探索频闪技术和引导式可视化在向兽医专业学生传授缝合技术中的优势

Matthew K. Roe, Sarah Matyjaszek, Amy Stein, Kenneth Sullins, M. Brosnahan
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摘要

缝合被广泛认为是兽医教育的一项核心能力。随着课程要求的不断扩大,能够在不增加时间的情况下提高学生缝合技能的培训干预措施将非常有价值。本研究评估了频闪视觉阻力训练(一种使用间歇性闭塞视觉的技术)和引导视觉对缝合技术和速度的影响。同时还对学生的焦虑水平进行了评估。29 名没有外科手术经验的兽医学生被分为频闪组、视觉组和对照组。在第一周,由美国兽医外科学院(ACVS)的执业兽医教授简单间断、简单连续和十字形模式,学生也在此时进行了焦虑测试。在第 2、3、4 和 6 周,每组都进行了一小时的辅导练习,并在第 5 和 7 周进行了评估。评估由另一名 ACVS 注册兽医进行,他对各组的任务分配不设盲区。与对照组学生相比,频闪训练组学生在第 5 周(p = 0.001)和第 7 周(p = 0.006)的十字韧带模式缝合时间更快,与可视化组学生相比,在第 5 周(p = 0.002)的缝合时间更快。与对照组相比,频闪训练组的学生在第 7 周缝合简单连续图案的时间更快(p = 0.005)。焦虑方面无明显差异。在任何时间点,任何组别任何模式的技术评分均无明显差异。频闪训练可能会加快缝合时间,但不会降低缝合技术。
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Exploring the Benefits of Stroboscopic Technology and Guided Visualization in Teaching Suturing Techniques to Veterinary Medicine Students
Suturing is widely regarded to be a core competency of veterinary education. With curricular requirements expanding, training interventions that improve students’ suturing skills without added time would be valuable. This study evaluated the effects of stroboscopic visual resistance training, a technique using intermittent occlusion of vision, and guided visualization on suturing technique and speed. Students’ anxiety levels were also assessed. Twenty-nine veterinary students with no prior surgical experience were divided into stroboscopic, visualization and control groups. Simple interrupted, simple continuous, and cruciate patterns were taught by an American College of Veterinary Surgeons (ACVS) boarded veterinarian in week 1, and students also took an anxiety test at this time. One-hour-long tutored practice sessions were held for each group in weeks 2, 3, 4 and 6, and assessments were conducted in weeks 5 and 7. Assessments were conducted by a second ACVS boarded veterinarian blinded to group assignments. Students in the stroboscopic training group had faster suturing times compared to students in the control group for the cruciate pattern at week 5 ( p = 0.001) and week 7 ( p = 0.006), and faster times compared to students in the visualization group at week 5 ( p = 0.002). Students in the stroboscopic training group had faster suturing times than the control group ( p = 0.005) for the simple continuous pattern at week 7. No significant differences were observed in anxiety. There was no significant difference in technique scores for any group with any pattern at any time point. Stroboscopic training may result in faster suturing times without deterioration of suturing technique.
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