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急诊模拟训练中影响虚拟现实眩晕的因素。

Factors Influencing Virtual Reality Sickness in Emergency Simulation Training.

作者信息

Firdaus Riyadh, Tantri Aida Rosita, Manggala Sidharta Kusuma

机构信息

Department of Anesthesiology and Intensive Care, Faculty of Medicine, Universitas Indonesia - Cipto Mangunkusumo Hospital, Jakarta, Indonesia.

出版信息

Med Sci Educ. 2024 Jul 5;34(6):1309-1315. doi: 10.1007/s40670-024-02102-z. eCollection 2024 Dec.

DOI:10.1007/s40670-024-02102-z
PMID:39758480
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11699192/
Abstract

INTRODUCTION

Virtual reality-based simulation is an educational tool that has been proven to increase participants' self-perceived, confidence, and skill. However, the use of VR is associated with virtual reality sickness (VRS). The purpose of this study is to determine related factors of VRS in an emergency setting simulation-based training, hence providing information and mitigation plan to enhance and optimize learning outcomes.

METHOD

We developed multiplayer VR simulation in Traumatic Brain Injury and Local Anaesthetic Systemic Toxicity emergency. Seventy-five medical doctors voluntarily partake in the VR simulation. Throughout the simulation and its aftermath, participants were carefully monitored and observed. Additionally, they were questioned regarding their experience of VRS using the Simulation Sickness Questionnaire (SSQ) instrument.

RESULT

The incidence of virtual reality sickness was found to be 57.3% and is significantly associated with male gender, myopia, astigmatism, and the use of stationary VR mode (<0.05). The mean SSQ score for nausea, oculomotor, disorientation, and total score component is 5.97 (standard deviation (SD): 6.4), 6.26 (SD 6.5), 125.6 (SD 132), and 9.03 (SD 9.5), respectively. There were 16% of participant experiencing severe symptoms of VRS.

CONCLUSION

Male gender, myopia, astigmatism, and the use of stationary VR mode were related with incidence of virtual reality sickness. VR activities in either room-scale or walking mode and appropriate correction of any refractive disorders are pivotal to prevent VRS in VR simulation training.

摘要

引言

基于虚拟现实的模拟是一种教育工具,已被证明可以提高参与者的自我认知、信心和技能。然而,虚拟现实的使用与虚拟现实疾病(VRS)有关。本研究的目的是确定在基于紧急情况模拟的培训中VRS的相关因素,从而提供信息和缓解计划,以增强和优化学习成果。

方法

我们开发了创伤性脑损伤和局部麻醉全身毒性紧急情况的多人虚拟现实模拟。75名医生自愿参与虚拟现实模拟。在整个模拟过程及其后续过程中,对参与者进行了仔细的监测和观察。此外,使用模拟疾病问卷(SSQ)工具询问他们关于VRS的经历。

结果

发现虚拟现实疾病的发生率为57.3%,并且与男性、近视、散光以及使用固定虚拟现实模式显著相关(<0.05)。恶心、动眼、定向障碍和总分成分的平均SSQ得分分别为5.97(标准差(SD):6.4)、6.26(SD 6.5)、125.6(SD 132)和9.03(SD 9.5)。有16%的参与者经历了严重的VRS症状。

结论

男性、近视、散光以及使用固定虚拟现实模式与虚拟现实疾病的发生率有关。在房间规模或步行模式下进行虚拟现实活动以及对任何屈光不正进行适当矫正对于在虚拟现实模拟训练中预防VRS至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6002/11699192/a1f1ff1d6682/40670_2024_2102_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6002/11699192/7fed8e68ce36/40670_2024_2102_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6002/11699192/3a0b3fa4f941/40670_2024_2102_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6002/11699192/187f2c966973/40670_2024_2102_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6002/11699192/6722f41b62e3/40670_2024_2102_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6002/11699192/a1f1ff1d6682/40670_2024_2102_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6002/11699192/7fed8e68ce36/40670_2024_2102_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6002/11699192/3a0b3fa4f941/40670_2024_2102_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6002/11699192/187f2c966973/40670_2024_2102_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6002/11699192/6722f41b62e3/40670_2024_2102_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6002/11699192/a1f1ff1d6682/40670_2024_2102_Fig5_HTML.jpg

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