A simple novel training model for teaching suprapubic catheter (SPC) exchange
A simple novel training model for teaching suprapubic catheter (SPC) exchange
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DOI：
10.1016/j.acuro.2020.01.011
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发表时间：
2020-10-01
影响因子：
1.1
通讯作者：
Biyani, C. S.
中科院分区：
文献类型：
--
作者：
Bratt, D. G.;Berridge, C.;Biyani, C. S.
目的：为了开发一个耻骨上导管（SPC）的培训模型，因为没有具体的现实的培训模型存在复制SPC交换的导管道present.Materials和Methods：我们描述了一种新的，解剖学上逼真的，动物模拟器模型用于SPC培训，这是在国家泌尿外科模拟靴子营地新的泌尿外科学员和专家泌尿科医生验证试用。使用猪腹壁创建腹壁的比例再现。将一段小肠缝合在16 F Foley导管周围以形成一个管道。圆柱形切除腹壁组织以形成开口，并使小肠道穿过腹壁并向前缝合，产生真实的SPC道：在解剖学上，将该道缝合到猪膀胱。该模型进行了评估，由10名专家泌尿科医生的内容效度与8项5分制的评分量表，用于评估领域相关的simulator.Results：领域得分为1和5之间的10名专家泌尿科医生，1是“非常不同意”和5是非常同意。然后在培训课程结束后计算专家对各领域的平均评分并制成表格。该模型的全球平均评分为4.2/5，平均培训有用性评分为4.6/5。结论：专家和受训者（非正式）的反馈非常积极。平均而言，我们的专家对使用该模拟器作为培训工具的体验表示高度满意。(C)2020年AEU。由Elsevier Espana出版，S.L.U. All rights reserved.
Objectives: To develop a suprapubic catheter (SPC) training model as no specific realistic training model exists to replicate SPC exchange where a catheter tract is present.Materials and methods: We describe a novel, anatomically realistic, animal simulator model for use in SPC training, which was trialed at a national urology simulation boot camp by new urology trainees and validated by expert urologists. A scale reproduction of an abdominal wall was created using a porcine abdominal wall. A segment of small bowel was stitched around a size 16F Foley catheter to form a tract. Abdominal wall tissue was excised cylindrically to create an opening, and the small bowel tract was passed through the abdominal wall and sutured anteriorly, producing a realistic SPC tract: inferiorly, the tract was anastomosed to a porcine urinary bladder. This model was evaluated by 10 expert urologists for content validity with an 8-item 5-point rating scale used to evaluate domains relevant to the simulator.Results: The domains were scored between 1 and 5 by 10 expert urologists, 1 being "strongly disagree" and 5 being strongly agree. The average expert ratings of the domains were then calculated and tabulated following the training course. There was an average global rating of 4.2/5 for the model, with an average usefulness for training score of 4.6/5.Conclusion: The feedback from experts and trainees (informal) was overwhelmingly positive. On average, our experts reported high satisfaction with their experience using this simulator as a training tool. (C) 2020 AEU. Published by Elsevier Espana, S.L.U. All rights reserved.