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先天性心脏病三维模型作为心脏科护士教育工具的应用。

Use of 3D models of congenital heart disease as an education tool for cardiac nurses.

作者信息

Biglino Giovanni, Capelli Claudio, Koniordou Despina, Robertshaw Di, Leaver Lindsay-Kay, Schievano Silvia, Taylor Andrew M, Wray Jo

机构信息

Bristol Heart Institute, School of Clinical Sciences, University of Bristol, Bristol, UK.

Cardiorespiratory Division, Great Ormond Street Hospital for Children, NHS Foundation Trust, London, UK.

出版信息

Congenit Heart Dis. 2017 Jan;12(1):113-118. doi: 10.1111/chd.12414. Epub 2016 Sep 26.

Abstract

BACKGROUND

Nurse education and training are key to providing congenital heart disease (CHD) patients with consistent high standards of care as well as enabling career progression. One approach for improving educational experience is the use of 3D patient-specific models.

OBJECTIVES

To gather pilot data to assess the feasibility of using 3D models of CHD during a training course for cardiac nurses; to evaluate the potential of 3D models in this context, from the nurses' perspective; and to identify possible improvements to optimise their use for teaching.

DESIGN

A cross-sectional survey.

SETTING

A national training week for cardiac nurses.

PARTICIPANTS

One hundred cardiac nurses (of which 65 pediatric and 35 adult).

METHODS

Nurses were shown nine CHD models within the context of a specialized course, following a lecture on the process of making the models themselves, starting from medical imaging. Participants were asked about their general learning experience, if models were more/less informative than diagrams/drawings and lesion-specific/generic models, and their overall reaction to the models. Possible differences between adult and pediatric nurses were investigated. Written feedback was subjected to content analysis and quantitative data were analyzed using nonparametric statistics.

RESULTS

Generally models were well liked and nurses considered them more informative than diagrams. Nurses found that 3D models helped in the appreciation of overall anatomy (86%), spatial orientation (70%), and anatomical complexity after treatment (66%). There was no statistically significant difference between adult and pediatric nurses' responses. Thematic analysis highlighted the need for further explanation, use of labels and use of colors to highlight the lesion of interest amongst improvements for optimizing 3D models for teaching/training purposes.

CONCLUSION

3D patient-specific models are useful tools for training adult and pediatric cardiac nurses and are particularly helpful for understanding CHD anatomy after repair.

摘要

背景

护士教育与培训是为先天性心脏病(CHD)患者提供持续高标准护理以及促进职业发展的关键。改善教育体验的一种方法是使用针对患者的3D模型。

目的

收集试点数据,以评估在心脏科护士培训课程中使用CHD 3D模型的可行性;从护士的角度评估3D模型在这种情况下的潜力;并确定可能的改进措施,以优化其在教学中的使用。

设计

横断面调查。

地点

全国心脏科护士培训周。

参与者

100名心脏科护士(其中65名儿科护士和35名成人护士)。

方法

在一门专门课程中,先向护士们讲解从医学影像开始制作模型的过程,然后展示九个CHD模型。参与者被问及他们的总体学习体验、模型是否比图表/绘图以及病变特异性/通用模型更具信息性,以及他们对模型的总体反应。调查了成人护士和儿科护士之间可能存在的差异。书面反馈进行了内容分析,定量数据使用非参数统计进行分析。

结果

总体而言,模型很受欢迎,护士们认为它们比图表更具信息性。护士们发现3D模型有助于理解整体解剖结构(86%)、空间定位(70%)以及治疗后的解剖复杂性(66%)。成人护士和儿科护士的反应之间没有统计学上的显著差异。主题分析强调,为了优化3D模型用于教学/培训目的,在改进方面需要进一步解释、使用标签以及使用颜色来突出感兴趣的病变。

结论

针对患者的3D模型是培训成人和儿科心脏科护士的有用工具,对理解修复后的CHD解剖结构特别有帮助。

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