Nursing Innovation Research and Resource Unit, School of Nursing, Mae Fah Luang University, Chiang Rai, Thailand.
College of Advanced Practice Nurse and Midwife, Thailand Nursing and Midwifery Council, Nonthaburi, Thailand.
BMC Med Educ. 2023 Oct 19;23(1):782. doi: 10.1186/s12909-023-04764-6.
In traditional basic life support training for university students or the public, trainees practice simulations only once or twice during the course, potentially limiting their competence. In contrast, virtual reality allows trainees to independently study and practice as often as needed, enhancing their skills. This research and development project aimed to develop and evaluate a novel learning device, virtual reality basic life support for undergraduate students of Mae Fah Luang University (MFU BLiS VR).
This study employed a two-group, pre- and post-test design, involving seventy students (n = 35 in each group) from Mae Fah Luang University, Thailand. Data were collected from March 2022 to January 2023. The experimental group received the MFU BLiS VR, in addition to traditional teaching, while the control group received only traditional teaching. Data analysis employed descriptive statistics, Chi-square, Mann-Whitney U test, and Wilcoxon signed ranks test.
"MFU BLiS VR" provided a learning experience in out-of-hospital basic life support for adult patients in four scenarios: (1) a person who was not breathing but had a pulse; (2) a person who was not breathing, had no pulse, and required defibrillation; (3) a person who was not breathing, had no pulse, and did not require defibrillation; and (4) a person with normal breathing and pulse but was unconscious. Each scenario was presented sequentially from scenario one to scenario four. The scenarios encompassed common and complex situations requiring prompt and effective bystander responses to save lives. The results revealed that the experimental group had a significantly shorter no-flow time compared to the control group (Z = -5.02, p < .001) and achieved significantly higher knowledge scores than the control group (Z = -3.39, p < .01) as well as superior practical skills (Z = -7.26, p < .001). Both groups reported the highest satisfaction levels in all aspects, with no significant differences.
MFU BLiS VR is an effective training approach for teaching and learning basic life support and the use of an automated electronic defibrillator. It captures students' attention and enhances their understanding of these essential life support skills, which are crucial for everyone.
在传统的大学生或公众基础生命支持培训中，学员在课程中仅进行一到两次模拟练习，这可能限制了他们的能力。相比之下，虚拟现实允许学员根据需要自主学习和练习，从而提高他们的技能。本研究与开发项目旨在开发和评估一种新型学习设备，即玛哈沙拉坎大学本科生的虚拟现实基础生命支持（MFU BLiS VR）。
本研究采用了两组、前后测试设计，涉及泰国玛哈沙拉坎大学的 70 名学生（每组 35 名）。数据收集时间为 2022 年 3 月至 2023 年 1 月。实验组接受 MFU BLiS VR 教学，同时接受传统教学，对照组仅接受传统教学。数据分析采用描述性统计、卡方检验、Mann-Whitney U 检验和 Wilcoxon 符号秩检验。
“MFU BLiS VR”为成人患者提供了四种院外基本生命支持的学习体验：（1）有脉搏但无呼吸的人；（2）无呼吸、无脉搏且需要除颤的人；（3）无呼吸、无脉搏且无需除颤的人；（4）有正常呼吸和脉搏但无意识的人。每个场景都是从场景一按顺序呈现到场景四。这些场景涵盖了需要及时有效的旁观者反应才能挽救生命的常见和复杂情况。结果显示，实验组的无血流时间明显短于对照组（Z=-5.02，p<0.001），知识得分明显高于对照组（Z=-3.39，p<0.01），实践技能也更优（Z=-7.26，p<0.001）。两组在所有方面的满意度都最高，且无显著差异。
MFU BLiS VR 是一种教授和学习基础生命支持和使用自动电子除颤器的有效培训方法。它吸引了学生的注意力，增强了他们对这些基本生命支持技能的理解，这些技能对每个人来说都是至关重要的。
