基于用户体验蜂窝模型探讨任务导向性脑卒中上肢康复机器人训练体验的质性研究  

A qualitative study to explore the training experience of task-oriented stroke upper limb rehabilitation ro⁃bot based on the user experience honeycomb model

作　　者：刘致含 吴学森 张景春 赵宝茹 何友泽 胡雨蝶 吴劲松[1,2] LIU Zhihan;WU Xuesen;ZHANG Jingchun(Fujian University of Traditional Chinese Medicine,Fuzhou,Fujian,350000)

机构地区：[1]福建中医药大学康复医学院,福建省福州市350000 [2]福建中医药大学康复产业研究院

出　　处：《中国康复医学杂志》2025年第4期508-515,共8页Chinese Journal of Rehabilitation Medicine

基　　金：中国康复医学会科技发展项目(KFKT-2023-003);福建中医药大学青年科技创新人才培育计划(XQC2023004);福建中医药大学重大科技创新“揭榜挂帅”专项项目(XJB2022006)。

摘　　要：目的:从脑卒中患者、照护者及康复治疗师多个角度收集任务导向性脑卒中上肢康复机器人的用户体验,分析其优点与不足,为进一步研发提供依据。方法:采用质性研究方法,基于用户体验蜂窝模型,通过目的抽样法对15名脑卒中患者、9名照护者及10名康复治疗师进行半结构式访谈及体验感评分。使用Nvivo 12软件并应用Braun&Clarke的主题分析法并借助Nvivo 12软件对访谈内容分析、提炼主题。结果:共提炼出6个主题,17个亚主题,包括有用性(肢体功能、心理状况、康复/工作效率)、可用性(操作难度、人机交互)、满意度(模块设计、元素设计、舒适度)、可寻性(信息架构、功能搜索、任务提示)、可获取(个性化、应用环境、社会支持)、可信度(专业性、准确性、安全性)。评分结果显示,受访者对“可获取”评分相对较低7.76±1.24,而其他5个主题平均分均在8分以上,且在“有用性”及“可信度”方面评分均显著高于“可获取”(P=0.029,P<0.001)。结论:任务导向性上肢康复机器人有较好的用户体验感,但在人机交互效率、舒适度及应用环境等方面仍需进一步优化。Objective:To collect the user feedback on task-oriented upper limb rehabilitation robots from multiple perspectives,including stroke patients,caregivers and rehabilitation therapists,and to provide insights for further development and optimization by analyzing the existing deficiencies.Method:A qualitative research method was used to conduct semi-structured interviews and experience ratings with 15 stroke patients,9 caregivers,and 10 rehabilitation therapists in the Department of Occupational Therapy of the Rehabilitation Hospital Affiliated to Fujian University of Traditional Chinese Medicine,using purposive sampling based on the user experience honeycomb model.The interview data were analyzed and summarized to refine the themes according to Braun&Clarke's thematic analysis method and with the assistance of NVivo 12 software.Result:Six themes and 16 sub-themes were presented,including usefulness(physical function,psychological condition and rehabilitation efficiency),usability(operational difficulty and human-machine interaction),satisfaction(training modules,element design and comfort),findability(information architecture,functional search and task prompts),accessibility(personalization,application environment and social support),and credibility(professionalism,accuracy and safety).The scoring results showed that the score of"accessiblilty"was relatively low at 7.76±1.24,while the average score of the other five topics was above 8,and the scores of"usefulness"and"credibility"of the equipment were significantly higher than those of"accessibility"(P=0.029,P<0.001).Conclusion:The task-oriented upper limb rehabilitation robot has a good sense of user experience.However,further improvements are needed in the efficiency,comfort and application environment of human-computer interaction machine.

关 键 词：用户体验蜂窝模型 脑卒中 上肢康复机器人 任务导向性训练 上肢功能障碍 质性研究 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R493[医药卫生—临床医学]