Chen Ying-Ling, Hou Mark C, Chang Shun-Chang, Huang Chih-Chung
School of Chinese Medicine, China Medical University, Taichung City, Taiwan.
Department of Chinese Medicine, China Medical University Hospital, Taichung City, Taiwan.
Med Acupunct. 2023 Apr 1;35(2):82-88. doi: 10.1089/acu.2022.0053. Epub 2023 Apr 13.
Ultrasound (US) detection acupuncture (UDA) is an innovative acupuncture technique that uses ultrasonography (USG) to detect the depth of the lung before performing acupuncture on the points around the chest to avoid puncturing the lungs. For acupuncturists to use UDA appropriately, it is crucial to have a good operating method to identify the pleura with USG. This study compared 2 US operating methods through active learning in a "flipped classroom" setting for acupuncture students.
Students and interns were recruited to complete the UDA flipped classroom course and evaluate the operations of 2 US methods on either of 2 simulation models: (1) a single B-mode or (2) a combined M-mode + B-mode. Participants were interviewed and satisfaction surveys were administered to obtain feedback.
A total of 37 participants completed the course and evaluations. The combined mode had better measurement accuracy, acupuncture safety, and operating time ( < 0.05), and no pneumothoraxes occurred. Among both participant groups, the combined mode allowed the student group to learn quickly and the intern group to become more proficient. Both interviews and satisfaction surveys yielded positive feedback.
Using a combined mode for UDA can improve its performance greatly. The combined mode is definitely helpful for learning and promotion of UDA.
超声引导下针刺定位(UDA)是一种创新的针刺技术,在对胸部周围穴位进行针刺前,利用超声检查(USG)来检测肺的深度,以避免刺破肺脏。对于针灸师正确使用UDA而言,掌握一种利用USG识别胸膜的良好操作方法至关重要。本研究在“翻转课堂”环境中,通过主动学习对两种超声操作方法进行了比较,受试对象为针灸专业学生。
招募学生和实习生完成UDA翻转课堂课程,并在两种模拟模型上评估两种超声方法的操作:(1)单一B模式;(2)M模式+B模式组合。对参与者进行访谈并开展满意度调查以获取反馈。
共有37名参与者完成了课程和评估。组合模式在测量准确性、针刺安全性和操作时间方面表现更佳(P<0.05),且未发生气胸。在两个受试组中,组合模式使学生组学习速度更快,实习生组操作更熟练。访谈和满意度调查均得到了积极反馈。
采用组合模式进行UDA可显著提高其性能。组合模式对UDA的学习和推广肯定有帮助。