病后的VR模拟中努力识别即将发生的呼吸衰竭和升级护理. 虚拟现实可能在减少临床暴露期间提供安全的培训替代方案.
科学领域:
- 医学教育 医学教育
- 儿科重症监护 儿科重症监护
- 虚拟现实模拟虚拟现实模拟
背景情况:
- 随着COVID-19的流行,儿科住院医生的临床用量减少.
- 实践经验的减少可能会影响住院人员管理重症患者的能力.
研究的目的:
- 评估儿科住院医生在识别和管理婴儿呼吸衰竭方面的技能.
- 评估虚拟现实 (VR) 模拟在有限临床暴露期间培训的有效性.
主要方法:
- 62名儿科住院医生参与了30分钟的支气管炎病例VR模拟.
- 绩效被评估在认知改变精神状态,识别呼吸衰竭和护理升级方面.
- 统计分析比较了研究生一年 (PGY) 的各个水平的表现.
主要成果:
- 只有53%的人承认精神状态发生变化,16%的人发现呼吸衰竭,23%的人增加了护理.
- 在PGY水平之间,在识别改变的精神状态或呼吸衰竭方面没有发现显著差异.
- 与PGY2居民相比,PGY3+居民显示出更适当的护理升级趋势.
结论:
- 儿科住院医生在识别和管理呼吸衰竭方面面临挑战,特别是在临床经验减少的时期之后.
- 虚拟现实模拟可以作为一种有价值的,安全的工具,用于在临床暴露减少期间培训和评估居民.
- 建议进一步整合VR模拟,以保持和增强重症监护技能.
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