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在烧伤护理中对仿真进行系统审查:教育,评估和管理
Tayla Moshal1, Devon O'Brien1, Idean Roohani1
1Keck School of Medicine, University of Southern California, Los Angeles, CA 90033, USA.
概括
这次审查发现,大多数烧伤管理模拟都是高保真和合成的,专注于急性护理. 更多样化的模拟模型,特别是用于烧伤重建和使用增强/虚拟现实,对于全面的实习生教育是必要的.
科学领域:
- 医学教育 医学教育
- 手术模拟器手术模拟器
- 燃烧管理 燃烧管理
背景情况:
- 烧伤管理需要及时,熟练的干预,这给医疗保健专业人员带来了培训挑战.
- 基于模拟的教育提供了一个安全的环境,以提高外科和非外科技能.
- 关于燃烧管理模拟的现有文献需要系统评估.
研究的目的:
- 系统地审查有关燃烧管理模拟模型的现有文献.
- 确定模拟的类型,所教的技能和使用的评估方法.
- 突出燃烧模拟培训中的差距和改进领域.
主要方法:
- 系统审查遵循系统审查和元分析 (PRISMA) 准则的首选报告项目.
- 包括描述特定烧伤手术和非手术模拟模型的文章.
- 提取关于模型类型,可靠性,成本,模拟技能和评估结果的数据.
主要成果:
- 31篇文章符合纳入标准;大多数模拟是高保真 (54.8%) 和沉浸式 (54.8%),使用合成基板模型 (41.9%).
- 模拟专注于急性/早期手术干预 (51.6%) 和烧伤评估 (48.4%),仅限于烧伤重建 (9.7%).
- 技术技能 (93.5%) 被强调而非技术技能 (48.4%);主观评估 (58.1%) 比客观评估 (74.2%) 更常见.
结论:
- 目前的烧伤模拟主要使用高保真合成模型进行急性护理培训.
- 显著需要扩展模拟选项,特别是用于烧伤重建和整合动物,尸体或增强/虚拟现实 (AR/VR) 模型.
- 开发可验证,可访问的烧伤模拟可以提高学员教育,患者安全和临床结果.
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