首页|AR技术联合经颅多普勒超声在脑血管疾病护理教学中应用研究

AR技术联合经颅多普勒超声在脑血管疾病护理教学中应用研究

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目的 探讨虚拟增强现实(augmented reality,AR)技术联合经颅多普勒超声(transcranial doppler ultrasound,TCD)在脑血管疾病护理教学中的应用研究。方法 选取2021年1月至2022年11月在陆军军医大学第一附属医院神经内科实习的86名护理专业学生作为研究对象,将2021年、2022年实习护生分别设为对照组、研究组。对照组在传统教学的基础上融入AR技术进行大脑动脉环及其构成和毗邻结构解剖的学习,研究组在对照组的基础上借助TCD进行演示和讲解。实习结束后对比两组成绩、教学满意度、临床决策能力、自主学习能力以及解决问题的能力。采用SPSS 23。0进行非参数检验、t检验和卡方检验。结果 研究组理论、实践、综合能力考核成绩[90(89,96)、95(90,96)、93(90,96)]高于对照组[89(87,91)、90(89,92)、91(89,94)](P<0。05);教学满意度方面,研究组各维度包括教学效果、教学方式、教学内容、教学风范[16(15,18)、5。98±0。91、3。38±0。52、13(11,14)]高于对照组[14(13,16)、4。23±0。65、2。37±0。36、13(10,14)];自主学习能力方面,研究组在"寻找信息、寻找方案"[(4。66±0。71)、(4。43±0。68)]2 个维度的评分高于对照组[(4。00±0。61)、(4。41±0。67)],其他维度两组无统计学差异。解决问题的能力方面,研究组各维度包括正性定向问题、理性、负性定向、回避风格、冲动疏忽风格[12(10,12)、26(23,28)、15(13,20)、17(15,18)、16(15,18)]评分均优于对照组[10(9,11)、21(21,24)、20(17,20)、19(17,20)、18(16,20)]。护生查房考核评分:除了"与病人的沟通交流状况"[(9。04±0。53)vs。(9。21±0。39)]和"病人对护生的满意度"[(8。73±0。56)vs。(8。92±0。53)]2个条目评分差异无统计学意义外,其余条目均是研究组得分更高。结论 基于AR技术联合经颅多普勒超声的教学方式可提高护生"脑血管疾病"相关知识的掌握性和学习、临床护理能力和对教学的满意度。
Application of augmented reality technology combined with transcranial Doppler ultrasound in nursing teaching of cerebrovascular diseases
Objective To explore the application of virtual augmented reality(AR)technology combined with transcranial Doppler ultrasound(TCD)in nursing teaching of cerebrovascular diseases.Methods Eighty-six nursing students who interned in the Department of Neurology of The First Affiliated Hospital of Army Medical University from January 2021 to November 2022 were assigned into control group(students of grade 2021)and research group(students of grade 2022).The control group received traditional teaching with AR technology about the anatomy of the cerebral arterial circle,its composition,and adjacent structures.The research group was given AR-assisted teaching combined with TCD-based demonstration and interpretation.At the end of internship,the assessment scores,satisfaction with teaching,clinical decision-making ability,self-learning ability,and problem-solving ability were compared between the two groups.SPSS 23.0 was used to perform the non-parametric test,t test,and chi-square test.Results The theoretical,practical,and comprehensive ability assessment scores of the research group[90(89,96),95(90,96),and 93(90,96),respectively]were significantly higher than those of the control group[89(87,91),90(89,92),and 91(89,94),respectively].In terms of satisfaction with teaching effects,teaching methods,teaching content,and teaching style,the scores of the research group[16(15,18),(5.98±0.91),(3.38±0.52),and 13(11,14),respectively]were significantly higher than those of the control group[14(13,16),(4.23±0.65),(2.37±0.36),and 13(10,14),respectively].The research group showed significantly better independent learning abilities than the control group in information seeking[(4.66±0.71)vs.(4.00±0.61)]and solution seeking[(4.43±0.68)vs.(4.41±0.67)],with no significant differences in the other dimensions between the two groups.The research group was significantly superior to the control group in all problem-solving dimensions:positive orientation[12(10,12)vs.10(9,11)],rationality[26(23,28)vs.21(21,24)],negative orientation[15(13,20)vs.20(17,20)],avoidance style[17(15,18)vs.19(17,20)],and impulsivity/neglect style[16(15,18)vs.18(16,20)].For rounds assessment,the research group showed significantly higher scores than the control group in all the items except"communication with patients"[(9.21±0.39)vs.(9.04±0.53)]and"patient satisfaction with nursing students"[(8.92±0.53)vs.(8.73±0.56)].Conclusions The teaching method based on AR combined with TCD can improve nursing students'knowledge of cerebrovascular diseases,clinical nursing ability,and satisfaction with teaching.

Augmented realityCerebrovascular diseaseNursing teachingDepartment of NeurologyStudent nurse internTranscranial Doppler ultrasound

徐永美、陈娜、胡俊、张雪、夏晓林、唐昊宇、汪萃

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陆军军医大学第一附属医院神经内科,重庆 400038

陆军军医大学生物医学工程与影像医学系数字医学教研室,重庆 400038

陆军军医大学第一附属医院护理处,重庆 400038

增强现实技术 脑血管疾病 护理教学 神经内科 实习护生 经颅多普勒超声

重庆市研究生教育教学改革研究项目陆军军医大学教育改革研究项目

yjg2131432022B10

2024

中华医学教育探索杂志
中华医学会

中华医学教育探索杂志

CSTPCD
影响因子:0.641
ISSN:2095-1485
年,卷(期):2024.23(4)
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