脑卒中患者参与虚拟现实康复训练体验的Meta整合  

Qualitative research on the experience of Virtual Reality rehabilitation for patients with stroke:a Meta-synthesis

作　　者：苑潇敏 吴曰茜 吴培香[3] 陈兰波 冯小莹 孙雪琪 YUAN Xiaomin;WU Yueqian;WU Peixiang;CHEN Lanbo;FENG Xiaoying;SUN Xueqi(School of Nursing,Shandong University of Traditional Chinese Medicine,Jinan,250013,China)

机构地区：[1]山东中医药大学护理学院,济南市250013 [2]山东中医药大学第二附属医院心内科 [3]山东中医药大学第二附属医院护理部

出　　处：《中国护理管理》2024年第10期1545-1551,共7页Chinese Nursing Management

摘　　要：目的:对脑卒中患者参与虚拟现实康复训练体验的质性研究进行整合,为临床应用及改善虚拟现实康复训练提供参考依据。方法:通过计算机系统检索国内外相关数据库,检索关于脑卒中患者参与虚拟现实康复训练的质性研究,检索时限均从建库至2023年12月1日。根据JBI质性研究质量评价标准对文献进行质量评价,运用汇集性整合方法对研究结果进行整合。结果:共纳入16篇文献,提炼出56个明确的研究结果,将相似结果归纳、整合,形成10个新的类别,并综合成3个整合结果 :脑卒中患者参与虚拟现实康复训练的感知益处;脑卒中患者参与虚拟现实康复训练的感知障碍;脑卒中患者参与虚拟现实康复训练的需求。结论:虚拟现实技术为脑卒中患者的康复训练提供了新思路,其效果得到多数脑卒中患者的肯定,应予以正向引导。未来研究应积极研发适应脑卒中患者的虚拟现实康复训练系统,加强多学科团队建设,完善康复训练模式,促进脑卒中患者参与虚拟现实康复的发展与完善。Objective:To systematically review and synthesize the experience of Virtual Reality rehabilitation for patients with stroke,in order to provide references to improve the accessibility and experience of Virtual Reality rehabilitation for patients with stroke.Methods:We searched domestic and foreign databases from inception to December 1st,2023,to collect qualitative studies related to the experience and needs of Virtual Reality rehabilitation for patients with stroke.The quality of included studies was evaluated according to JBI Critical Appraisal Tool for qualitative studies.Meta-synthesis was used to integrate results.Results:A total of 16 studies were included,and 56 findings were extracted and grouped into 10 new categories.These categories were integrated into three synthesis results,including perceived benefits for participating in Virtual Reality rehabilitation in patients with stroke,perceived barriers for participating in Virtual Reality rehabilitation in patients with stroke,and Virtual Reality rehabilitation needs and expectations of patients with stroke.Conclusion:Virtual Reality technology provides new ideas for the rehabilitation training of patients with stroke,and its effectiveness is acknowledged by most patients with stroke,so it should be given positive guidance.Future research should actively develop a Virtual Reality rehabilitation system adapted to patients with stroke,strengthen the construction of multidisciplinary teams,improve the rehabilitation model,and promote the development and improvement of Virtual Reality rehabilitation for patients with stroke in China.

关 键 词：脑卒中 虚拟现实技术 康复体验 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]