基于引导式教育的老年患者术后诱导排尿虚拟现实系统的设计及应用  

Design of conductive education-based virtual reality system for inducing urination after surgery in elderly patients and its application

作　　者：刘泽炫 韩金玲 夏振兰[1] 邝远芳 LIU Ze-xuan;HAN Jin-ling;XIA Zhen-lan;KUANG Yuan-fang(Dept.of Orthopedics,the Third Affiliated Hospital of Guangzhou Medical University,Guangzhou 510150,China;Dept.of Urology Surgery,the Third Affiliated Hospital of Guangzhou Medical University,Guangzhou 510150,China;School of Nursing,Guangzhou Medical University,Guangzhou 510182,China)

机构地区：[1]广州医科大学附属第三医院创伤骨科,广东广州510150 [2]广州医科大学附属第三医院泌尿外科,广东广州510150 [3]广州医科大学护理学院,广东广州510182

出　　处：《护理学报》2024年第1期74-78,共5页Journal of Nursing（China）

基　　金：广东省护士协会面上项目(gdshsxh2021a211)。

摘　　要：目的基于引导式教育理论为老年下肢骨折患者设计一套诱导患者术后排尿的虚拟现实系统,以达到预防老年术后尿潴留的效果,并初步验证其应用效果及安全性。方法以先进、实用、安全为设计原则,利用VR技术营造老年患者熟悉的环境,借助多感官刺激结合引导式教育理论构建系统框架及功能模块,形成个性化引导式训练方案,构建老年患者术后诱导排尿的虚拟现实系统。将广州市某三级甲等医院下肢骨折手术的老年患者随机分为试验组和对照组,试验组(40例)采用老年患者术后诱导排尿虚拟现实系统干预,对照组(42例)采用传统的膀胱护理方法。结果形成了基于引导式教育的老年患者术后诱导排尿虚拟现实系统,试验组患者的尿潴留发生率、残余尿量明显降低(P<0.05),2组患者的平均尿管留置天数及首次排尿量均有统计学差异(P<0.05),且试验组所有老年患者试验前中后的SSQ评分均处于较低水平,均无报告任何不良事件及症状。结论基于引导式教育的老年患者术后诱导排尿虚拟现实系统可有效预防老年下肢骨折患者的术后尿潴留,过程可行且安全,未来将继续完善并推广。Objective To design a conductive education-based virtual reality system for inducing urination in elderly patients with lower extremity fracture to prevent postoperative urination detention,and verify its application effect and safety.Methods Adhering to the principles of being advanced,practical and safe in design,a virtual reality system for preventing postoperative induced urination in elderly patients was designed by utilizing VR technology to create a familiar environment.Personalized training plans were established with a systematic framework and functional modules by combining multi-sensory stimulation and conductive education.Elderly patients undergoing surgery for lower limb fracture in a hospital in Guangzhou were randomly divided into experimental group(n=40)and control group(n=42).The conductive education-based virtual reality system was used in the experimental group,and conventional treatment was performed in the control group.Results There were statistically significant differences in the incidence of urinary retention and residual urine volume(P<0.05),mean catheter retention days and first urination volume(P<0.05)in the two groups,and no adverse events or symptoms were reported in all patients in the experimental group.Conclusion The conductive education-based virtual reality system can effectively prevent postoperative urinary retention in older patients with lower limb fracture.The process is feasible and safe,and the system will continue to be improved and promoted in the future.

关 键 词：虚拟现实技术 引导式教育 术后尿潴留 老年患者 

分 类 号：R473.6[医药卫生—护理学]