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利用虚拟现实进行医学教育的效果:系统评价和荟萃分析。

Effects of Medical Education Program Using Virtual Reality: A Systematic Review and Meta-Analysis.

机构信息

College of Nursing, Sahmyook University, Seoul 01795, Republic of Korea.

VR Healthcare Content Lab, Seoul 01795, Republic of Korea.

出版信息

Int J Environ Res Public Health. 2023 Feb 22;20(5):3895. doi: 10.3390/ijerph20053895.


DOI:10.3390/ijerph20053895
PMID:36900904
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10001289/
Abstract

Several studies have examined the effect of virtual reality (VR) education. However, they are mostly systematic reviews or meta-analyses focusing on doctors and residents; they fail to consider VR medical education for a broader range of learners. We evaluated the effectiveness of VR education for health professionals and identified the essential features of education. Randomized controlled trials published from January 2000 to April 2020 were identified from PubMed, Embase, CINAHL, and the Cochrane Library (n = 299). The randomized studies' bias risk was evaluated using Cochrane's Risk of Bias tool. Meta- and subgroup-analyses were conducted using Review Manager 5.4.1. The overall effect was measured using Hedges' g and determined using Z-statistics ( < 0.05). Heterogeneity was assessed using X and I statistics. Among the identified records, 25 studies were selected through systematic review, and 18 studies were included in the meta-analysis. We identified a significant improvement in the VR group's skill and satisfaction levels, and that less immersive VR was more efficacious for knowledge outcomes than fully immersive VR. Maximizing the advantages of VR will increase learning opportunities and complement the limited clinical experience, thus improving medical services. A systematic and efficient VR medical education program will greatly enhance learners' core competencies.

摘要

多项研究考察了虚拟现实(VR)教育的效果。然而,这些研究大多是系统评价或荟萃分析,主要关注医生和住院医师,未能考虑到更广泛的学习者的 VR 医学教育。我们评估了 VR 教育对卫生专业人员的有效性,并确定了教育的基本特征。从 PubMed、Embase、CINAHL 和 Cochrane 图书馆(n = 299)中确定了 2000 年 1 月至 2020 年 4 月发表的随机对照试验。使用 Cochrane 的偏倚风险工具评估随机研究的偏倚风险。使用 Review Manager 5.4.1 进行荟萃分析和亚组分析。使用 Hedges' g 测量总体效果,并使用 Z 统计量(<0.05)进行判断。使用 X 和 I 统计量评估异质性。在确定的记录中,通过系统评价选择了 25 项研究,并纳入了 18 项研究进行荟萃分析。我们发现 VR 组的技能和满意度水平有显著提高,与完全沉浸式 VR 相比,低沉浸度 VR 对知识结果更有效。最大限度地发挥 VR 的优势将增加学习机会,并补充有限的临床经验,从而改善医疗服务。系统高效的 VR 医学教育计划将极大地提高学习者的核心竞争力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8753/10001289/a739eda6a216/ijerph-20-03895-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8753/10001289/f1fb739a5411/ijerph-20-03895-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8753/10001289/e78c23bd1755/ijerph-20-03895-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8753/10001289/a739eda6a216/ijerph-20-03895-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8753/10001289/f1fb739a5411/ijerph-20-03895-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8753/10001289/e78c23bd1755/ijerph-20-03895-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8753/10001289/a739eda6a216/ijerph-20-03895-g003.jpg

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Virtual reality for assessment in undergraduate nursing and medical education - a systematic review.

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[6]
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[7]
Comparing Virtual Reality-Based and Traditional Physical Objective Structured Clinical Examination (OSCE) Stations for Clinical Competency Assessments: Randomized Controlled Trial.

J Med Internet Res. 2025-1-10

[8]
Instructional design features in ultrasound-guided regional anaesthesia simulation-based training: a systematic review.

Anaesthesia. 2025-5

[9]
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[10]
Immersive learning in medical education: analyzing behavioral insights to shape the future of VR-based courses.

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本文引用的文献

[1]
Effects of Virtual Reality-Based Distraction of Pain, Fear, and Anxiety During Needle-Related Procedures in Children and Adolescents.

Front Psychol. 2022-4-19

[2]
Immersive virtual-reality computer-assembly serious game to enhance autonomous learning.

Virtual Real. 2021-12-23

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Effects of the Application of Virtual Reality to Experiential Education on Self-Efficacy and Learning Motivation of Social Workers.

Front Psychol. 2021-10-27

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JMIR Serious Games. 2021-10-8

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Front Hum Neurosci. 2019-11-26

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How does virtual reality simulation compare to simulated practice in the acquisition of clinical psychomotor skills for pre-registration student nurses? A systematic review.

Int J Nurs Stud. 2019-11-14

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Future Healthc J. 2019-10

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