TY - JOUR AU - Guetterman, Timothy C AU - Sakakibara, Rae AU - Baireddy, Srikar AU - Kron, Frederick W AU - serbo, Mark W AU - Cleary, James F AU - Fetters, Michael D PY - 2019 DA - 2019/11/27 TI -医学生使用虚拟人体模拟提高沟通技巧的经验和结果:混合方法研究JO - J Med Internet Res SP - e15459 VL - 21 IS - 11 KW -癌症KW -虚拟现实KW -健康传播KW -专业间关系KW -信息学KW -非语言交际KW -计算机模拟KW -医护关系KW -移情AB -参与广泛的沟通行为，传达同理心是一个重要的，但往往被低估的概念，以减少护理错误，提高患者满意度，并改善癌症患者的结果。一种基于虚拟人(VH)的模拟MPathic-VR被开发出来，用于培训卫生保健提供者与患者和跨专业环境中的共情沟通，并通过一项随机对照试验进行评估。目的:本混合方法研究旨在探讨基于vh的模拟培训医疗保健提供者在共情患者-提供者和跨专业沟通方面的不同效果。方法:采用混合方法干预设计，将两种定量测量方法(mpathic - vr计算得分和客观结构化临床考试(OSCE)得分)与医学生对其经历的定性反映进行比较。本文是对大型试验中干预组数据的次要重点分析。美国3所医学院的学生(n=206)接受了模拟训练，以提高共情沟通技巧。我们进行了方差分析、主题文本分析和合并混合方法分析。结果:干预组学习者的OSCE得分(平均0.806,SD 0.201)显著高于对照组(平均0.752,SD 0.198; F1,414=6.09; P=.01). Qualitative analysis revealed 3 major positive themes for the MPathic-VR group learners: gaining useful communication skills, learning awareness of nonverbal skills in addition to verbal skills, and feeling motivated to learn more about communication. Finally, the results of the mixed methods analysis indicated that most of the variation between high, middle, and lower performers was noted about nonverbal behaviors. Medium and high OSCE scorers most often commented on the importance of nonverbal communication. Themes of motivation to learn about communication were only present in middle and high scorers. Conclusions: VHs are a promising strategy for improving empathic communication in health care. Higher performers seemed most engaged to learn, particularly nonverbal skills. SN - 1438-8871 UR - //www.mybigtv.com/2019/11/e15459/ UR - https://doi.org/10.2196/15459 UR - http://www.ncbi.nlm.nih.gov/pubmed/31774400 DO - 10.2196/15459 ID - info:doi/10.2196/15459 ER -