使用仿真胃模型训练器装置序贯临床实践在消化病学专业学位研究生临床技能培训中的应用  

Application of Sequential Clinical Practice Using a Simulated Gastric Model Training Device in the Clinical Skills Training of Graduate Students Majoring in Gastroenterology

作　　者：谢晨晨 刘钰沛 宋继红[2] 郑权 刘谦[1] XIE Chenchen;LIU Yupei;SONG Jihong;ZHENG Quan;LIU Qian(Gastroenterology Ward 2,the Fifth Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;Gastrointestinal Endoscopy Center,the Fifth Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第五附属医院消化内二科,河南郑州450052 [2]郑州大学第五附属医院消化内镜中心,河南郑州450052

出　　处：《河南医学研究》2024年第13期2409-2413,共5页Henan Medical Research

基　　金：研究生教育质量提升工程项目(YJSJY202156);河南省科技攻关项目(222102310725)。

摘　　要：目的探索仿真胃模型训练器装置序贯临床实践在消化病学专业学位研究生临床技能培训中的价值及可行性,以期改进现有的教学方法及模式。方法选取2021年9月至2023年6月在郑州大学第五附属医院在读的消化病学专业学位研究生60名。60名学员在训练前均进行胃镜操作的基础学习。随机抽取30名学员进行如下训练:Ⅰ组采用仿真胃模型训练器装置联合表象训练,Ⅱ组采用仿真胃模型训练器装置训练,Ⅲ组为对照组进行胃镜操作的基础学习。完成训练后,在仿真胃模型训练器装置上进行操作并记录评分,比较3组的考核成绩。余下的30名学员进行如下训练:A组进行仿真胃模型训练器装置序贯离体猪胃训练,B组使用仿真胃模型训练器装置训练,C组为对照组进行胃镜操作的基础学习。完成训练后,3组学员均在带教老师指导下进行10例退镜练习,随后学员对患者进行胃镜检查,记录通过咽部、幽门、插入十二指肠降段的成功率和操作时间等评分,比较3组的考核成绩。结果对比Ⅰ、Ⅱ、Ⅲ3组学员仿真胃模型考核成绩,差异有统计学意义(P<0.05)。Ⅰ组的考核总分、准确性、安全性、操作时间评分均优于Ⅱ组(P<0.05),而在残气量和患者舒适度方面差异无统计学意义(P>0.05);与Ⅲ组相比,Ⅰ组在所有评分指标上优于Ⅲ组(P<0.05);而Ⅱ组在准确性、安全性、残气量、患者舒适度和操作时间方面均优于Ⅲ组(P<0.05);此外,对比A、B、C 3组学员的胃镜操作成绩,发现3组之间差异有统计学意义(P<0.05)。A组在通过咽部、降部的成功率以及到达咽部、降部的时间和舒适度评分上均高于B组(P<0.017),而在通过幽门的成功率上差异无统计学意义(P>0.05)。而B组在通过咽部、幽门、降部的成功率以及到达咽部、幽门、降部的时间和舒适度评分上均高于C组(P<0.05)。结论采用仿真胃模型训练器显著提升了培�Objective To investigate whether a gastric model trainer can enhance clinical skills training for postgraduate gastroenterology students.To enhance current teaching techniques by assessing the effectiveness and usefulness of using the device for continuous clinical practice.Methods Sixty students studying gastroenterology at the Fifth Affiliated Hospital of Zhengzhou University were chosen from September 2021 to July 2023.All the 60 students underwent the basic learning of gastroscopy operation before the training.Thirty participants were randomly selected for the following training session:Group Ⅰ received mental imagery rehearsal in addition to conventional training with a simulated gastric model trainer,while group Ⅱ used the simulated stomach model trainer device for training,group Ⅲ was the control group for the basic learning of gastroscope operation.After completing the training,the operation was performed on the simulated stomach model trainer device and the score was recorded to compare the assessment scores of the three groups.The remaining 30 students conducted the following training:Group A conducted the sequential training approach with a simulated gastric model involving ex vivo pig stomach and clinical practice,group B trained with the simulated stomach model trainer device,and group C conducted the basic learning of gastroscopy operation for the control group.After the completion of the training,the three groups performed 10 cases of endoscopic exercises under the guidance of the teacher.Then the students performed gastroscopy on the patients,recorded the success rate and operation time of the pharynx,pylorus and the duodenal insertion,and compared the assessment results of the three groups.Results Comparing the assessment scores on the simulated gastric model among group Ⅰ,Ⅱ,and Ⅲ,significant statistical differences were found among the three groups(P<0.05).Specifically,groupⅠshowed significantly better assessment scores in total,accuracy,safety,and operation time compared to group

关 键 词：仿真胃模型 表象训练 序贯 临床实践 临床技能 

分 类 号：R-3[医药卫生]