在虚拟现实模拟器或物理模型模拟器上进行结肠镜训练:随机对照试验
Yifei Mu1, Xinyi Yang2, Feng Guo1
1Department of Gastrointestinal Surgery, Renji Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China; Simulation Centre, Renji Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
Journal of surgical education
|August 17, 2024
概括
虚拟现实 (VR) 模拟器和物理模型模拟器都增强了初学者结肠镜训练. 与实体模型相比,VR模拟器表现出更高的有效性,这使得它们被强烈推用于基础结肠镜技能发展.
科学领域:
- 医学教育 医学教育
- 手术模拟器手术模拟器
- 胃肠病学 胃肠病学
背景情况:
- 结肠镜检查是一项关键的诊断和治疗程序.
- 对初学者内镜师的有效培训对于患者的安全和程序的成功至关重要.
- 基于模拟的培训提供了一个受控的环境,以获得结肠镜技能.
研究的目的:
- 为了比较虚拟现实 (VR) 模拟器与物理模型模拟器在结肠镜训练中的有效性.
- 为初学者确定最佳的模拟方法.
- 为结肠镜模拟培训提供基于证据的建议.
主要方法:
- 一个随机对照试验,涉及40名没有先前结肠镜经验的外科住院医生.
- 参与者被分配到VR模拟器组或物理模型模拟器组.
- 通过基线和培训后的猪结肠镜测试来评估表现,由盲目的医生使用GAGES-C评分系统进行评估.
主要成果:
- 虚拟现实和物理模型模拟器都导致结肠镜性能从基线显著改善.
- 与物理模型模拟器组相比,VR模拟器组显示出明显更好的结果 (p=0.042).
- 在这两种模拟方法中,报告了高水平的参与者满意度.
结论:
- 初学者可以从VR和物理模型模拟器中获益,以进行结肠镜训练.
- 在基础结肠镜训练中,VR模拟器比物理模型更有效.
- 推VR模拟器用于初学者学习基本结肠镜检查程序.
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