Objective:A virtual reality (VR)-based training system for combat musculoskeletal trauma care (CMTC) was meticulously crafted to enhance trainees’ theoretical understanding, familiarity with care processes, and decision-making abilities in the realm of combat musculoskeletal trauma management.Method:Scenario scripts, descriptions of injuries, and foundational management plans for care under fire and tactical field care were constructed. Subsequently, the CMTC system was developed employing tools, such as Maya, Photoshop, Unity, SQLite, and Visual Studio. Finally, the system was tested by 30 civilian nurses. The trainees’ knowledge, satisfaction, and system usability were evaluated using the theoretical question bank module, questionnaire, and system usability scale (SUS).Results:This research resulted in the establishment of five types of processes for CMTC in the contexts of care under fire and tactical field care. The study indicated that the trainees’ scores after training (75.67 ± 6.91) was higher than before training (69.17 ± 10.91), p < 0.001, the t-statistic was −5.022. The resultant SUS score was 70.4 ± 9.40. An overwhelming 96.67% of the trainees expressed satisfaction with the teaching quality.Conclusion:The CMTC system, developed in alignment with Tactical Combat Casualty Care (TCCC) guidelines and infused with cutting-edge equipment and technologies, provides an interactive and modular simulation training experience. Its strengths include higher reality, enhanced safety, repeatability, cost-effectiveness, and the provision for performance analysis. Besides, it has good accessibility and reliability, and can cultivate students’ autonomous learning ability and deepen their understanding.

中文翻译：

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战斗肌肉骨骼创伤护理虚拟现实训练系统的开发

目的：精心打造基于虚拟现实（VR）的战斗肌肉骨骼创伤护理（CMTC）培训系统，以提高学员在战斗肌肉骨骼创伤处理领域的理论理解、护理流程熟悉和决策能力。 ：构建了场景脚本、伤情描述以及火力护理和战术野战护理的基本管理计划。随后，利用Maya、Photoshop、Unity、SQLite、Visual Studio等工具开发了CMTC系统。最后，该系统由30名平民护士进行了测试。使用理论题库模块、调查问卷和系统可用性量表 (SUS) 评估学员的知识、满​​意度和系统可用性。​​ 结果：本研究在护理背景下建立了五种类型的 CMTC 流程火力和战术野战护理。研究表明，学员培训后的成绩（75.67±6.91）高于培训前（69.17±10.91），p < 0.001，t统计量为-5.022。 SUS 得分为 70.4 ± 9.40。 96.67%的学员对教学质量表示满意。结论：CMTC系统按照战术战斗伤员救护（TCCC）指南开发，融入尖端设备和技术，提供交互式、模块化的模拟训练体验。其优势包括更高的真实性、增强的安全性、可重复性、成本效益以及提供性能分析。此外，它具有良好的可访问性和可靠性，可以培养学生的自主学习能力，加深理解。