使用模拟来评估腹部触摸技能的困难
Xiaowei Xu1,2, Haoyu Wang2,3, Jingfang Luo1,2
1The Seventh Affiliated Hospital, Sun Yat-Sen University, Shenzhen, China.
BMC medical education
|November 23, 2023
概括
使用模拟器开发腹部触摸技能的客观测试是具有挑战性的. 目前的模拟方法缺乏评估这种触觉临床技能的能力所需的可靠性和区分能力.
科学领域:
- 医学教育 医学教育
- 临床技能评估 临床技能评估
- 消化系统检查检查
背景情况:
- 腹部触摸对于诊断消化系统疾病至关重要.
- 对这种技能缺乏客观和标准化的评估.
- 基于模拟的培训提供了一个潜在的解决方案.
研究的目的:
- 开发和验证使用模拟器进行腹部触摸的客观,标准化测试.
- 为了建立一个可信的通过/失败标准,基本能力在腹部触摸.
- 评估两个基于模拟的测试的可靠性和区分能力.
主要方法:
- 使用Jucheng和AbSim模拟器设计了两个腹部触摸测试.
- 测试包括各种模拟的病理 (例如,肝壮病,墨菲征兆).
- 参与者包括新手,中级和经验丰富的人;数据被统计分析.
主要成果:
- 这两项测试均显示出内部一致性可靠性较低 (克朗巴赫α 0.35和-0.41).
- 触摸时间的可靠性是可以接受的 (0.65和0.76).
- 经验组之间没有发现分数或时间的显著差异,排除了通过/失败标准.
结论:
- 目前基于模拟的测试不能有效地测量腹部触摸技能.
- 腹部触摸是一种复杂的触觉技能,难以准确模拟.
- 需要进一步的研究来开发这种技能的有效模拟工具.
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