脑卒中患者参与虚拟现实技术康复训练体验的Meta整合  

Stroke patients'experience in virtual reality technology rehabilitation training:a Meta-synthesis

作　　者：刘晓玉 张超[1] 谢文广[2] 刘幸 舒越 毕蒙蒙 杨鑫晨 邓玉璐 LIU Xiaoyu;ZHANG Chao;XIE Wenguang;LIU Xing;SHU Yue;BI Mengmeng;YANG Xinchen;DENG Yulu(Department of Nursing,The Second Affiliated Hospital of Nanchang University,Nanchang,330008,China)

机构地区：[1]南昌大学第二附属医院护理部,南昌市330008 [2]南昌大学护理学院

出　　处：《中国护理管理》2024年第9期1399-1405,共7页Chinese Nursing Management

基　　金：江西省教育厅科学技术研究项目(GJJ210190)。

摘　　要：目的:整合脑卒中患者参与虚拟现实(VR)技术康复训练体验的质性研究,为临床开展并改善VR技术康复训练提供参考依据。方法:在计算机检索中文及英文数据库中有关脑卒中患者参与VR技术康复训练体验的质性研究,检索时限为建库至2024年3月,根据澳大利亚JBI循证卫生保健中心质性研究质量评价标准对文献进行质量评价,采用汇集性Meta整合方法对结果进行整合。结果:共纳入13篇文献,提炼出43个研究结果,归纳出11个新类别,得到3个整合结果:脑卒中患者对VR技术康复训练的接受程度较高、参与VR技术康复训练的感知益处及感知障碍。结论:VR技术给多数脑卒中患者带来积极的康复体验,但仍面临着认知、肢体、心理等多重障碍,医护人员应缓解患者负性情绪以提高对VR技术康复训练的接受度,强化患者对VR康复训练的益处认知以增强参与动机和信心,减少参与VR技术康复训练的障碍与挑战以优化康复训练体验。Objective:To integrate qualitative research on the experience of stroke patients participating in rehabilitation training with Virtual Reality(VR)technology,and to provide a reference basis for clinical development and improvement of rehabilitation training with VR technology.Methods:The Chinese and English databases were searched for qualitative studies on stroke patients'participation in VR rehabilitation training experience,and the search period was from the establishment of the databases to March 2024.The quality of the literature was evaluated according to the Quality Assessment Criteria for Qualitative Research of the JBI Centre for Evidence-Based Health Care in Australia,and the results were integrated using the Pooled Meta-Integration Method.Results:A total of 13 studies were included,and 43 findings were distilled,11 new categories were generalised,and integrated into 3 integrated outcomes:higher acceptance of VR technology for rehabilitation training in stroke,perceived benefits of participation in VR technology rehabilitation training,and perceived barriers for stroke patients.Conclusion:VR technology brings a positive rehabilitation experience to most stroke patients,but still faces multiple barriers such as cognitive,physical and psychological barriers.Healthcare professionals should alleviate patients'negative emotions to increase acceptance of VR technology rehabilitation training,strengthen patients'perception of the benefits of VR rehabilitation training to enhance motivation and confidence in participation,and reduce the barriers and challenges to participation in VR technology rehabilitation training to optimize the rehabilitation training experience.

关 键 词：脑卒中 虚拟现实 体验 质性研究 Meta整合 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]