虚拟现实技术在脑卒中患者认知康复中应用的证据总结  

Evidence summary of application of virtual reality technology in cognitive rehabilitation of stroke patients

作　　者：路明惠 李书砚[2] 孙艳[2] 王幼琳[2] 柴倩文 魏力[1] Lu Minghui;Li Shuyan;Sun Yan;Wang Youlin;Chai Qianwen;Wei Li(Nursing Department,Tianjin Medical University General Hospital Airport Hospital,Tianjin 300308,China;Nursing Department,Tianjin Medical University General Hospital,Tianjin 300308,China)

机构地区：[1]天津医科大学总医院空港医院护理部,天津300308 [2]天津医科大学总医院护理部,天津300308

出　　处：《中华现代护理杂志》2021年第30期4088-4094,共7页Chinese Journal of Modern Nursing

基　　金：中华医学会杂志社2019年护理学科研究课题(CMAPH-NRI2019003)。

摘　　要：目的检索虚拟现实技术在脑卒中患者认知康复中应用的相关证据,并进行证据评价与总结,为制订基于虚拟现实技术的脑卒中认知康复规范提供参考。方法应用循证护理方法,按照“6S”模型系统检索美国国家指南网、英国国家卫生与临床优化研究所、加拿大安大略注册护士协会、苏格兰校际指南网、Cochrane Library、Joanna Briggs Institute(JBI)循证卫生保健数据库、PubMed、Web of Science、Springerlink、Science Direct、National Stroke Foundation、中国指南网、医脉通、CNKI、万方数据库和维普数据库中关于虚拟现实技术在脑卒中患者认知康复训练方面的指南、专家共识、RCT、系统评价等证据,检索时限为2015年1月—2020年12月。采用临床指南研究与评价系统Ⅱ(AGREEⅡ)、Assessment of Multiple Systematic Reviews 2(AMSTAR 2)、JBI文献质量评价工具,由2名研究人员独立对文献进行质量评价和证据级别评定。结果最终纳入17篇文献,其中6篇指南,4篇系统评价,7篇RCT研究,总结了20条虚拟现实技术在脑卒中患者认知康复中应用的证据。结论本研究初步形成针对虚拟现实技术在脑卒中患者认知康复中应用的证据总结与评价,以期为基于虚拟现实的认知康复技术实践规范的制订提供参考,改善脑卒中患者认知康复效果。Objective To retrieve the relevant evidence of the application of virtual reality technology in the cognitive rehabilitation of stroke patients and conduct evaluation and summary of the evidence to provide a reference for formulating norms of cognitive rehabilitation of stroke based on virtual reality technology.Methods Using evidence-based nursing methods,according to the“6S”model system to search guidelines,expert consensus,random controlled trail(RCT),systematic reviews and other evidence of the use of virtual reality technology in the cognitive rehabilitation training of stroke patients on United States National Guidelines Network,National Institute for Health and Care Excellence,Registered Nurses'Association of Ontario,Scottish Intercollegiate Guidelines Network,Cochrane Library,Joanna Briggs Institute(JBI)Evidence-Based Health Care Database,PubMed,Web of Science,Springerlink,Science Direct,National Stroke Foundation,China Guidance Network,Medlive,CNKI,Wanfang Database and VIP Database.The retrieval period was from January 2015 to December 2020.Using Appraisal of Guidelines for Research and EvaluationⅡ(AGREEⅡ),Assessment of Multiple Systematic Reviews 2(AMSTAR 2)and JBI literature quality evaluation tools,two researchers independently evaluated the quality of the literature and the level of evidence.Results Finally,17 articles were included,including 6 guidelines,4 systematic reviews and 7 RCT studies,summarizing 20 evidences of the application of virtual reality technology in cognitive rehabilitation of stroke patients.Conclusions This research has initially formed a summary and evaluation of the evidence for the application of virtual reality technology in cognitive rehabilitation of stroke patients,in order to provide a reference for the formulation of practical norms of cognitive rehabilitation technology based on virtual reality and improve the effect of cognitive rehabilitation for stroke patients.

关 键 词：卒中 认知 虚拟现实 循证护理 

分 类 号：R473.74[医药卫生—护理学]