首页|战伤骨科救护虚拟仿真实训案例的构建及初步应用

战伤骨科救护虚拟仿真实训案例的构建及初步应用

扫码查看
目的 构建战伤骨科救护虚拟仿真实训案例,并探索其在培训的初步应用效果.方法 基于STS-ETC内容设计原则(scene、trauma、stage、evaluation、treatment、classify),设计场景及伤情脚本,交火区、非交火区救治脚本,检伤分类脚本,并采用Maya、Photoshop、Unity、SQLite、Visual Studio等工具开发战伤骨科救护虚拟仿真实训案例.选取在陆军军医大学第二附属医院进行规范化培训的30名学员进行预测试,女性27名,男性3名;年龄26~45岁,平均37.2岁.在虚拟仿真培训前后考核学员战伤骨科救护知识、战术战伤救治(TCCC)关键救治决策案例的掌握程度.通过教学效果问卷和虚拟仿真实训案例可用性量表(SUS),对学员进行调查.结果 研究显示,培训后学员战伤骨科救护知识得分(75.7±6.9)分高于培训前的(69.2±10.9)分,培训后TCCC救治决策案例得分(79.5±7.6)分,高于培训前的(73.0±8.9)分,P值均<0.001.实训案例SUS得分为(70.4±9.4)分.100%的学员认为虚拟仿真培训有利于掌握重难点,能提高对知识学习的效率和学习积极性;96.67%的学员认为该培训方式灵活,具有启发自主学习的作用,对整体教学效果表示满意.结论 虚拟仿真实训案例培训后,学员得分均明显提高,SUS得分>60分.因此,战伤骨科救护虚拟仿真实训案例培训可以作为战伤救护培训的补充.
Development and initial application of virtual reality training system for combat musculoskeletal trauma care
Objective To develop a virtual reality (VR) training system for combat musculoskeletal trau-ma care (CMTC) and to assess the initial training effect. Methods The scenarios and scripts of different trauma severities,trauma care in both war and peace zones,and trauma triage were developed based on the STS-ETC content design principle (scene,trauma,stage,evaluation,treatment,classify). Then the tools of Maya,Photoshop,Unity,SQLite,Visual Studio,etc. were utilized to create a VR simulation training case for CMTC. Thirty trainees who were receiving standardized training at our hospital were selected for pre-test. There were 3 males and 27 females aged 26-45 (mean 37.2) years. Before and after the VR training for CMTC,all the 30 trainees were assessed for CMTC knowledge and tactical combat casualty care (TCCC) decision-making scores. The feedback of the training was as-sessed by a satisfaction questionnaire,and the usability of the VR system for CMTC was scored by the system usabili-ty scale (SUS). Results After training,the trainees' knowledge score significantly increased from 69.2±10.9 to 75.7±6.9,and the TCCC decision-making score from 73.0±8.9 to 79.5±7.6 (both P<0.001). The SUS score was 70.4±9.40,indicating a high level of usability of the VR system for CMTC. All trainees agreed that the VR training was conducive to mastering key concepts and enhancing learning efficiency and enthusiasm. Furthermore,96.67% of trainees showed that the VR system for CMTC was flexible and inspiring,and were satisfied with the training effect. Conclusion The VR training system for CMTC revealed significantly improved scores for both CMTC knowledge and TCCC decision-making,together with a>60 SUS score for all trainees. Therefore,this system can be utilized as a supplement to combat casualty care training.

Combat musculoskeletal trauma careVirtual simulationDevelopmentInitial application

秦林灿、刘波、尤志巍、罗春梅

展开 >

陆军军医大学第二附属医院骨科,重庆 400037

陆军军医大学第二附属医院急诊科,重庆 400037

战伤骨科救护 虚拟仿真 构建 初步应用

2024

创伤外科杂志
第三军医大学,大坪医院,野战外科研究所

创伤外科杂志

CSTPCD
影响因子:1.017
ISSN:1009-4237
年,卷(期):2024.26(5)