模块化培训模式在机器人手术配合训练中的应用

Application of modular training model in coordination training for robotic surgery

目的:总结模块化培训模式在机器人手术系统辅助腹腔镜手术配合中护士的培训经验及效果。方法:回顾性分析并总结2017年9月-2019年9月浙江省人民医院机器人手术配合护士运用模块化培训的方法。该培训体系包括3个模块:第1阶段为初级模块培训,包括机器人理论学习和专科理论学习,并在培训前后对护士进行两个学习内容的分别考核;第2阶段为中级模块培训,包括操作技能、观看经典手术视频、模具仿真培训,并在培训前后对护士模具仿真培训的准备时间、对接时间及应急处理时间分别进行计时;第3阶段为高级模块培训,即参与临床实践。对每名护士培训前后得分及操作完成时间进行比较。结果:护士经初级模块培训后的考试成绩及中级模块培训后的操作完成时间明显优于培训前(P<0.05),且进入高级模块培训的所有护士经导师监督下完成3例手术后均能独立进行机器人手术配合。结论:模块化培训模式能显著提高护士机器人手术配合的工作技能。

Objective: To summarize and evaluate training effect of modular training mode on operating room nurses in robot-assisted laparoscopic surgery. Methods: The series of modular training on operating room nurses of Zhejiang Provincial People’s Hospital for robotic surgery from September 2017 to September 2019 were retrospectively analyzed. The training system consists of three modules: primary or basic module, which includes the basic and specialized theoretical study on Da Vinci surgical robot, and assessment was made before and after training;Ultra module, including operation skill training, training video watching and simulation training with training mold. The preoperative preparation, docking time and emergency processing time were counted respectively. Super module, which was the clinical nursing practice. The scores and operation time of each nurse were recorded and compared before and after training. Results: The scores of basic module and the operation time of secondary module of the nurses in modular training of robotic surgery after training are significantly better than before training(P<0.05). All nurses in super module training were able to cooperate independently after completing three cases under supervisor’s supervision. Conclusion: Modular training mode could improve the coordination skills in robotic surgery, which is worthy of widely promotion in clinical practice.