Feasibility of an augmented reality cardiopulmonary resuscitation training system for health care providers
Feasibility of an augmented reality cardiopulmonary resuscitation training system for health care providers
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DOI：
10.1016/j.heliyon.2019.e02205
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发表时间：
2019-08-01
期刊：
影响因子：
4
通讯作者：
Leary, Marion
中科院分区：
文献类型：
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作者：
Balian, Steve;McGovern, Shaun K.;Leary, Marion
研究目的：增强现实（AR）有可能为CPR培训提供一种新的方法，通过游戏化和更具互动性的学习体验来补充传统的培训方法。这是通过将计算机生成的图像叠加在用户对真实的环境的视图上来模拟交互式训练场景来完成的。我们试图测试的AR CPR培训系统（CPReality）的可行性，为医疗保健提供者（HCP）的方法：在这个可行性试验中，心肺复苏术训练人体模型集成了一个商业AR设备（微软HoloLens），为参与者提供实时视听反馈，通过全息覆盖的血流到重要器官取决于CC质量。在该系统中，更高质量的CC在视觉上改善了虚拟血液循环。HCP仅使用AR系统进行了2分钟循环的纯手CPR，并记录了CC参数。使用定量和定性分析报告了参与者的人口统计学、CC质量和对培训环境的满意度的描述性数据。结果：在2018年10月至2018年11月期间，我们招募了51名HCP的便利样本。参与者的中位年龄为31岁（IQR 27-41），71%（36/51）为女性，67%（34/51）为注册护士。CC率（平均126 +/- 12.9 cpm）、深度（中位数53 mm，IQR 46-58）和完全回缩百分比（中位数80%，IQR 12-100）与高质量CPR的指南建议一致。参与者主要是满意的系统，与82%的感知体验为现实，98%认识到可视化有助于培训，和94%愿意使用的应用程序在未来的CPR training.Conclusions：AR越来越多地应用于医疗环境中，在CPR培训集成提供了一种新颖的和有前途的教育方法。在这个方便的样本中，经过培训的HCP，高质量的CC交付是可行的，使用AR CPR培训系统，这是受到大多数参与者的好评。
Aim of the study: Augmented reality (AR) has the potential to offer a novel approach to CPR training that supplements conventional training methods with gamification and a more interactive learning experience. This is done through computer-generated imagery superimposed on users' view of the real environment to simulate interactive training scenarios. We sought to test the feasibility of an AR CPR training system (CPReality) for health care providers (HCPs).Methods: In this feasibility trial, a CPR training manikin was integrated with a commercial AR device (Microsoft HoloLens) to provide participants with real-time audio-visual feedback via a holographic overlay of blood flow to vital organs dependent on CC quality. In this system, higher quality CC visually improved virtual blood circulation. HCPs performed a 2-minute cycle of hands-only CPR using only the AR system, and CC parameters were recorded. Descriptive data on participants' demographics, CC quality, and satisfaction with the training environment were reported using quantitative and qualitative analysis.Results: Between 10/2018-11/2018, we enrolled a convenience sample of 51 HCPs. The median age of participants was 31 years (IQR 27-41), 71% (36/51) were female, and 67% (34/51) were registered nurses. CC rates (mean 126 +/- 12.9 cpm), depths (median 53 mm, IQR 46-58), and percent with complete recoil (median 80%, IQR 12-100) were consistent with guideline recommendations for good quality CPR. Participants were predominantly satisfied with the system, with 82% perceiving the experience as realistic, 98% recognizing the visualizations as helpful for training, and 94% willing to use the application in future CPR training.Conclusions: As AR is increasingly applied in the healthcare setting, integration in CPR training offers a novel and promising educational approach. In this convenience sample of trained HCPs, high quality CC delivery was feasible using the AR CPR training system which was received favorably by most participants.