虚拟现实技术对老年性痴呆患者干预效果的Meta分析  

Meta-analysis of virtual reality technology intervention effect on Senile dementia patients

作　　者：陈云静 韩梦景 刘荣梅[2] 毕立雄 傅映平 包瑞芳 CHEN Yunjing;HAN Mengjing;LIU Rongmei;BI Lixiong;FU Yingping;BAO Ruifang(School of Nursing,Yunnan University of Traditonal Chinese Medicine,Kunming 650500;Department of Encephalopathy,Yunnan Traditional Chinese Medicine Hospital,Kunming 650021,China)

机构地区：[1]云南中医药大学护理学院,650500 [2]云南省中医医院脑病科,650021

出　　处：《中国老年保健医学》2023年第5期37-43,共7页Chinese Journal of Geriatric Care

摘　　要：目的 评价虚拟现实技术对老年性痴呆患者认知功能、生活自理能力及抑郁焦虑程度的干预效果。方法 计算机检索Web of Science、PubMed、Cochrane Library、EMbase、中国生物医学文献服务系统、维普网、万方数据、中国知网,搜集虚拟现实技术对老年性痴呆患者干预的随机对照研究,时间范围限定为自建库至2023年6月1日。由2名研究者独立筛选文献、提取资料并评价文献质量后,采用Review Manager 5.4软件进行Meta分析。结果 纳入7篇文献,共461例样本,其中干预组230例,对照组231例。Meta分析结果显示,虚拟现实技术干预显著改善老年性痴呆患者的认知功能(SMD=0.47,95%CI 0.23~0.71,P<0.01);改善老年性痴呆患者的日常生活能力(SMD=0.74,95%CI为0.50~0.97,P<0.001);使患者抑郁焦虑的心理状态改善(SMD=-0.81,95%CI-1.04~0.02,P<0.01)。结论 虚拟现实技术对老年性痴呆患者的干预与常规康复治疗相比疗效更加显著。Objective To systematically evaluate the intervention effect of virtual reality technology on cognitive function,selfcare ability and depression and anxiety degree of senile dementia patients,and to provide evidence-based basis for clinical promotion of virtual reality technology.Methods The randomized controlled studies of virtual reality intervention on senile dementia patients were collected by searching Web of Science,PubMed,Cochrane Library,EMbase,CBM,VIP,Wanfang Data and CNKI.The time range is limited to the self-built database until June 2023.After literature screening,data extraction and literature quality evaluation by 2 researchers,Meta-analysis was performed using Review Manager 5.4 software.Results A total of461 cases were included in 6 literatures,including 230 cases in the intervention group and 231 cases in the control group.The results showed that compared with the control group,virtual reality technology intervention significantly improved the cognitive function of Alzheimer's patients(SMD=0.47,95%CI 0.23~0.71,P<0.01),improved the ability of daily living in Alzheimer's patients(SMD=0.74,95%CI 0.50~0.97,P<0.001),the psychological state of depression and anxiety was improved(SMD=-0.81,95%CI-1.04~0.02,P<0.01).Conclusion VR has a significant effect on the functional improvement of senior dementia patients,which is worthy of further promotion.

关 键 词：老年性痴呆 虚拟现实 认知功能 生活自理能力 

分 类 号：R749.16[医药卫生—神经病学与精神病学]