腔镜模拟训练系统联合简易模拟箱在住院医师胸腔镜培训中的应用

doi:10.3760/cma.j.cn115259-20200305-00263

中华医学教育杂志 ›› 2021, Vol. 41 ›› Issue (1): 44-48.DOI: 10.3760/cma.j.cn115259-20200305-00263

腔镜模拟训练系统联合简易模拟箱在住院医师胸腔镜培训中的应用

王凤蛟¹, 李雪鑫², 张磊³, 兰天³, 徐海涛⁴

¹哈尔滨医科大学附属肿瘤医院胸外科 150081;
²哈尔滨医科大学附属肿瘤医院泌尿外科 150081;
³哈尔滨医科大学附属肿瘤医院教务科 150081;
⁴哈尔滨医科大学附属肿瘤医院肝胆外科 150081

收稿日期:2020-03-05 出版日期:2021-01-01 发布日期:2021-01-25
通讯作者: 徐海涛, Email: doctor1@126.com, 电话: 0451-86298076
基金资助:
黑龙江省高等教育教学改革课题(SJGY20190433)

The application of laparoscopic virtual simulator combined with simple simulation box in the thoracoscopy training for resident doctors

Wang Fengjiao¹, Li Xuexin², Zhang Lei³, Lan Tian³, Xu Haitao⁴

¹Department of Thoracic Surgery of Harbin Medical University Cancer Hospital, Harbin 150081, China;
²Department of Urinary Surgery of Harbin Medical University Cancer Hospital, Harbin 150081, China;
³Educational Administration Section of Harbin Medical University Cancer Hospital, Harbin 150081, China;
⁴Department of Hepatobiliary Surgery of Harbin Medical University Cancer Hospital, Harbin 150081, China

Received:2020-03-05 Online:2021-01-01 Published:2021-01-25
Contact: Xu Haitao, Email: doctor1@126.com, Tel: 0086-451-86298076
Supported by:
Heilongjiang Higher Educational Reform Project (SJGY20190433)

摘要/Abstract

摘要： 目的评价腔镜模拟训练系统联合简易模拟箱在住院医师胸腔镜培训中的应用效果。方法本研究采用试验对照方法。2019年10月至12月,选取在哈尔滨医科大学附属肿瘤医院接受规范化培训的40名住院医师为研究对象,采用随机数字法将其分为试验组和对照组。试验组在胸腔镜技能培训中采用Lap Mentor腔镜模拟训练系统(简称腔镜模拟训练系统)联合简易模拟箱培训,对照组仅采用简易模拟箱培训。培训后对两组住院医师进行理论知识考核、模拟操作考核、临床实践考核和问卷调查,应用Fisher精确概率法、Student t检验和Wilcoxon秩和检验方法进行数据分析,评价两组教学效果。结果在模拟操作考核中,试验组和对照组住院医师的训练用时变化量在抓豆[115.5(21.5)秒比92.0(38.0)秒]、剪纸[225.0(19.3)秒比180.0(22.0)秒]、连续缝合[483.0(24.0)秒比370.0(25.0)秒]中的差异均具有统计学意义(均P<0.05);在临床实践考核中,试验组和对照组住院医师胸腔镜下胸膜活检术[(89.15±5.11)分比(81.21±4.96)分]、胸腔镜下术中标本取出操作[(88.10±4.42)分比(77.05±5.12)分]的客观结构化技能评分的差异均具有统计学意义(均P<0.01)。问卷调查结果显示,试验组和对照组住院医师在提高学习兴趣[5.0(1.0)分比3.0(1.0)分]、有效提升技能水平[4.0(1.0)分比3.0(1.0)分]评价的差异均具有统计学意义(均P<0.01)。结论腔镜模拟训练系统联合简易模拟箱有助于提高住院医师的胸腔镜基本操作技能和临床实践能力,有助于提高住院医师的学习兴趣和学习效果。

关键词: 腔镜模拟训练系统, 简易模拟箱, 住院医师规范化培训, 胸腔镜培训

Abstract: Objective To evaluate the application of laparoscopic virtual simulator combined with simple simulation box in the thoracoscopy training for resident doctors. Methods A randomized controlled trial design was used in this study. From October to December 2019, forty resident doctors of 2019 in Harbin Medical University Cancer Hospital who had not received any other form of endoscopic technical training were selected as the research objects,and they were randomly divided into experimental group and control group. The experimental group was trained with Lap Mentor laparoscopic virtual simulator combined with simple simulation box in skill teaching, and the control group was trained with simple simulation box. After the training, theoretical assessment, simulation operation evaluation, clinical skill, and questionnaire feedback were conducted in both groups. The data were analyzed by Fisher exact probability, Student's t-test and Wilcoxon Rank Sum Test for evaluation of teaching effect. Results In the simulated operation examination, the experimental group saved more time in the bean grasping training[115.5(21.5) vs. 92.0(38.0)], paper cutting training [225.0(19.3) vs. 180.0(22.0)] and continuous suture examination [483.0(24.0) vs. 370.0(25.0)] than the control group (all P<0.05); in the clinical practice examination, the OSATS scores of the experimental group were significantly higher than those of the control group (89.15±5.11 vs. 81.21±4.96; 88.10±4.42 vs. 77.05±5.12, all P<0.01). The questionnaire survey showed that the experimental group was better than the control group in improving learning interest[5.0(1.0) vs. 3.0(1.0)] and effectively improving skills [4.0(1.0) vs. 3.0(1.0)](all P<0.01). Conclusions Laparoscopic virtual simulator combined with simple simulation box is helpful to improve the training outcomes of endoscopic operation and other clinical skills with stimulation of learning interests.

Key words: Laparoscopic virtual simulator, Simple simulation box, Standardized training for residents, Video-assisted thoracic surgery training

中图分类号:

R-05
R192.3

王凤蛟, 李雪鑫, 张磊, 兰天, 徐海涛. 腔镜模拟训练系统联合简易模拟箱在住院医师胸腔镜培训中的应用[J]. 中华医学教育杂志, 2021, 41(1): 44-48.

Wang Fengjiao, Li Xuexin, Zhang Lei, Lan Tian, Xu Haitao. The application of laparoscopic virtual simulator combined with simple simulation box in the thoracoscopy training for resident doctors[J]. Chinese Journal of Medical Education, 2021, 41(1): 44-48.

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腔镜模拟训练系统联合简易模拟箱在住院医师胸腔镜培训中的应用

The application of laparoscopic virtual simulator combined with simple simulation box in the thoracoscopy training for resident doctors

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