SIMROID机器人在口腔医学生麻醉教学中的应用

Exploration of the Application of SIMROID Robot in the Training of Anesthesia for Dental Student

目的:本研究利用SIMROID机器人将接诊流程模式化应用于本科生教学培训考核,并通过问卷调查的方式对其进行评价。方法:以6岁患儿局部浸润麻醉下拔除下颌滞留的乳中切牙为蓝本,编撰人机交互的医患沟通和行为管理脚本,将机器人的应答和相应头部、手部的动作导入SIMROID机器人。在课堂借助PPT讲解儿童口腔科的医患沟通和行为管理后,将82名口腔医学大学四年级医学生随机分成机器人组(实验组)和同伴练习组(对照组),之后两组互换。实习结束后,学生填写调查问卷,对两种教学模式进行评价。结果:学生认为机器人的外形与真人还是有一定差距(P<0.001),而在模拟临床突发情况时机器人表现更好(P=0.001);使用同伴沟通更能考虑到患者的疼痛感受(P=0.001)。结论:本研究利用SIMROID机器人完成儿童口腔局部浸润麻醉时“标准病人”的建立,尝试情景化临床思维训练和医患沟通、行为管理教学的新途径,为进一步开展和推广机器人模拟临床教学奠定了基础。

Objective:This paper introduces a training assessment and scoring system that uses SIMROID robot’s human-computer interaction function to model the reception process,and completes the preliminary evaluation by means of questionnaire.Methods:Based on the extraction of retained incisors under local infiltration anesthesia in a 6-year-old child,a human-computer interaction doctor-patient communication and behavior management script was compiled,and the robot’s response and corresponding head and hand movements were introduced into the SIMROID robot.After traditional teaching in the classroom to explain the doctor-patient communication and behavior management of pediatric stomatology,82 fourth-year medical students of the Stomatology of Peking University were randomly divided into robot group(experimental group)and peer practice group(control group),and then the two groups were exchanged.At the end of the internship,students fill out a questionnaire to evaluate the two teaching modes.Results:Students believed that there was still a certain gap between the appearance of the robot and the real person(P<0.001),but the robot performed better when simulating clinical emergencies(P=0.001),and the use of peer communication was more able to take into account the patient’s pain perception(P=0.001).Conclusion:This project uses SIMROID robot to complete the establishment of‘standard patient’during local anesthesia of oral infiltration in children,tries a new way of situational clinical thinking training,doctor-patient communication and behavior management teaching,evaluates the acceptance of students in the new teaching mode and the traditional teaching mode,and lays a foundation for further development and promotion of robot simulation clinical teaching.