手术期规范化护患沟通虚拟现实训练系统在护士培训中的应用研究

doi:10.3761/j.issn.1672-9234.2025.07.010

摘要/Abstract

摘要：

目的探讨手术期规范化护患沟通虚拟现实训练系统的应用效果。方法采用便利抽样法，在江苏省某三级甲等医院麻醉手术科选取75名护士作为研究对象，使用手术期规范化护患沟通虚拟现实训练系统进行为期4周的培训，以考核成绩、系统可用性评分与使用体验进行评价。结果考核成绩得分为（84.32±9.90）分；系统可用性评分为（80.93±11.07）分；从护士反馈中提炼出学习兴趣激发与语言规范能力提升、资源高效利用与沉浸式体验优化、个性化设计不足与触觉感知缺乏3个主题。结论手术期规范化护患沟通虚拟现实训练系统增强护士的代入感，有效激发护士的学习兴趣，提升其语言规范水平，但需在个性化设计与触觉感知等方面持续改进。

关键词: 虚拟现实, 围手术期, 手术室护士, 在职培训, 沟通训练

Abstract:

Objective To explore the application effects of a standardized perioperative nurse-patient communication virtual reality training system in nurse training in operating room. Methods A total of 75 nurses from the Department of Anesthesiology and Surgery at a tertiary grade A hospital in Jiangsu Province were selected as participants through a convenience sampling method. Participants received a 4-week training program using a standar-dized perioperative nurse-patient communication virtual reality training system. The outcomes were evaluated through assessment scores，system usability scores，and user experience feedback. Results The average assessment score was（84.32±9.90） and the system usability score was（80.93±11.07）. Analysis of nurse feedback identified three themes：（1） stimulation of learning interest and improvement of communication skills，（2） efficient resource utilization and optimized immersive experience，and（3） insufficient personalized design and lack of tactile feedback. Conclusion The virtual reality training system for standardized perioperative nurse-patient communication can enhance nurses’ sense of immersion，stimulate learning motivation effectively，and improve communication standardization. However，continuous improvements are needed in personalized design and tactile feedback integration.

Key words: Virtual reality, Perioperative period, Operating room nurses, In-service training, Communication training

刘佩玉, 李雪云, 安晓燕. 手术期规范化护患沟通虚拟现实训练系统在护士培训中的应用研究[J]. 中华护理教育, 2025, 22(7): 829-833.

LIU Peiyu, LI Xueyun, AN Xiaoyan. Application of a standardized perioperative nurse-patient communication virtual reality training system in operating room nurse training[J]. Chinese Journal of Nursing Education, 2025, 22(7): 829-833.

图/表 1

参考文献 16

[1]	焦静, 张晓静, 吴欣娟, 等. 体验式教学法在新入职护士临床沟通能力培训中的应用[J]. 上海护理, 2017, 17(6):78-80.
[2]	陈熙, 李丽, 蒋玲, 等. 护患沟通能力评价量表的研究进展[J]. 中国护理管理, 2019, 19(8):1270-1275.
	Chen X, Li L, Jiang L, et al. Research progress on evaluation scale of communication ability between nurses and patients[J]. Chin Nurs Manag, 2019, 19(8):1270-1275.
[3]	Happ MB, Garrett KL, Tate JA, et al. Effect of a multi-level intervention on nurse-patient communication in the intensive care unit:results of the SPEACS trial[J]. Heart Lung, 2014, 43(2):89-98.
[4]	唐君燕. 规范化护患沟通程序对神经外科重症监护室护理满意度影响的疗效观察[J]. 中国社区医师, 2020, 36(17):166-167.
	Tang JY. Observation on the effect of standardized nurse patient communication procedure on nursing satisfaction in neurosurgical intensive care unit[J]. Chin Comm Doct, 2020, 36(17):166-167.
[5]	Yu MY, Jiang LH, Yang L, et al. Application of situational simulation teaching method in clinical nursing teaching[J]. Minerva Med, 2022, 113(1):218-220.
[6]	徐玛瑙, 朱雪娇. 家庭访视虚拟仿真实验教学系统的设计与初步应用[J]. 中华护理教育, 2023, 20(6):678-681.
	Xu MN, Zhu XJ. Design and preliminary application of a virtual simulation experiment teaching system in home visit[J]. Chin J Nurs Educ, 2023, 20(6):678-681.
[7]	张聚, 魏丽丽, 谷如婷, 等. 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 J, Wei LL, Gu RT, et al. Application of panoramic video based on virtual reality technology in clinical teaching of nursing interns in operating room[J]. Chin J Nurs Educ, 2023, 20(11):1329-1334.
[8]	Tepper OM, Rudy HL, Lefkowitz A, et al. Mixed reality with HoloLens:where virtual reality meets augmented reality in the operating room[J]. Plast Reconstr Surg, 2017, 140(5):1066-1070. doi: 10.1097/PRS.0000000000003802 pmid: 29068946
[9]	Wang YH, Lei T, Liu XX. Chinese system usability scale:translation,revision,psychological measurement[J]. Int J Hum, 2020, 36(10):953-963.
[10]	Bangor A, Kortum P, Miller J. Determining what individual SUS scores mean:adding an adjective rating scale[J]. J Usability Stud, 2009, 4(3),114-123.
[11]	Hair JF, Black WC, Babin BJ, et al. Multivariate Data Analysis[M]. 8th ed. London:Cengage, 2019.
[12]	Lewis J, Utesch B, Maher D. UMUX-LITE:when there’s no time for the SUS[C]// Proceedings of the CHI Conference on Human Factors in Computing Systems. New York: ACM Press,2013:2099-2102.
[13]	Polit DF, Beck CT. The content validity index:are you sure you know what’s being reported? Critique and recommendations[J]. Res Nurs Health, 2006 ;29(5):489-497.
[14]	Bracq MS, Michinov E, Jannin P. Virtual reality simulation in nontechnical skills training for healthcare professionals:a systematic review[J]. Simul Healthc, 2019, 14(3):188-194.
[15]	Cho MK, Kim MY. The effect of virtual reality simulation on nursing students’ communication skills:a systematic review and meta-analysis[J]. Front Psychiatry, 2024, 15:1351123.
[16]	谢拉, 程晶, 刘湘萍, 等. 沉浸式虚拟现实创伤急救护理培训系统的开发及应用[J]. 护理学杂志, 2024, 39(8):85-88.
	Xie L, Cheng J, Liu XP, et al. Development and application of VR emergency trauma nursing training system[J]. J Nurs Sci, 2024, 39(8):85-88.