Tesis

Efektivitas Penggunaan Pelvic Box Obgin UI-RSCM Terhadap Keterampilan Laparoskopi PPDS Obstetri = Effectivity of Simple Pelvic Box Trainer on Laparoscopic Skill of Obstetrics and Gynecology Junior Resident.

Latar belakang: Laparoskopi adalah prosedur yang kini umum dilakukan oleh ginekolog di Indonesia. Saat ini, tersedia beberapa metode simulasi laparoskopi, seperti simulator kotak pelvik dan virtual reality (VR). Namun, simulator kotak pelvik dan VR terbatas oleh biaya yang mahal. Oleh karena itu, penelitian ini akan menyelidiki efektivitas kotak pelvik sederhana (Obgin UI) sebagai alat latihan untuk meningkatkan kemampuan laparoskopi residen Obstetri-Ginekologi (Ob-Gin) tahap dasar. Metode: Penelitian ini merupakan penelitian eksperimental pada 32 residen Ob-Gin tahap dasar yang diacak ke dalam dua kelompok: kelompok kotak pelvik standar dan kelompok kotak pelvik Obgin UI. Subjek dinilai berdasarkan kemampuan melakukan peg transfer dan pea on peg sebelum pelatihan dan sesudah pelatihan dengan masing-masing kotak pelvik. Hasil: Subjek pada kelompok kotak pelvik Obgin UI mengalami peningkatan dalam durasi pengerjaan post-test peg transfer (101,50 [45] s vs 1 98 [119,50] s, p=0,001) dan post-test pea on peg (181 [104.50] s vs 391.50 [295.75] s, p=0.002) dibandingkan pretest. Tidak ditemukan perbedaan signifikan pada durasi pengerjaan antar kedua kelompok. Subjek yang bermain gim video dalam 6 bulan terakhir mengerjakan pre-test peg transfer (115 [74] s vs 234 [263] s, p < 0,001) dan pre-test pea to peg (362 [263] s vs 532 [262] s, p=0,007) lebih singkat dibandingkan subjek yang tidak. Subjek yang memiliki minat pada laparoskopi menyelesaikan pre-test peg transfer (122 (82) s vs 221 (285) s, p=0,025) dan pea on peg (352 (198) s vs 523 (244) s, p=0,009) lebih cepat dibandingkan subjek yang tidak. Kesimpulan: Pelatihan pada kotak pelvik Obgin UI efektif dalam meningkatkan kemampuan laparoskopi residen Ob-Gin tahap dasar
Kata kunci: kotak pelvik, laparoskopi, latihan, obstetri dan ginekologi, residen



Background: Laparoscopy is a procedure commonly performed by gynecologist in Indonesia. Currently, some simulation trainings for laparoscopy are available, such as pelvic box trainer and virtual reality (VR) simulators. However, both pelvic box trainer and VR simulators are limited by high cost. Therefore, this study will investigate the effectivity of simple pelvic box trainer on laparoscopic skill of obstetrics and gynecology (Ob-Gyn) junior residents. Methods: An experimental study was conducted on 32 Ob-Gyn junior residents and they were randomized equally into two groups: standard pelvic box and simple pelvic box. Subjects were assessed to perform on peg transfer and pea on peg tasks before (pre-test) and after (post-test) training with simple pelvic box. Results: Participants of simple pelvic box group had an improved overall duration on finishing peg transfer post-test (101.50 [45] s vs 1 98 [119.50] s, p=0.001) and pea on peg post-test (181 [104.50] s vs 391.50 [295.75] s, p=0.002) compared to pre-test. No significant difference was found on both groups training results. Participants who had played video game in the last 6 months had a better pre-test on peg transfer (115 [74] s vs 234 [263] s, p < 0.001) and pea to peg pre-test (362 [263] s vs 532 [262] s, p=0.007) compared to those who had not. Participants who had interest in laparoscopy completed peg transfer pre-test (122 (82) s vs 221 (285) s, p=0.025) dan pea on peg pre-test (352 (198) s vs 523 (244) s, p=0.009) better than those who had no interest in laparoscopy. Conclusion: Training on a simple pelvic box trainer effectively improved Ob-Gyn junior UHVLGHQWV¶ODSDURVFRSLFVNLOO
Keyword: laparoscopy, pelvic box, obstetrics and gynecology, resident, training