VR模拟小儿麻醉危急事件规范化培训方法的有效性研究  

Validation of VR in pediatric anesthesia emergency during standardized residency training

作　　者：余桂芳[1] 蒋珏[1] 严佳[1] 金善良[1] Yu Guifang;Jiang Jue;Yan Jia;Jin Shanliang(Department of Anesthesiology,Ninth People's Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 201999,China)

机构地区：[1]上海交通大学医学院附属第九人民医院麻醉科,上海201999

出　　处：《中华医学教育探索杂志》2021年第12期1457-1460,共4页Chinese Journal of Medical Education Research

摘　　要：目的探讨虚拟现实技术(virtual reality,VR)对规培医师处理小儿麻醉危急事件能力的培训效果。方法精选4种围术期危急事件作为VR培训内容。培训对象为参加上海交通大学医学院附属第九人民医院住院医师规范化培训的60名住院医师。经过理论考核和问卷调查,评估培训效果以及规培医师对危机事件发生后的焦虑情况。数据输入Graphpad Prism 5软件,符合正态分布的计量资料用(均数±标准差)表示,采用非参数检验和组间两独立样本t检验进行比较;计数资料以率表示,两组评分比较采用2×k的趋势卡方检验。结果所有住院医师都参加了小儿麻醉危急事件处置的理论考核,相对于线下理论教学,VR培训的学生考核得分较高,焦虑程度低。结论麻醉科VR模拟教学能充分调动住培医师的学习积极性,使其克服应对小儿麻醉危急事件的恐惧。Objective:To explore the effect of virtual reality(VR)on the emergency management of pediatric anesthesia.Methods:Four kinds of perioperative critical events were selected as VR training content,and the training objects were 60 residents who took part in the standardized residency training in Ninth People's Hospital of Shanghai Jiao Tong University School of Medicine.Through theoretical examination and questionnaire survey,the training effect and the anxiety of residents after critical events were evaluated.The data were input into Graphpad Prism 5 software,and the quantitative data conforming to normal distribution were expressed as(mean±standard deviation),and compared by nonparametric test and t test of two independent samples between groups.Qualitative data were expressed in terms of rate,and the 2×k trend chi-square test was used to compare the scores of the two groups.Results:All the residents took part in the theoretical assessment of the management of pediatric anesthesia emergencies.Compared with the offline theoretical teaching,the average scores of the students who underwent VR training were higher,and the incidence of anxiety was significantly reduced.Conclusion:VR simulation teaching in the department of anesthesiology can fully arouse the enthusiasm of residents and make them overcome the fear of dealing with pediatric anesthesia emergencies.

关 键 词：虚拟现实技术 临床麻醉 危急事件 规范化培训 

分 类 号：R-012[医药卫生]