智能化交互式认知运动干预在老年人跌倒预防中应用的范围综述  

Intelligent interactive cognitive-motor training for fall prevention in older adults:a scoping review

作　　者：何梦欣 陈德凤[2] 李蓓 董旭辉 李佳宝 杨扬 徐要凯 梁悦语 HE Mengxin;CHEN Defeng;LI Bei;DONG Xuhui;LI Jiabao;YANG Yang;XU Yaokai;LIANG Yueyu

机构地区：[1]广西中医药大学护理学院,南宁市530001 [2]广西壮族自治区人民医院胃肠外科 [3]右江民族医学院护理学院

出　　处：《中华护理杂志》2025年第7期884-890,共7页Chinese Journal of Nursing

摘　　要：目的对智能化交互式认知运动干预在老年人跌倒预防中的干预方案设计及应用状况进行范围综述,为该领域的后续研究提供参考。方法根据范围综述框架,系统检索PubMed、Web of Science、Embase、Cochrane Library、CINAHL、Scopus、IEEE Xplore、中国生物医学文献数据库、中国知网、万方数据库、维普数据库等,检索时限为建库至2024年9月17日,对纳入研究进行分析和总结。结果共纳入19篇文献。其中虚拟现实、商业游戏、计算机触摸感应、可穿戴设备、红外线感应为主要的智能化交互式技术,通常以基础认知能力训练、高级认知功能训练、空间认知训练、综合应用训练等结合平衡和协调、步态与力量、上下楼梯、避障等功能性活动训练进行干预。评估指标包括平衡和步态、跌倒风险和自我效能、生理指标、肌力、姿势稳定性、身体功能综合评估,以及可行性和安全性评估。结论智能化交互式认知干预运动在老年人中安全可行,可改善老年人平衡能力,降低跌倒的风险。Objective To conduct a scoping review of the intervention design and application status of intelligent interactive cognitive-motor training(IICMT)in fall prevention among older adults,providing references for subsequent research in this field.Methods Following the scoping review framework,systematic searches were conducted in PubMed,Web of Science,Embase,Cochrane Library,CINAHL,Scopus,IEEE Xplore,Chinese Biomedical Literature Database,CNKI,Wanfang Database,and VIP Database from their inception to September 17,2024.The included studies were analyzed and summarized.Results A total of 19 articles were included.The main intelligent interactive technologies included virtual reality,commercial games,computer touch sensing,wearable devices,and infrared sensing,typically combining basic cognitive ability training,advanced cognitive function training,spatial cognitive training,and comprehensive application training with functional activity training such as balance and coordination,gait and strength,stair climbing,and obstacle avoidance.Assessment indicators included balance and gait,fall risk and self-efficacy,physiological indicators,muscle strength,postural stability,physical function,as well as feasibility and safety assessments.Conclusion IICMT is safe and feasible among older adults,and can improve balance and fall efficacy,reducing the risk of falls.

关 键 词：交互式认知运动 运动干预 跌倒预防 老年人 护理 

分 类 号：R473.2[医药卫生—护理学]