虚拟全景视频在手术室护理临床教学中的应用

doi:10.3761/j.issn.1672-9234.2023.11.008

摘要/Abstract

摘要：

目的探讨基于虚拟现实技术的全景视频在手术室护理实习生临床教学中的应用效果。方法采用便利抽样法，选取2021年10月—2022年3月手术室护理实习生72例为对照组，2022年4月—10月手术室护理实习生72例为试验组，对照组采用手术室常规临床教学方法，试验组在对照组教学的基础上应用基于虚拟现实技术的全景视频教学。比较两组护理实习生实习前和实习第2周的焦虑状态评分和出科前的理论、操作考试成绩，并调查试验组对全景视频教学的满意度。结果试验组在实习第2周的焦虑得分（34.75±3.06）低于对照组（45.07±2.59），差异有统计学意义（t=21.832，P<0.05）；试验组护理实习生理论成绩为（80.24±5.22），与对照组（79.58±4.73）比较，差异无统计学意义（t=1.589，P=0.114）；试验组护理实习生操作成绩为（92.04±4.08），与对照组（91.93±4.32）比较，差异无统计学意义（t=0.159，P=0.874）；97%的试验组护理实习生对沉浸式VR全景视频教学评价为高满意度。结论基于虚拟现实技术的全景视频能有效减轻护理实习生在手术室实习初期的焦虑与恐惧情绪，学生对教学满意度较高。

关键词: 虚拟现实, 视频-音频媒体, 护理学, 临床实习, 教学方法

Abstract:

Objective To explore the application effect of panoramic video based on virtual reality technology in nursing teaching of the operating room. Methods Through convenient sampling，72 nursing interns practiced in the operating room from October 2021 to March 2022 were selected as the control group，and another 72 nursing interns practiced in the operating room from April to October 2022 were selected as the experimental group. While the control group adopted the conventional clinical teaching method，the experimental group applied panoramic video teaching based on virtual reality technology with conventional clinical teaching. The anxiety scores of the two groups of nursing interns before and after two weeks of practice and the scores of the theoretical operation examination before leaving the course were compared，and the satisfaction of the experimental group was evaluated. Results At the end of the second week of practice，the anxiety score of nursing interns in experimental group of（34.75±3.06） was lower than that of control group （45.07±2.59） with a statistically significant （t=21.832，P<0.05）. The theoretical scores of nursing interns in experimental group were（80.24±5.22），which was no significant difference when compared with control group（79.58±4.73）（t=1.589，P=0.114）. Besides，there was no significant difference between the experimental group（92.04±4.08） and the control group（91.93±4.32） in the score of operation examination（t=0.159，P=0.874）. In addition，97% of nursing interns in the experimental group had a high level of satisfaction with immersive VR panoramic video teaching. Conclusion Panoramic video based on virtual reality technology can effectively reduce the anxiety and fear of nursing interns in the early stage of operating room practice and improve teaching satisfaction.

Key words: Virtual Reality, Video-Audio Media, Nursing, Clinical Practice, Teaching Methods

张聚, 魏丽丽, 谷如婷, 王静, 苗成琼, 范乐莉. 虚拟全景视频在手术室护理临床教学中的应用[J]. 中华护理教育, 2023, 20(11): 1329-1334.

ZHANG Ju, WEI Lili, GU Ruting, WANG Jing, MIAO Chengqiong, FAN Leli. Application of panoramic video based on virtual reality technology in clinical teaching of nursing interns in operating room[J]. Chinese Journal of Nursing Education, 2023, 20(11): 1329-1334.

图/表 6

图1

图2

图3

表1

表2

表3

参考文献 26

[1]	肖惠敏, 姜小鹰, 李红,等. 全程化递进式“四位一体”护理实践教学体系的创建与实施[J]. 中华护理教育, 2019, 16(1):31-34.
[2]	李红霞, 李莲香. 手术室实习护生文化休克现象调查及对策[J]. 护理管理杂志, 2007, 7(6):24-25.
[3]	李珊珊, 黄永慧, 王妍妍,等. 情景模拟教学对眼科手术室实习生心理状态和临床教学效果的影响[J]. 中国健康心理学杂志, 2023, 31(3):469-473.
	Li SS, Huang YH, Wang YY, et al. Influence of situational simulation teaching on psychological state and clinical teaching effect of ophthalmic operating room interns[J]. China J Health Psychol, 2023, 31(3):469-473.
[4]	Saab MM, Hegarty J, Murphy D, et al. Incorporating virtual reality in nurse education:a qualitative study of nursing students’ perspectives[J]. Nurse Educ Today, 2021, 105:105045. doi: 10.1016/j.nedt.2021.105045
[5]	钟正, 陈卫东, 周东波,等. 基于全景视频的空间认知效果实验研究[J]. 电化教育研究, 2018, 39(12):78-84,101.
	Zhong Z, Chen WD, Zhou DB, et al. Experimental study on spatial cognition effect based on panoramic video[J]. E Educ Res, 2018, 39(12):78-84,101.
[6]	Chen FQ, Leng YF, Ge JF, et al. Effectiveness of virtual reality in nursing education:meta-analysis[J]. J Med Internet Res, 2020, 22(9):e18290.
[7]	薛佩, 付占威, 赵轩,等. 利用虚拟现实技术改善病人术前焦虑临床研究[J]. 中国实用外科杂志, 2020, 40(12):1425-1428. doi: 10.19538/j.cjps.issn1005-2208.2020.12.21
	Xue P, Fu ZW, Zhao X, et al. Clinical application of virtual reality to improve preoperative anxiety in patients[J]. China Ind Econ, 2020, 40(12):1425-1428. doi: 10.19538/j.cjps.issn1005-2208.2020.12.21
[8]	吴玮杰, 陈涵, 张春,等. 基于虚拟现实技术的情景模拟式术前访视在全麻手术患者中的应用[J]. 西南医科大学学报, 2018, 41(6):546-549.
	Wu WJ, Chen H, Zhang C, et al. Effect of scenario-simulated preoperative visit based on virtual reality technology in patients undergoing surgery under general anesthesia[J]. J Luzhou Med Coll, 2018, 41(6):546-549.
[9]	Turrado V, Guzmán Y, Jiménez-Lillo J, et al. Exposure to virtual reality as a tool to reduce peri-operative anxiety in patients undergoing colorectal cancer surgery:a single-center prospective randomized clinical trial[J]. Surg Endosc, 2021, 35(7):4042-4047. doi: 10.1007/s00464-021-08407-z pmid: 33683433
[10]	王瑶, 李海燕. 护理实习生心理问题及其影响因素的研究进展[J]. 中华现代护理杂志, 2016, 22(29):4285-4287.
	Wang Y, Li HY. Research progress of nursing interns’ psycho-logical problems and its influencing factors[J]. Chin J Mod Nurs, 2016, 22(29):4285-4287.
[11]	黄求进, 赵晓琳, 谭媛媛,等. 护理实习生压力源调查及影响因素分析[J]. 中华现代护理杂志, 2022, 28(30):4276-4280.
	Huang QJ, Zhao XL, Tan YY, et al. Stressors of nursing interns and its influencing factors[J]. Chin J Mod Nurs, 2022, 28(30):4276-4280.
[12]	严玮. 手术室护生实习压力源调查及ESPCS干预方法的效果研究[D]. 合肥: 安徽医科大学, 2011.
	Yan W. Investigation on stressors of nursing students in operating room and study on the effect of ESPCS intervention method[D]. Hefei: Anhui Medical University, 2011.
[13]	刘莉, 赵丽, 杜修燕. 护理本科生临床实习后期焦虑状况的研究[J]. 中华护理教育, 2015, 12(9):682-684.
	Liu L, Zhao L, Du XY. The level and reasons of anxiety among undergraduate nursing students in the late stage of clinical practice[J]. Chin J Nurs Educ, 2015, 12(9):682-684.
[14]	Cornine A. Reducing nursing student anxiety in the clinical setting:an integrative review[J]. Nurs Educ Perspect, 2020, 41(4):229-234. doi: 10.1097/01.NEP.0000000000000633 pmid: 32102067
[15]	Aloufi MA, Jarden RJ, Gerdtz MF, et al. Reducing stress,anxiety and depression in undergraduate nursing students:systematic review[J]. Nurse Educ Today, 2021, 102:104877. doi: 10.1016/j.nedt.2021.104877
[16]	Onieva-Zafra MD, Fernández-Muñoz JJ, Fernández-Martínez E, et al. Anxiety,perceived stress and coping strategies in nursing students:a cross-sectional,correlational,descriptive study[J]. BMC Med Educ, 2020, 20(1):370. doi: 10.1186/s12909-020-02294-z pmid: 33081751
[17]	郑晓华, 舒良, 张艾琳,等. 状态—特质焦虑问题在长春的测试报告[J]. 中国心理卫生杂志, 1993(2):60-62.
	Zheng XH, Shu L, Zhang AL, et al. Test report of state-trait anxiety in Changchun[J]. Chin Ment Health J, 1993(2):60-62.
[18]	乐霄, 赵体玉, 旷婉. 术前焦虑测评量表的研究进展[J]. 护理学报, 2017, 24(9):26-30.
	Le X, Zhao TY, Kuang W. Research progress of preoperative anxiety scale[J]. J Nurs, 2017, 24(9):26-30.
[19]	孙彤, 魏丽丽, 谷如婷,等. 临床护理技能培训教学软件的开发及应用研究[J]. 中华护理杂志, 2022, 57(10):1225-1231. doi: 10.3761/j.issn.0254-1769.2022.10.011
	Sun T, Wei LL, Gu RT, et al. Development and applications of software for clinical nursing skills training[J]. Chin J Nurs, 2022, 57(10):1225-1231. doi: 10.3761/j.issn.0254-1769.2022.10.011
[20]	叶磊, 荣芸, 丁洁芳,等. 基于虚拟现实技术的干预对减轻成人患者术前焦虑效果的Meta分析[J]. 中华护理杂志, 2022, 57(11):1310-1317. doi: 10.3761/j.issn.0254-1769.2022.11.005
	Ye L, Rong Y, Ding JF, et al. The effect of virtual reality intervention on improving preoperative anxiety in adult patients:a meta analysis[J]. Chin J Nurs, 2022, 57(11):1310-1317. doi: 10.3761/j.issn.0254-1769.2022.11.005
[21]	周月辉, 周艳, 于继珍. 手术室实习护生压力源与心理健康的调查分析[J]. 吉林医学, 2014(13):2901-2902.
[22]	Chiang CH, Huang CM, Sheu JJ, et al. Examining the effective-ness of 3D virtual reality training on problem-solving,self-efficacy,and teamwork among inexperienced volunteers helping with drug use prevention:randomized controlled trial[J]. J Med Internet Res, 2021, 23(11):e29862.
[23]	范春梅, 梁晓灿, 石静,等. 护理专业本科生参与虚拟现实技术教学体验研究的Meta整合[J]. 中华护理教育, 2023, 20(2):151-157.
	Fan CM, Liang XC, Shi J, et al. Participating experience of virtual reality teaching among nursing undergraduates:a meta synthesis of qualitative studies[J]. Chin J Nurs Educ, 2023, 20(2):151-157.
[24]	王萍, 颜文贞, 王芳,等. 沉浸式虚拟现实技术在静脉注射法实验教学中的应用[J]. 中国护理管理, 2020, 20(2):176-180.
[25]	肖倩, 余赛英, 孙沛. 虚拟现实技术在医疗护理领域中的应用与研究进展[J]. 中国护理管理, 2020, 20(2):165-170.
	Xiao Q, Yu SY, Sun P. Application and research progress of Virtual Reality technology in medical and nursing fields[J]. Chin Nurs Manag, 2020, 20(2):165-170.
[26]	杨青, 钟书华. 国外“虚拟现实技术发展及演化趋势”研究综述[J]. 自然辩证法通讯, 2021, 43(3):97-106.
	Yang Q, Zhong SH. A review of foreign countries on the develop-ment and evolution trends of virtual reality technology[J]. J Dialectics Nat， 2021, 43(3):97-106.