Construção de simulador laparoscópico de média fidelidade e avaliação da curva de aprendizagem
Autor(a) principal: | |
---|---|
Data de Publicação: | 2021 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações da UNIFENAS |
Texto Completo: | http://tede2.unifenas.br:8080/jspui/handle/jspui/305 |
Resumo: | Introduction: In undergraduate medical schools, realistic simulation has been applied more and more as a means of providing students and physicians with the development of technical skills through task repetition, performed in a controlled environment, without compromising the patient’s safety. Objective: This study aimed to build a medium fidelity laparoscopic simulator and evaluate the learning curve generated by the training of general surgery students and residents. Method: After the construction of the medium fidelity laparoscopic simulator, 3rd and 4th year undergraduate students of José do Rosário Vellano University (UNIFENAS) School of Medicine, campus Alfenas, and resident doctors at Alzira Velano University Hospital, underwent training and their learning curve were evaluated by the time taken to perform the task and the mistakes made. Results: Twenty-seven subjects of both sexes (70% women) participated in the research, of which seven were residents and 20 were students between 5th to 8th semesters of medical school. The manufacture of the medium fidelity simulator was made possible at a cost of R$300.00 per unit. Students who previously participated in surgery academic leagues took less time in the first test compared to those who did not participate (372.9 ± 89.1 vs 259.0 ± 90.5 where p=0.032). Likewise, the number of repetitions needed to reach 90% of the best score was lower (7.0 ± 4.6 vs 11.9 ± 1.7 where p=0.013). The intention to follow a surgical career also proved to be associated with a better score on the first test (282.9 ± 78.2 vs 406.9 ± 87.6 where p=0.011) and a lower number of repetitions needed to reach 90% of the best score (8.8 ± 4.1 vs 12.4 ± 0.8 with p=0.017). Conclusion: The laparoscopic simulator allowed all participants to have a progressive improvement in scoring results and reduced task execution time during repetitions. Students interested in the surgical area and who participated in academic leagues showed better performance in the learning curve. These findings, sided with the equipment's low production cost, reveal its potential as a surgical skill training tool, as well as indicate the need of incorporating new tasks into the simulator |
id |
UNFE_e8f97790f1c32393a1e2309e31515c46 |
---|---|
oai_identifier_str |
oai:tede2.unifenas.br:jspui/305 |
network_acronym_str |
UNFE |
network_name_str |
Biblioteca Digital de Teses e Dissertações da UNIFENAS |
repository_id_str |
|
spelling |
Cardoso Junior, Aloisio80478395604http://lattes.cnpq.br/0112472754877872Navarro, Karen Cecília de Lima Torres03374560628http://lattes.cnpq.br/0404523893145501Turci, Maria Aparecida81781407649http://lattes.cnpq.br/050787167107866105612621604http://lattes.cnpq.br/6879984093291054Lima, Igor de Andrade2021-11-26T14:13:03Z2021-08-27Lima, Igor de Andrade. Construção de simulador laparoscópico de média fidelidade e avaliação da curva de aprendizagem. 2021. 77f. Dissertação (Programa de Mestrado em Ensino em Saúde) - Universidade José do Rosário Vellano, Belo Horizonte, 2021.http://tede2.unifenas.br:8080/jspui/handle/jspui/305Introduction: In undergraduate medical schools, realistic simulation has been applied more and more as a means of providing students and physicians with the development of technical skills through task repetition, performed in a controlled environment, without compromising the patient’s safety. Objective: This study aimed to build a medium fidelity laparoscopic simulator and evaluate the learning curve generated by the training of general surgery students and residents. Method: After the construction of the medium fidelity laparoscopic simulator, 3rd and 4th year undergraduate students of José do Rosário Vellano University (UNIFENAS) School of Medicine, campus Alfenas, and resident doctors at Alzira Velano University Hospital, underwent training and their learning curve were evaluated by the time taken to perform the task and the mistakes made. Results: Twenty-seven subjects of both sexes (70% women) participated in the research, of which seven were residents and 20 were students between 5th to 8th semesters of medical school. The manufacture of the medium fidelity simulator was made possible at a cost of R$300.00 per unit. Students who previously participated in surgery academic leagues took less time in the first test compared to those who did not participate (372.9 ± 89.1 vs 259.0 ± 90.5 where p=0.032). Likewise, the number of repetitions needed to reach 90% of the best score was lower (7.0 ± 4.6 vs 11.9 ± 1.7 where p=0.013). The intention to follow a surgical career also proved to be associated with a better score on the first test (282.9 ± 78.2 vs 406.9 ± 87.6 where p=0.011) and a lower number of repetitions needed to reach 90% of the best score (8.8 ± 4.1 vs 12.4 ± 0.8 with p=0.017). Conclusion: The laparoscopic simulator allowed all participants to have a progressive improvement in scoring results and reduced task execution time during repetitions. Students interested in the surgical area and who participated in academic leagues showed better performance in the learning curve. These findings, sided with the equipment's low production cost, reveal its potential as a surgical skill training tool, as well as indicate the need of incorporating new tasks into the simulatorIntrodução: Nos cursos de graduação em medicina, a simulação realística está sendo aplicada, cada vez mais, como um meio de propiciar aos estudantes e aos médicos o desenvolvimento de competências técnicas por meio da repetição de tarefas, realizadas em ambiente controlado, não comprometendo a segurança do paciente. Objetivo: Este estudo teve como objetivo construir um simulador laparoscópico de média fidelidade e avaliar a curva de aprendizagem gerada pelo treinamento de estudantes e de médicos residentes de cirurgia geral. Método: Após a construção do simulador laparoscópico de média fidelidade, alunos do 3º e 4º anos de graduação, do Curso de Medicina da Universidade José do Rosário Vellano (UNIFENAS), campus Alfenas, e médicos residentes do Hospital Universitário Alzira Velano, foram submetidos a treinamento e suas curvas de aprendizagem foram avaliadas pela determinação do tempo de realização da tarefa e dos erros cometidos. Resultados: Participaram da pesquisa 27 sujeitos, de ambos os sexos (70% mulheres), sendo sete médicos residentes e 20 alunos do 5º ao 8º período do curso de medicina. A manufatura do simulador de média fidelidade foi viabilizada a um custo de R$ 300,00 por unidade. Os alunos que participaram previamente de ligas acadêmicas de cirurgia apresentaram menor tempo do primeiro teste em relação aos que não participaram (372,9 ± 89,1 vs. 259,0 ± 90,5 com p=0,032). Da mesma maneira, o número de repetições para atingir 90% do melhor escore foi inferior (7,0 ± 4,6 vs. 11,9 ± 1,7 com p=0,013). A intenção de seguir carreira cirúrgica também se mostrou associada à melhor pontuação no primeiro teste (282,9 ± 78,2 vs. 406,9 ± 87,6 com p=0,011) e menor número de repetições para atingir 90% do melhor escore (8,8 ± 4,1 vs. 12,4 ± 0,8 com p=0,017). Conclusão: O simulador laparoscópico possibilitou que todos os participantes tivessem uma melhora progressiva nos resultados da pontuação e redução do tempo de execução da tarefa, durante as repetições. Os alunos com interesse na área cirúrgica e que participaram de ligas acadêmicas apresentaram melhor rendimento na curva de aprendizagem. Estes achados, aliados ao baixo custo de produção do equipamento, revelam sua potencialidade como ferramenta de treinamento de habilidades cirúrgicas bem como apontam a necessidade de incorporação de novas tarefas ao simulador.Submitted by Jessica Queiroz (kely.alves@unifenas.br) on 2021-11-26T13:44:59Z No. of bitstreams: 1 Dissertação Igor Lima.pdf: 1671321 bytes, checksum: 07a895837ee8deb00611a340329f5522 (MD5)Approved for entry into archive by Jessica Queiroz (kely.alves@unifenas.br) on 2021-11-26T14:05:39Z (GMT) No. of bitstreams: 1 Dissertação Igor Lima.pdf: 1671321 bytes, checksum: 07a895837ee8deb00611a340329f5522 (MD5)Approved for entry into archive by Jessica Queiroz (kely.alves@unifenas.br) on 2021-11-26T14:12:53Z (GMT) No. of bitstreams: 1 Dissertação Igor Lima.pdf: 1671321 bytes, checksum: 07a895837ee8deb00611a340329f5522 (MD5)Made available in DSpace on 2021-11-26T14:13:03Z (GMT). No. of bitstreams: 1 Dissertação Igor Lima.pdf: 1671321 bytes, checksum: 07a895837ee8deb00611a340329f5522 (MD5) Previous issue date: 2021-08-27application/pdfporUniversidade José do Rosário VellanoPrograma de Mestrado em Ensino em SaúdeUNIFENASBrasilPós-GraduaçãoLaparoscopiaCurva de AprendizadoTreinamento por SimulaçãoCirurgia GeralCompetência CirúrgicaEducação MédicaLaparoscopyLearning curveTraining by SimulationGeneral surgerySurgical competenceMedical EducationCIENCIAS DA SAUDE::MEDICINAConstrução de simulador laparoscópico de média fidelidade e avaliação da curva de aprendizagemConstruction of a medium fidelity laparoscopic simulator and evaluate the learning curve assessmentinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis-7785865496449744764500500600-7642911903105032531-969369452308786627info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da UNIFENASinstname:Universidade José do Rosário Vellano (UNIFENAS)instacron:UNIFENASORIGINALDissertação Igor Lima.pdfDissertação Igor Lima.pdfapplication/pdf1671321http://tede2.unifenas.br:8080/tede/bitstream/jspui/305/2/Disserta%C3%A7%C3%A3o+Igor+Lima.pdf07a895837ee8deb00611a340329f5522MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-81067http://tede2.unifenas.br:8080/tede/bitstream/jspui/305/1/license.txt5c6beccce69d761560deb91deaa8853bMD51jspui/3052021-11-26 12:13:03.627oai:tede2.unifenas.br:jspui/305TGljZW7Dp2EgZGUgZGlzdHJpYnVpw6fDo28gbsOjbyBleGNsdXNpdmEuDQoNCkNvbSBhIGFwcmVzZW50YcOnw6NvIGRlc3RhIGxpY2Vuw6dhIGV1LCBJZ29yIGRlIEFuZHJhZGUgTGltYSwgY29uY2VkbyDDoCBVbml2ZXJzaWRhZGUgSm9zw6kgZG8gUm9zw6FyaW8gVmVsbGFubyAtIFVOSUZFTkFTIG8gZGlyZWl0byBuw6NvLWV4Y2x1c2l2byBkZSByZXByb2R1emlyLCB0cmFkdXppciBlL291IGRpc3RyaWJ1aXIgYSBkaXNzZXJ0YcOnw6NvIChpbmNsdWluZG8gbyByZXN1bW8pIHBvciB0b2RvIG8gbXVuZG8gbm8gZm9ybWF0byBpbXByZXNzbyBlIGVsZXRyw7RuaWNvIGUgZW0gcXVhbHF1ZXIgbWVpbywgaW5jbHVpbmRvIG9zIGZvcm1hdG9zIMOhdWRpbyBvdSB2w61kZW8uDQoNCkNvbmNvcmRvIHF1ZSBhIFVOSUZFTkFTIHBvZGUsIHNlbSBhbHRlcmFyIG8gY29udGXDumRvLCB0cmFuc3BvciBhIG1pbmhhIGRpc3NlcnRhw6fDo28gcGFyYSBxdWFscXVlciBtZWlvIG91IGZvcm1hdG8gcGFyYSBmaW5zIGRlIHByZXNlcnZhw6fDo28uDQoNCkNvbmNvcmRvIHF1ZSBhIFVOSUZFTkFTIHBvZGUgbWFudGVyIG1haXMgZGUgdW1hIGPDs3BpYSBhIGRpc3NlcnRhw6fDo28gcGFyYSBmaW5zIGRlIHNlZ3VyYW7Dp2EsIGJhY2stdXAgZSBwcmVzZXJ2YcOnw6NvLg0KRGVjbGFybyBxdWUgYSBtaW5oYSBkaXNzZXJ0YcOnw6NvIMOpIG9yaWdpbmFsIGUgY29uY2VkbyBvcyBkaXJlaXRvcyBjb250aWRvcyBuZXN0YSBsaWNlbsOnYS4gRSB0YW1iw6ltIGRlY2xhcm8gcXVlIG8gZGVww7NzaXRvIGRhIG1pbmhhIGRpc3NlcnRhw6fDo28gbsOjbyBpbmZyaW5nZSBkaXJlaXRvcyBhdXRvcmFpcyBkZSBuaW5ndcOpbS4NCg0KQSBVTklGRU5BUyBzZSBjb21wcm9tZXRlIGEgaWRlbnRpZmljYXIgY2xhcmFtZW50ZSBxdWUgSWdvciBkZSBBbmRyYWRlIExpbWEsIMOpIGRlbnRlbnRvcihhKSBkb3MgZGlyZWl0b3MgYXV0b3JhaXMgZGEgZGlzc2VydGHDp8OjbywgZSBuw6NvIGZhcsOhIHF1YWxxdWVyIGFsdGVyYcOnw6NvLCBhbMOpbSBkYXF1ZWxhcyBjb25jZWRpZGFzIHBvciBlc3RhIGxpY2Vuw6dhLg0KDQo=Biblioteca Digital de Teses e Dissertaçõeshttp://tede2.unifenas.br:8080/jspui/http://tede2.unifenas.br:8080/oai/requestbiblioteca@unifenas.br||biblioteca@unifenas.bropendoar:2021-11-26T14:13:03Biblioteca Digital de Teses e Dissertações da UNIFENAS - Universidade José do Rosário Vellano (UNIFENAS)false |
dc.title.por.fl_str_mv |
Construção de simulador laparoscópico de média fidelidade e avaliação da curva de aprendizagem |
dc.title.alternative.eng.fl_str_mv |
Construction of a medium fidelity laparoscopic simulator and evaluate the learning curve assessment |
title |
Construção de simulador laparoscópico de média fidelidade e avaliação da curva de aprendizagem |
spellingShingle |
Construção de simulador laparoscópico de média fidelidade e avaliação da curva de aprendizagem Lima, Igor de Andrade Laparoscopia Curva de Aprendizado Treinamento por Simulação Cirurgia Geral Competência Cirúrgica Educação Médica Laparoscopy Learning curve Training by Simulation General surgery Surgical competence Medical Education CIENCIAS DA SAUDE::MEDICINA |
title_short |
Construção de simulador laparoscópico de média fidelidade e avaliação da curva de aprendizagem |
title_full |
Construção de simulador laparoscópico de média fidelidade e avaliação da curva de aprendizagem |
title_fullStr |
Construção de simulador laparoscópico de média fidelidade e avaliação da curva de aprendizagem |
title_full_unstemmed |
Construção de simulador laparoscópico de média fidelidade e avaliação da curva de aprendizagem |
title_sort |
Construção de simulador laparoscópico de média fidelidade e avaliação da curva de aprendizagem |
author |
Lima, Igor de Andrade |
author_facet |
Lima, Igor de Andrade |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Cardoso Junior, Aloisio |
dc.contributor.advisor1ID.fl_str_mv |
80478395604 |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/0112472754877872 |
dc.contributor.referee1.fl_str_mv |
Navarro, Karen Cecília de Lima Torres |
dc.contributor.referee1ID.fl_str_mv |
03374560628 |
dc.contributor.referee1Lattes.fl_str_mv |
http://lattes.cnpq.br/0404523893145501 |
dc.contributor.referee2.fl_str_mv |
Turci, Maria Aparecida |
dc.contributor.referee2ID.fl_str_mv |
81781407649 |
dc.contributor.referee2Lattes.fl_str_mv |
http://lattes.cnpq.br/0507871671078661 |
dc.contributor.authorID.fl_str_mv |
05612621604 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/6879984093291054 |
dc.contributor.author.fl_str_mv |
Lima, Igor de Andrade |
contributor_str_mv |
Cardoso Junior, Aloisio Navarro, Karen Cecília de Lima Torres Turci, Maria Aparecida |
dc.subject.por.fl_str_mv |
Laparoscopia Curva de Aprendizado Treinamento por Simulação Cirurgia Geral Competência Cirúrgica Educação Médica |
topic |
Laparoscopia Curva de Aprendizado Treinamento por Simulação Cirurgia Geral Competência Cirúrgica Educação Médica Laparoscopy Learning curve Training by Simulation General surgery Surgical competence Medical Education CIENCIAS DA SAUDE::MEDICINA |
dc.subject.eng.fl_str_mv |
Laparoscopy Learning curve Training by Simulation General surgery Surgical competence Medical Education |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE::MEDICINA |
description |
Introduction: In undergraduate medical schools, realistic simulation has been applied more and more as a means of providing students and physicians with the development of technical skills through task repetition, performed in a controlled environment, without compromising the patient’s safety. Objective: This study aimed to build a medium fidelity laparoscopic simulator and evaluate the learning curve generated by the training of general surgery students and residents. Method: After the construction of the medium fidelity laparoscopic simulator, 3rd and 4th year undergraduate students of José do Rosário Vellano University (UNIFENAS) School of Medicine, campus Alfenas, and resident doctors at Alzira Velano University Hospital, underwent training and their learning curve were evaluated by the time taken to perform the task and the mistakes made. Results: Twenty-seven subjects of both sexes (70% women) participated in the research, of which seven were residents and 20 were students between 5th to 8th semesters of medical school. The manufacture of the medium fidelity simulator was made possible at a cost of R$300.00 per unit. Students who previously participated in surgery academic leagues took less time in the first test compared to those who did not participate (372.9 ± 89.1 vs 259.0 ± 90.5 where p=0.032). Likewise, the number of repetitions needed to reach 90% of the best score was lower (7.0 ± 4.6 vs 11.9 ± 1.7 where p=0.013). The intention to follow a surgical career also proved to be associated with a better score on the first test (282.9 ± 78.2 vs 406.9 ± 87.6 where p=0.011) and a lower number of repetitions needed to reach 90% of the best score (8.8 ± 4.1 vs 12.4 ± 0.8 with p=0.017). Conclusion: The laparoscopic simulator allowed all participants to have a progressive improvement in scoring results and reduced task execution time during repetitions. Students interested in the surgical area and who participated in academic leagues showed better performance in the learning curve. These findings, sided with the equipment's low production cost, reveal its potential as a surgical skill training tool, as well as indicate the need of incorporating new tasks into the simulator |
publishDate |
2021 |
dc.date.accessioned.fl_str_mv |
2021-11-26T14:13:03Z |
dc.date.issued.fl_str_mv |
2021-08-27 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
Lima, Igor de Andrade. Construção de simulador laparoscópico de média fidelidade e avaliação da curva de aprendizagem. 2021. 77f. Dissertação (Programa de Mestrado em Ensino em Saúde) - Universidade José do Rosário Vellano, Belo Horizonte, 2021. |
dc.identifier.uri.fl_str_mv |
http://tede2.unifenas.br:8080/jspui/handle/jspui/305 |
identifier_str_mv |
Lima, Igor de Andrade. Construção de simulador laparoscópico de média fidelidade e avaliação da curva de aprendizagem. 2021. 77f. Dissertação (Programa de Mestrado em Ensino em Saúde) - Universidade José do Rosário Vellano, Belo Horizonte, 2021. |
url |
http://tede2.unifenas.br:8080/jspui/handle/jspui/305 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.program.fl_str_mv |
-7785865496449744764 |
dc.relation.confidence.fl_str_mv |
500 500 600 |
dc.relation.department.fl_str_mv |
-7642911903105032531 |
dc.relation.cnpq.fl_str_mv |
-969369452308786627 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade José do Rosário Vellano |
dc.publisher.program.fl_str_mv |
Programa de Mestrado em Ensino em Saúde |
dc.publisher.initials.fl_str_mv |
UNIFENAS |
dc.publisher.country.fl_str_mv |
Brasil |
dc.publisher.department.fl_str_mv |
Pós-Graduação |
publisher.none.fl_str_mv |
Universidade José do Rosário Vellano |
dc.source.none.fl_str_mv |
reponame:Biblioteca Digital de Teses e Dissertações da UNIFENAS instname:Universidade José do Rosário Vellano (UNIFENAS) instacron:UNIFENAS |
instname_str |
Universidade José do Rosário Vellano (UNIFENAS) |
instacron_str |
UNIFENAS |
institution |
UNIFENAS |
reponame_str |
Biblioteca Digital de Teses e Dissertações da UNIFENAS |
collection |
Biblioteca Digital de Teses e Dissertações da UNIFENAS |
bitstream.url.fl_str_mv |
http://tede2.unifenas.br:8080/tede/bitstream/jspui/305/2/Disserta%C3%A7%C3%A3o+Igor+Lima.pdf http://tede2.unifenas.br:8080/tede/bitstream/jspui/305/1/license.txt |
bitstream.checksum.fl_str_mv |
07a895837ee8deb00611a340329f5522 5c6beccce69d761560deb91deaa8853b |
bitstream.checksumAlgorithm.fl_str_mv |
MD5 MD5 |
repository.name.fl_str_mv |
Biblioteca Digital de Teses e Dissertações da UNIFENAS - Universidade José do Rosário Vellano (UNIFENAS) |
repository.mail.fl_str_mv |
biblioteca@unifenas.br||biblioteca@unifenas.br |
_version_ |
1800394217171714048 |