基于全息3D投影技术的沉浸式宣教在儿童内镜检查中的应用研究  

Research on the application of immersive education based on holographic 3D projection technology in children's endoscopy

作　　者：元丽群 叶雪芬 潘伊伶 田甜 YUAN Li-qun;YE Xue-fen;PAN Yi-ling;TIAN Tian(Department of Gastroenterology,Hangzhou Children's Hospital,Hangzhou,Zhejiang 310004,China)

机构地区：[1]杭州市儿童医院消化内科,浙江杭州310004

出　　处：《中国妇幼保健》2025年第4期736-740,共5页Maternal and Child Health Care of China

基　　金：浙江省医药卫生科技计划项目(2022KY1007)。

摘　　要：目的探究基于全息3D投影技术的沉浸式宣教在儿童内镜检查中的应用效果。方法采用便利抽样法选取2023年4月—2023年8月来杭州市儿童医院需全麻下实施内镜检查的108例患儿实施前瞻性研究,按照随机数字表法分为研究组(54例)、对照组(54例)。对照组实施常规宣教,研究组实施基于全息3D投影技术的沉浸式宣教。比较两组焦虑程度[中文版耶鲁术前焦虑量表(Chinese version of the Yale Preoperative Anxiety Scale,mYPAS-SF)]、依从性、检查顺利性及家长满意度的差异。结果重复测量显示,两组mYPAS-SF评分的时点效应、组间效应、交互效应比较,差异均有统计学意义(P<0.05),与T1时刻比较[(55.31±6.06)分/(55.43±6.19)分],T2时刻、T3时刻、T4时刻两组mYPAS-SF评分[(45.19±3.56)分/(50.28±3.19)分、(38.06±2.23)分/(43.20±3.21)分、(28.09±1.19)分/(30.28±2.30)分]均降低(P<0.05),且研究组低于对照组(P<0.05)。与对照组相比[(1.33±0.48)分、(1.04±0.19)分、(1.91±0.29)分、(1.83±0.38)分、(1.59±0.50)分],研究组检查前准备、配合意识、体位摆放、检查中配合、其他配合得分[(1.94±0.23)分、(1.98±0.14)分、(2.02±0.14)分、(1.96±0.27)分、(1.98±0.14)分]均更高(P<0.05)。与对照组相比[(13.24±3.16)min、(9.17±1.31)min、(6.50±0.95)分、87.04%],研究组患儿进入检查室至医生准备操作时间、医生开始操作至操作结束时间更少[(10.20±2.33)min、(7.24±1.39)min、(8.20±1.05)分、98.15%],肠道清洁度、一次性成功率[(8.20±1.05)分、98.15%]均更高,差异均有统计学意义(均P<0.05)。等级资料秩和检验显示,与对照组相比,研究组家庭满意度更好(94.44%vs.81.48%),差异有统计学意义(P<0.05)。结论基于全息3D投影技术的沉浸式宣教应用于儿童内镜检查中效果较好,可有效降低焦虑程度,改善依从性,促进检查顺利性,提升家长满意度。Objective To explore the application effect of immersion education based on holographic 3D projection technology in children's endoscopy.Methods 108 children who came to Hangzhou Children's Hospital for endoscopic examination under general anesthesia from April 2023 to August 2023 were selected by convenient sampling method,and were randomly divided into study group(54 cases)and control group(54 cases).The control group was given routine education,while the study group was given immersion education based on holographic 3D projection technology.The differences of anxiety(mYPAS-SF score),compliance,examination smoothness and parents'satisfaction between the two groups were compared.Results Repeated measures showed statistically significant differences(P<0.05)in the comparison of the time-point effect,between-group effect,and interaction effect of mYPAS-SF scores between the two groups,and compared with the T1 moments[(55.31±6.06)scores/(55.43±6.19)scores],the mYPAS-SF scores of the two groups of the T2 moments,T3 moments,and T4 moments[(45.19±3.56)scores/(50.28±3.19)scores,(38.06±2.23)scores/(43.20±3.21)scores,and(28.09±1.19)scores/(30.28±2.30)scores]were decreased(P<0.05),and the study group was lower than the control group(P<0.05).Compared with the control group[(1.33±0.48),(1.04±0.19),(1.91±0.29),(1.83±0.38),(1.59±0.50)],the study group's scores for pre-examination preparation,awareness of cooperation,position placement,cooperation during examination,and other cooperation scores[(1.94±0.23),(1.98±0.14),(2.02±0.14)points,(1.96±0.27)points,(1.98±0.14)points]were higher(P<0.05).Compared to the control group[(13.24±3.16)min,(9.17±1.31)min,(6.50±0.95)min,87.04%],the time between the entry of the child into the examination room and the doctor's preparation for the operation,and the doctor's start of the operation and the end of the operation were less in the study group[(10.20±2.33)min,(7.24±1.39)min,(8.20±1.05)min,98.15%],bowel cleanliness,and one-time success rate[(8.20±1.05)min,98.15%]were

关 键 词：内镜检查 儿童 全息3D投影技术 沉浸式宣教 应用效果 

分 类 号：R473.76[医药卫生—护理学]