[1]卢向敏,钮美娥,韩燕霞,等.基于虚拟现实技术的慢性阻塞性肺疾病患者呼吸困难恐惧调适方案构建[J].军事护理,2023,40(09):52.[doi:10.3969/j.issn.2097-1826.2023.09.013]
 LU Xiangmin,NIU Mei'e,HAN Yanxia,et al.Development of a Virtual Reality-based Fear of Dyspnea Adaptation Program for Patients with Chronic Obstructive Pulmonary Disease[J].Nursing Journal Of Chinese People's Laberation Army,2023,40(09):52.[doi:10.3969/j.issn.2097-1826.2023.09.013]
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基于虚拟现实技术的慢性阻塞性肺疾病患者呼吸困难恐惧调适方案构建
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《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
40
期数:
2023年09期
页码:
52
栏目:
论著
出版日期:
2023-09-15

文章信息/Info

Title:
Development of a Virtual Reality-based Fear of Dyspnea Adaptation Program for Patients with Chronic Obstructive Pulmonary Disease
文章编号:
2097-1826(2023)09-0052-05
作者:
卢向敏1钮美娥2韩燕霞2缪小浪2吴振云2赵茜2金晓亮2
(1.苏州大学苏州医学院 护理学院,江苏 苏州215000; 2.苏州大学附属第一医院 呼吸与危重病医学科,江苏 苏州 215006)
Author(s):
LU Xiangmin1NIU Mei'e2HAN Yanxia2MIAO Xiaolang2WU Zhenyun2ZHAO Qian2JIN Xiaoliang2
(1.School of Nursing,Suzhou Medical College of Soochow University,Suzhou 215000,Jiangsu Province,China; 2.Department of Respiratory Medicine,The First Affiliated Hospital of Soochow University,Suzhou 215006,Jiangsu Province,China)
关键词:
虚拟现实技术 慢性阻塞性肺疾病 呼吸困难恐惧 调适方案 护理
Keywords:
virtual reality technology chronic obstructive pulmonary disease fear of dyspnea adaptation program nursing
分类号:
R473.56
DOI:
10.3969/j.issn.2097-1826.2023.09.013
文献标志码:
A
摘要:
目的 构建基于虚拟现实(virtual reality,VR)技术的慢性阻塞性肺疾病(下称:慢阻肺)患者呼吸困难恐惧调适方案,为改善慢阻肺患者呼吸困难恐惧提供参考。方法 综合文献检索与跨学科团队讨论构建基于虚拟现实技术的慢阻肺患者呼吸困难恐惧调适方案初稿,经2轮专家函询确定终稿。结果 2轮专家函询的积极系数均为100%; 权威系数分别为0.87、0.88; 协调系数分别为0.142、0.244(均P<0.001)。最终方案包括干预者、干预对象、地点、时间、形式、内容及效果评价7个部分,含输入(场景暴露)、中间(恐惧调适)、输出(适应性反应)3个环节。结论 构建的基于VR技术的慢阻肺患者呼吸困难恐惧调适方案内容科学,具有较强的应用价值,可为医护人员实施呼吸困难恐惧干预提供参考。
Abstract:
Objective To develop a fear of dyspnea adaptation program for patients with chronic obstructive pulmonary disease(COPD)based on virtual reality(VR)technology,and to provide a reference for improving fear of dyspnea in patients with COPD. Methods A comprehensive literature search and interdisciplinary team discussion were used to construct the first draft of a VR-based fear of dyspnea adaptation program for patients with COPD,and the final draft was formed after 2 rounds of expert correspondence.Results The positivity coefficient was 100% for both rounds of expert consultations.The authority coefficients were 0.87 and 0.88,while the coordination coefficients were 0.142 and 0.244(all P<0.001).The final program consisted of 7 parts,including intervention performer,intervention object,location,time,form,content,and outcome evaluation.It comprised 3 stages,namely,input(exposure scene),middle(fear adaptation),and output(adaptive response).Conclusions The VR-based fear of dyspnea adaptation program for patients with COPD is scientific and of good application value,which can provide guidance for medical professionals to implement interventions for fear of dyspnea in patients with COPD.

参考文献/References:

[1] JANSSENS T,PEUTER S D,STANS L,et al.Dyspnea perception in COPD:association between anxiety,dyspnea-related fear,and dyspnea in a pulmonary rehabilitation program[J].Chest,2011,140(3):618-625.
[2] PEUTER S D,JANSSENS T,DIEST I V,et al.Dyspnea-related anxiety:the Dutch version of the breathlessness beliefs questionnaire[J].Chron Respir Dis,2011,8(1):11-19.
[3] 郭辉,勾玉莉,沙丽艳.慢性疼痛患者疼痛恐惧心理研究进展[J].中国护理管理,2020,20(4):623-627.
[4] BREA G B,TORRES S I,ORTIZ R A,et al.Virtual reality in the treatment of adults with chronic low back pain:a systematic review and meta-analysis of randomized clinical trials[J].Int J Environ Res Public Health,2021,18(22):11806.
[5] KOLLINS S H,DELOSS D J,CANADAS E,et al.A novel digital intervention for actively reducing severity of paediatric ADHD(STARS-ADHD):a randomised controlled trial[J].Lancet Digit Health,2020,2(4):e168-e178.
[6] RUTKOWSKI S,RUTKOWSKA A,KIPER P,et al.Virtual reality rehabilitation in patients with chronic obstructive pulmonary disease:a randomized controlled trial[J].Int J Chron Obstruct Pulmon Dis,2020,15:117-124.
[7] 徐翠荣,张东芳,李秀云,等.社区医护人员心力衰竭疾病管理培训评价体系的构建研究[J].解放军护理杂志,2019,36(5):42-46.
[8] 陈怡,胡正翠,刘国凤,等.突发公共卫生事件应急护理培训方案的构建[J].军事护理,2023,40(5):10-13.
[9] 中国医师协会呼吸医师分会,中华医学会呼吸病学分会与中国康复医学会呼吸康复专业委员会.中国慢性呼吸道疾病呼吸康复管理指南(2021年)[J].中华健康管理学杂志,2021,15(6):521-538.
[10]中华医学会心血管病学分会,中国康复医学会心肺预防与康复专业委员会,中华心血管病杂志编辑委员会.六分钟步行试验临床规范应用中国专家共识[J].中华心血管病杂志,2022,50(5):432-442.
[11]NORR A M,BOURASSA K J,STEVENS E S,et al.Relationship between change in in-vivo exposure distress and PTSD symptoms during exposure therapy for active duty soldiers[J].J Psychiatr Res,2019,116:133-137.
[12]HESLOP M K.Using cognitive behavioural therapy techniques in COPD[J].Clin Respir J,2019(3):16-22.
[13]RUTKOWSKI S,SZCZEGIELNIAK J,SZCZEPANSKA G J.Evaluation of the efficacy of immersive virtual reality therapy as a method supporting pulmonary rehabilitation:a randomized controlled trial[J].J Clin Med,2021,10(2):352.

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备注/Memo

备注/Memo:
【收稿日期】2023-05-09【修回日期】2023-08-18
【基金项目】国家自然科学基金资助项目(72204182); 苏州市2022年度第二十八批科技发展计划(医疗卫生科技创新)项目(SKY2022122); 2021年苏州大学附属第一医院博习培育计划自然科学基金项目立项项目(BXQN202116)
【作者简介】卢向敏,硕士在读,电话:0512-67780319
【通信作者】韩燕霞,电话:0512-67780319
更新日期/Last Update: 2023-09-15