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中华卫生应急电子杂志

中华卫生应急电子杂志 ›› 2023, Vol. 09 ›› Issue (02) : 85 -89. doi: 10.3877/cma.j.issn.2095-9133.2023.02.004

论著

沉浸式虚拟现实结合高仿真伤情化妆技术在创伤紧急医学救治培训中的应用效果评价
索源, 曹伟, 杨书聪, 杨成, 周宇立, 郁慧杰†()   
  1. 314001　浙江嘉兴，嘉兴市第一医院(嘉兴学院附属医院)急诊科
    314001　浙江嘉兴，嘉兴市第一医院(嘉兴学院附属医院)急诊科；310053　浙江杭州，浙江中医药大学
  • 收稿日期:2023-03-17 出版日期:2023-04-18
  • 通信作者: 郁慧杰
  • 基金资助:
    浙江省高等教育学会研究课题(KT2022120); 嘉兴学院实践教学专项改革研究项目(SJZY20072307-006); 浙江省嘉兴市医学重点学科项目(2023-ZC-04); 嘉兴市科技计划项目(2023AY31020)

Application of immersive virtual reality combined with high-simulation injury makeup technology in trauma emergency medical treatment training

Yuan Suo, Wei Cao, Shucong Yang, Cheng Yang, Yuli Zhou, Huijie Yu†()   

  1. Department of Emergency Medicine, The First Hospital of Jiaxing/Affiliated Hospital of Jiaxing University, Jiaxing 314001, China
    Department of Emergency Medicine, The First Hospital of Jiaxing/Affiliated Hospital of Jiaxing University, Jiaxing 314001, China; Zhejiang Chinese Medical University, Hangzhou 310053, China
  • Received:2023-03-17 Published:2023-04-18
  • Corresponding author: Huijie Yu
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索源, 曹伟, 杨书聪, 杨成, 周宇立, 郁慧杰. 沉浸式虚拟现实结合高仿真伤情化妆技术在创伤紧急医学救治培训中的应用效果评价[J]. 中华卫生应急电子杂志, 2023, 09(02): 85-89.

Yuan Suo, Wei Cao, Shucong Yang, Cheng Yang, Yuli Zhou, Huijie Yu. Application of immersive virtual reality combined with high-simulation injury makeup technology in trauma emergency medical treatment training[J]. Chinese Journal of Hygiene Rescue(Electronic Edition), 2023, 09(02): 85-89.

目的

探讨基于沉浸式虚拟现实(IVR)结合高仿真伤情化妆技术在创伤紧急医学救治培训中的应用效果，为提升培训质量提供参考。

方法

选取嘉兴市第一医院2021年6月至2021年9月参与创伤救治的35名医师为研究对象，计算机随机分为两组，IVR培训组为18人，传统培训组为17人；其中传统培训组须完成每月4次，共4个月的创伤救治培训；IVR培训组将传统培训替换为IVR培训课程。培训后比较两组医师的创伤演练评分。

结果

经培训后，IVR培训组与传统培训组演练评分均有提高[IVR培训组(74.11±7.42)分比(87.39±3.36)分，传统培训组(73.53±6.36)分比(82.94±4.78)分]，差异有统计学意义(P<0.05)；经培训后IVR培训组的演练评分高于传统培训组[(87.39±3.36)分比(82.94±4.78)分]，且IVR培训组培训前后评分差值高于传统培训组[(13.22±5.69)分比(9.41±3.54)分]，差异均有统计学意义(P<0.05)。两组间工作负荷量表评分[(46.45±10.93)分比(47.77±10.37)分]，差异无统计学意义(P>0.05)。问卷调查结果显示，94.4%(17/18)的医师认同IVR结合高仿真化妆技术的培训方式对救治现场有较好的环境体验，83.3%(15/18)的医师认同感官体验良好，77.8%(14/18)的医师认同该培训方式对学习有较好的促进作用。

结论

基于沉浸式虚拟现实结合高仿真伤情化妆技术的培训课程与传统培训课程均可提高创伤紧急医学救治能力，其中IVR培训课程有更好的培训效果，具有推广价值。

关键词: 虚拟现实, 伤情化妆, 创伤培训
Objective

To explore the application effect of immersive virtual reality (IVR) combined with high-simulation injury makeup technology in trauma emergency medical treatment training to provides reference for improving the quality of training.

Methods

Thirty-five physicians who participated in trauma treatment in our hospital from June 2021 to September 2021 were selected as the study subjects, and they were randomly divided into two groups, 18 in the IVR training group and 17 in the traditional training group. Among them, the traditional training group completed 4-month trauma treatment training (4 times a month); The IVR training group replaced the traditional training with IVR training courses. The trauma drill scores of the two groups of physicians were compared after the training.

Results

After training, the drill scores of the IVR training group and the traditional training group were improved [the IVR training group (74.11rill ) vs. (87.39rill ) and the traditional training group (73.53onal ) vs. (82.94onal )]; the difference was statistically significant(P<0.05); after training, the IVR training group had a higher exercise score than the traditional training group [(87.39VR tr) vs. (82.94VR tr)]. The difference between the scores before and after training in the IVR training group was higher than that in the traditional training group [(13.22the s) vs (9.412the ) ]; all of which were statistically significant (P<0.05). The NASA-TXL score between the two groups was [(46.45NASA-T)vs(47.77ASA-TX)], but the difference was not statistically significant(P>0.05). The questionnaire survey results showed that 94.4% (17/18) of physicians agreed that IVR combined with high-fidelity makeup technology had a good environmental experience at the treatment site; 83.3% (15/18) agreed that the sensory experience was good, and 77.8% (14/18) of physicians agreed that the training method had a good effect on learning.

Conclusions

Training courses based on immersive virtual reality combined with high-simulation injury makeup technology and traditional training courses can improve the ability of emergency trauma medical treatment, and IVR training courses have better training effect and promotion value.

Key words: Virtual reality technology, Wound makeup technology, Trauma treatment training
表1 两组一般资料和培训前演练评分成绩比较
组别 性别(男/女) 年龄 学历(硕士/学士) 培训前演练评分
IVR培训组 10/8 32.89±7.48 5/13 74.11±7.42
传统培训组 9/8 32.76±8.33 6/11 73.53±6.36
t值 0.15 0.05 0.11 0.25
P值 >0.05 >0.05 >0.05 >0.05
图1 软件系统构架注：ATLS为高级创伤生命支持
图2 软件内截图
图3 伤情化妆效果
表2 各组培训前评分和培训后评分比较(±s)
组别 培训前评分 培训后评分 t值 P值
IVR培训组 74.11±7.42 87.39±3.36 －9.854 <0.05
传统培训组 73.53±6.36 82.94±4.78 －10.973 <0.05
表3 两组间培训后评分及培训前后评分差值比较(±s)
组别 培训后评分 培训前后评分差值
IVR培训组 87.39±3.36 13.22±5.69
传统培训组 82.94±4.78 9.41±3.54
t值 3.17 2.36
P值 <0.05 <0.05
表4 两组间培训后主观工作负荷评分比较
项目 IVR培训组 传统培训组 T值 P值
NASA-TLX评分 46.45±10.93 47.77±10.37 －0.367 >0.05
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