北京生物医学工程

骨科手术机器人培训效果的横断面调查

Trainingeffect for orthopaedic surgery robots: a cross-sectional survey

作者：李爽李文菁范明星刘亚军田伟

单位：北京积水潭医院（北京 100035）骨科机器人技术北京市重点实验室（北京 100035）

分类号：R318.04

出版年·卷·期（页码）：2020·39·5（523-528）

摘要：

目的骨科手术机器人日渐广泛的临床应用为手术医师提出了新的技术需求。目前缺乏关于骨科手术机器人技术培训效果的研究报道。本研究拟通过横断面调查探讨骨科手术机器人培训的短期效果。方法 2019年9月27日至2019年11月1日期间，以电子调查问卷的形式，对参加骨科手术机器人培训的骨科手术医生，针对其参加骨科手术机器人培训的效果进行调查，主要调查内容包括对课程实际掌握情况，对个人的促进作用，对科室的促进作用，对医院的促进作用，总体收获五个方面。采用χ2检验或Fisher精确检验进行单因素分析，评价学员的年龄、性别、学历、职称以及接受培训形式与总分优良率之间有无关联。结果本次调查共收到问卷115份，参与调查的医务人员来自全国14个省、自治区、直辖市，平均年龄39.7±7.9岁；职称方面，高级职称占比57.4%（66/115），中级职称占比33%（38/115）；专业方面，脊柱外科医师占比最多（50.4%），其次为创伤骨科医师（36.5%）。参加培训的方式主要为讲座（87%）、模型操作（87%）、尸体标本操作（38.3%）、手术观摩（59.1%）、手术操作（12.2%）。被调查者的中位总得分为130（115，141）分，优良率为66.1%。单因素分析结果显示，学员的年龄，性别、学历、职称、培训方式与总得分优良率之间无明确关联。结论骨科手术机器人短期培训效果显著，具有普适性，学员通过培训能够很好的掌握相关理论知识和实践技能，有助于推进科研工作的开展，扩大对所在医院和个人的宣传。

Objective The increasing clinical application of orthopaedic surgical robots has raised new technical requirements for surgeons. At present, there are insufficient research reports on the training effects of orthopaedic surgical robot technology. This study intends to explore the short-term effects of orthopaedic surgical robot training through a cross-sectional survey.Methods From September 27, 2019 to November 1, 2019, the orthopaedic surgeons who attended the training courses of orthopedic surgery robots were investigated in the form of electronic questionnaires for their acquirement including actual mastery of the course, individual improvement, department promotion, hospital development and overall enhancement. Single factor analysis was performed using χ2 test or Fisher's exact test to assess whether trainee’s age, gender, educational backgrounds, professional titles and training forms were related to the excellent rate of the overall score.Results A total of 115 questionnaires were collected in this survey. The orthopaedic surgeons included in the survey were from 14 provinces/autonomous regions/municipalities directly under the central government, with an average age of 39.7 ± 7.9 years. In terms of professional titles, senior and intermediate titles took up 57.4% (66/115) and 33% (38/115), respectively; professionally, spinal surgeons occupied the most (50.4%), followed by traumatologists (36.5%). The main ways to attend the training were: lecture (87%), model operation (87%), corpse specimen operation (38.3%), surgical observation (59.1%) and surgical operation (12.2%). The median total score of the respondents was 130 (115,141) and the excellent rate was 66.1%. The results of single factor analysis showed that there was no clear correlation between the age, gender, educational backgrounds, professional titles, training methods and the excellent rate of the overall score.ConclusionsThe training of orthopaedic surgical robots has obvious short-term effects and universality as trainees can master relevant theoretical knowledge and practical skills through this training, which can help promote the development of scientific research and expand the publicity of the hospitals and individuals.

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