仿真模拟器在经食管超声心动图教学中的应用价值  

Application value of simulation simulators in transesophageal echocardiography teaching

作　　者：康文英 关娜[2] 方仲蓉[1] 段福建[1] 袁素[1] Kang Wenying;Guan Na;Fang Zhongrong;Duan Fujian;Yuan Su(Department of Anesthesiology,Fuwai Hospital,National Center for Cardiovascular Diseases,Chinese Academy of Medical Sciences,Beijing100037,China;Department of Ultrasound,People's Hospital of Xinjiang Uygur Autonomous Region,Urumqi830001,China)

机构地区：[1]中国医学科学院,北京协和医学院,阜外医院麻醉科,北京100037 [2]新疆维吾尔自治区人民医院超声科,乌鲁木齐830001

出　　处：《中华医学教育探索杂志》2024年第12期1636-1640,共5页Chinese Journal of Medical Education Research

摘　　要：目的探索在继续教育培训学习经食管超声心动图(transesophageal echocardiography,TEE)的参与者中,采用模拟器学习与不采用模拟器学习两种方式之间是否存在显著的学习效果差异。方法回顾性分析2022年1月至2023年12月期间在中国医学科学院阜外医院麻醉科接受TEE培训者的学习效果。根据是否使用模拟器培训,将参与者分为两组:使用模拟器培训组和未使用模拟器培训组。通过分析培训结束后测评成绩、对培训的满意度及培训后独立操作TEE的自信心程度,来比较两组医师的培训效果差异,并评价模拟器在TEE教学中的应用效果。采用SPSS 26.0软件进行统计学分析,其中计量资料以(均数±标准差)表示,组间比较采用独立样本t检验;计数资料则以百分比表示,组间比较则采用卡方检验。结果培训后的测试结果显示,在笔试成绩[(79.15±6.86)分vs.(71.54±5.54)分,P<0.05]、操作考试切面获取率[(80.85±5.93)%vs.(73.85±5.06)%,P<0.05],以及20个标准切面获取时长[(11.45±1.12)min vs.(13.54±1.05)min,P<0.05]这几方面,使用模拟器组的成绩明显优于未使用模拟器组。此外,培训结束后的调查问卷显示,使用模拟器组的学员对于培训后独立操作TEE的自信度明显高于未使用模拟器组的学员[(4.74±0.44)vs.(4.08±0.95),P<0.05]。结论在TEE继续教育培训中,当其他培训项目保持相同的情况下,接受模拟器培训的学员在图像识别和图像获取方面取得了更好的学习效果,培训后独立操作的自信度也更高。ObjectiveTo explore the differences in learning outcomes between learners undergoing transesophageal echocardiography(TEE)training with and without simulators in continuing education programs.MethodsA retrospective analysis was conducted to examine the learning outcomes of physicians undertaking TEE training at the Department of Anesthesiology,Fuwai Hospital,Chinese Academy of Medical Sciences from January 2022 to December 2023.Participants were divided into two groups:those who received training with simulators and those who did not.The study aimed to compare the training outcomes between the two groups by analyzing post-training assessment scores,satisfaction with the training,and confidence in independent TEE operation following the training,thereby evaluating the effectiveness of simulators in TEE instruction.SPSS 26.0 software was used for statistical analysis.Measurement data were expressed as mean±standard deviation,and between-group comparisons were made using an independent samples t-test.Categorical data were expressed as percentages(%),and between-group comparisons were made using the chi-square test.ResultsPost-training assessments revealed markedly superior performance in the simulator group compared to the non-simulator group regarding written examination scores[(79.15±6.86)vs.(71.54±5.54),P<0.05],rate of acquiring imaging planes during the operational examination[(80.85±5.93)%vs.(73.85±5.06)%,P<0.05],and time for acquiring 20 standard imaging planes[(11.45±1.12)min vs.(13.54±1.05)min,P<0.05].Post-training questionnaire surveys indicated that participants in the simulator group exhibited significantly improved confidence in independent TEE operation following the training compared with the non-simulator group[(4.74±0.44)vs.(4.08±0.95),P<0.05].ConclusionsIn TEE training during continuing education,when other training components are held constant,the use of simulators leads to better learning outcomes in image recognition and image acquisition compared to training without simulators,as well a

关 键 词：仿真模拟器 经食管超声心动图 教学 继续教育培训 

分 类 号：R19[医药卫生—卫生事业管理]