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腹腔镜虚拟现实训练对提高学员手术技能的评估。

Evaluation of Laparoscopy Virtual Reality Training on the Improvement of Trainees' Surgical Skills.

机构信息

Department of Gynecology and Obstetrics, Campus Kiel, University Hospitals Schleswig-Holstein, 24105 Kiel, Germany.

Cambridge Endometriosis and Endoscopic Surgery Unit (CEESU), Gynaecology Department, Cambridge University Hospitals Foundation Trust, Cambridge 01223, UK.

出版信息

Medicina (Kaunas). 2021 Feb 2;57(2):130. doi: 10.3390/medicina57020130.

DOI:10.3390/medicina57020130
PMID:33540817
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7913105/
Abstract

: The primary objective was to evaluate the benefit of training with virtual reality simulation. The secondary objective was to describe the short-term skill acquisition obtained by simulation training and to determine the factors affecting its magnitude. : We prospectively performed a three-stage evaluation: face, constructive, and predictive to evaluate the training with a laparoscopic simulator with haptic feedback. The participants ( = 63) were divided according to their level of experience into three groups: 16% residents; 46% specialists and 38% were consultants. : Face evaluation demonstrates the acceptance of the design and realism of the tasks; it showed a median score of eight (IQR 3) on a Likert scale and 54% of participants ( = 34) gave the tissue feedback a moderate rating. Constructive evaluation demonstrates the improvement of the participants in the training session and the ability of the designed task to distinguish the experienced from the inexperienced surgeon based on the performance score, at task I (transfer of pegs) and II (laparoscopic salpingectomy). There was an improvement in both tasks with a significant increase in score and reduction in time. The study showed that those with a high score at the pre-test recorded a high score post-test, showing a significant pair-wise comparison () and correlation () showing a significant statistical significance ( < 0.001). The predictive evaluation demonstrates the beneficiary effect of training four weeks afterward on the practice of surgeons addressed with five questions. It showed an improvement regarding implementation into daily routine, performance of procedure, suturing, shortening of the operative time, and complication management. : Virtual reality simulation established high ratings for both realism and training capacity, including clinical relevance, critical relevance, and maintaining training enthusiasm.

摘要

目的

评估虚拟现实模拟训练的益处。次要目标是描述通过模拟训练获得的短期技能习得,并确定影响其程度的因素。

方法

我们前瞻性地进行了三阶段评估:表面、构建和预测,以评估具有触觉反馈的腹腔镜模拟器的培训。参与者(=63)根据其经验水平分为三组:16%为住院医师;46%为专家,38%为顾问。

结果

表面评估证明了设计和任务的现实性得到了接受;它在李克特量表上的中位数评分为 8(IQR 3),54%的参与者(=34)对组织反馈给予了中等评价。构建性评估证明了参与者在培训课程中的改进,以及设计任务根据绩效评分区分有经验和无经验外科医生的能力,在任务 I(销钉转移)和 II(腹腔镜输卵管切除术)中。两个任务的得分都有所提高,时间也有所减少。研究表明,预测试得分高的人在测试后得分也高,表现出显著的两两比较()和相关性(),具有显著的统计学意义(<0.001)。预测性评估表明,四周后对接受五个问题的外科医生进行培训具有有益效果。在日常实践、手术程序的执行、缝合、手术时间的缩短和并发症管理方面都有了改进。

结论

虚拟现实模拟在真实性和培训能力方面都获得了较高的评价,包括临床相关性、关键相关性和保持培训积极性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d2f/7913105/a3c9a191cb5a/medicina-57-00130-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d2f/7913105/d64ffa9085c6/medicina-57-00130-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d2f/7913105/8d0d3bbd1eba/medicina-57-00130-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d2f/7913105/a3c9a191cb5a/medicina-57-00130-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d2f/7913105/d64ffa9085c6/medicina-57-00130-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d2f/7913105/8d0d3bbd1eba/medicina-57-00130-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d2f/7913105/a3c9a191cb5a/medicina-57-00130-g003.jpg

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