医学教育中的虚拟现实和增强现实:综述

IF 3.2 Q1 HEALTH CARE SCIENCES & SERVICES Frontiers in digital health Pub Date : 2024-03-14 DOI:10.3389/fdgth.2024.1365345
T. Tene, Diego Fabián Vique López, Paulina Elizabeth Valverde Aguirre, Luz María Orna Puente, Cristian Vacacela Gomez
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引用次数: 0

摘要

本综述旨在确定身临其境的虚拟现实(VR)和增强现实(AR)技术与传统教育方法或不采取任何干预措施相比,能在多大程度上提高医疗保健专业人员在医学教育和培训中的特定能力。根据 PICOS 标准对符合条件的研究进行了筛选和分类。采用描述性统计和卡方检验对数据进行分析,并在样本量较小或特定条件下辅以费雪检验。分析包括将工作阶段(开发和测试、结果、评估)和相关变量(绩效、参与、绩效和参与、效果、未评估)与所使用的技术类型进行交叉表列。共有 28 项研究被纳入其中,其中大多数报告了使用沉浸式技术所带来的更多或积极的效果。虚拟现实是最常被研究的技术,尤其是在 "表现 "和 "结果 "阶段。结果表明,在医学教育技术的研究领域,VR 是一种普遍的工具,在提高教育效果方面有积极的趋势。然而,统计分析并未显示出显著的关联性,这表明有必要进行样本量更大的进一步研究。这篇综述强调了身临其境技术在加强医学培训方面的潜力,但呼吁进行更严格的研究,以确定其功效的确切证据。
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Virtual reality and augmented reality in medical education: an umbrella review
This umbrella review aims to ascertain the extent to which immersive Virtual Reality (VR) and Augmented Reality (AR) technologies improve specific competencies in healthcare professionals within medical education and training, in contrast to traditional educational methods or no intervention.Adhering to PRISMA guidelines and the PICOS approach, a systematic literature search was conducted across major databases to identify studies examining the use of VR and AR in medical education. Eligible studies were screened and categorized based on the PICOS criteria. Descriptive statistics and chi-square tests were employed to analyze the data, supplemented by the Fisher test for small sample sizes or specific conditions.The analysis involved cross-tabulating the stages of work (Development and Testing, Results, Evaluated) and variables of interest (Performance, Engagement, Performance and Engagement, Effectiveness, no evaluated) against the types of technologies used. Chi-square tests assessed the associations between these categorical variables.A total of 28 studies were included, with the majority reporting increased or positive effects from the use of immersive technologies. VR was the most frequently studied technology, particularly in the “Performance” and “Results” stages. The chi-square analysis, with a Pearson value close to significance (p = 0.052), suggested a non-significant trend toward the association of VR with improved outcomes.The results indicate that VR is a prevalent tool in the research landscape of medical education technologies, with a positive trend toward enhancing educational outcomes. However, the statistical analysis did not reveal a significant association, suggesting the need for further research with larger sample sizes. This review underscores the potential of immersive technologies to enhance medical training yet calls for more rigorous studies to establish definitive evidence of their efficacy.
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