首页|基于NASA-TLX量表的团队心理评估与机器人手术熟练度的相关性

基于NASA-TLX量表的团队心理评估与机器人手术熟练度的相关性

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目的:探讨NASA-TLX量表心理负荷研究方法在达芬奇机器人手术团队熟练度评估方面的应用.方法:选取2019年9月27日至2020年1月19日共51例手术机器人辅助前列腺癌根治术,由统计员使用NASA-TLX量表,通过问答的方式,评估主刀、助手和器械护士的心理负荷,同时记录手术机器人前期安装时间(T1)和主刀操作时间(T2).将T1和助手的量表评估结果进行拟合,将T2和主刀的量表评估结果进行拟合.结果:手术机器人前期安装时间和两位主刀的纯手术时间都随着手术例数的增加进行性下降,NASA-TLX评分也呈下降趋势,主刀医生1、2、助手、护士分别在20、15、11、18例到达手术熟练度平台期,心理的变化稍微领先于手术时间到达平台期.拟合结果为:准备时间=-2.192+0.712X助(R2=0.885,P<0.05);手术时间 1=90.653+0.7675X1(R2=0.880,P<0.05);手术时间2=74.174+1.1281X2(R2=0.966,P<0.05),X为心理总负荷.结论:NASA-TLX量表主观评分和团队熟练度的其他客观评估参数如机器人前期安装时间和机器人主刀操作时间存在着一致性,可以使用NASA-TLX量表快速评估和分析机器人团队的心理负荷水平和业务的熟练度,从而对团队的能力进行评估,以方便团队协作和改进.
Correlation between team psychological assessment and robotic surgery proficiency based on the NASA-TLX scale
Objective:To investigate the proficiency of NASA-TLX work load scale in the Da Vinci robotic surgical team's capacity.Methods:51 cases undergone radical prostatectomy assisted by Da Vinci sys-tem from September 27,2019 to January 19,2020 were included in this study.The operators,assis-tants and instrument nurses'mental load was evaluated by NASA-TLX scale;the installation of robot was recorded as time T1 and the console time was recorded as T2.T1 and T2 were fitted to the NASA-TLX scale.Results:T1 of assistants,T2 of operators and all the staff's mental lord progres-sively declined with the accumulation of experience.Each one in the staff reached their plateau at cer-tain case.Psychological changes reach the plateau slightly earlier than the operation time.Fitting re-sults was as follow:Installation time=-2.192+0.712Xassistant(R2=0.885,P<0.05);T1=90.653+0.7675X1(R2=0.880,P<0.05);T2=74.174+1.1281X2(R2=0.966,P<0.05);X=Total psy-chological load.Conclusion:NASA-TLX scores was consistent with other objective assessment of the team proficiency parameters such as installation time and console time on robot.The NASA-TLX scale was valuable to assess the team's mental load and proficiency and to facilitate their collaboration and improvement.

Mental Workload EvaluationNASA-TLX ScaleLearning Curve of Surgical Ro-botRadical Prostatectomy Assisted by DaVinci SystemTeam Training

向梦、张棣、张依云、刘黎明、赵国艳

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武汉大学中南医院麻醉手术科 湖北 武汉 430071

心理负荷评估 NASA-TLX量表 手术机器人熟练曲线 前列腺癌根治术 团队配合

教育部产学合作育人项目湖北高校省级教学研究项目

2205016391901592022013

2024

武汉大学学报(医学版)
武汉大学

武汉大学学报(医学版)

CSTPCD
影响因子:0.959
ISSN:1671-8852
年,卷(期):2024.45(2)
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