摘要
目的探讨机器人辅助手术系统在新生儿外科住院医师规范化培训中的应用效果。方法选取浙江大学医学院附属儿童医院新生儿外科轮转的32名住院规范化培训医师作为研究对象,随机分成观察组和对照组,每组16名学员。观察组应用机器人辅助手术系统教学,对照组应用传统腹腔镜手术系统教学。出科时对两组学员进行考核,并对教学效果实施问卷调查评价。结果观察组学员的手术技能评分明显高于对照组,差异有统计学意义(t=6.97,P<0.05),观察组学员对机器人手术教学的满意度高于对照组,差异有统计学意义(χ^(2)=4.57,P<0.05)。观察组学员在提高自主学习能力、有助于消化道畸形理论知识与手术技能的衔接、有助于增加医学兴趣3个方面的教学效果评分高于对照组,差异均有统计学意义(t分别=4.95、3.35、6.79,P均<0.05)。结论机器人辅助手术系统在新生儿外科住院医师规范化培训临床教学中有一定的优势,主要体现在帮助住院规范化培训学员将理论知识与临床技能衔接、提高学习主动性和兴趣等方面。应用机器人辅助手术系统在日常教学中有助于新医科背景下的新生儿外科学科建设。
Objective To explore the application effect of robot-assisted surgery system in the standardized training of neonatal surgery residents.Methods Thirty-two resident doctors who rotated through the Department of Neonatal Sur⁃gery at the Children's Hospital Affiliated to Zhejiang University School of Medicine were selected as the research sub⁃jects and randomly divided into an observation group and a control group,with 16 trainees in each group.The observation group was taught using the robot-assisted surgery system,while the control group was taught using the traditional laparo⁃scopic surgery system.Both groups of trainees were assessed upon graduation,and a questionnaire survey was conducted to evaluate the teaching effect.Results The surgical skill scores of the resident doctors in the observation group were significantly higher than control group,and the difference was statistically significant(t=6.97,P<0.05).The satisfaction of the resident doctors in the observation group with the robot-assisted surgery teaching was higher than control group,and the difference was statistically significant(χ^(2)=4.57,P<0.05).The teaching effects of the observation group were bet⁃ter than control group in improving independent learning ability,facilitating the connection between theoretical knowledge of digestive tract malformations and surgical skills,and increasing medical interest.The differences were statistically sig⁃nificant(t=4.95,3.35,6.79,P<0.05).Conclusion Robot-assisted surgery system has certain advantages in the clinical teaching of standardized training for neonatal surgery residents,which is mainly reflected in helping students connect the⁃oretical knowledge with clinical skills and improving learning initiative and interest.The application of robot-assisted sur⁃gery system in daily teaching contributes to the construction of neonatal surgery under the new medical background.
作者
陈锐
赖登明
吕成杰
黄寿奖
钭金法
CHEN Rui;LAI Dengming;LYU Chengjie(Department of Neonatal Surgery,Zhejiang University School of Medicine Children's Hospital,Hangzhou 310052,China)
出处
《全科医学临床与教育》
2024年第5期443-446,共4页
Clinical Education of General Practice
关键词
新医科
机器人手术系统
腹腔镜
新生儿外科
规范化培训
new medical
robot-assisted sur⁃gery
laparoscope
neonatal surgery
standard⁃ized training
