[1]李丝静,江智霞,谢光辉,等.虚拟现实系统在重症患者中应用的范围综述[J].军事护理,2023,40(08):35-39.[doi:10.3969/j.issn.2097-1826.2023.08.009]
　LI Sijing,JIANG Zhixia,XIE Guanghui,et al.Application of Virtual Reality System in Critically Ill Patients: A Scoping Review[J].Nursing Journal Of Chinese People's Laberation Army,2023,40(08):35-39.[doi:10.3969/j.issn.2097-1826.2023.08.009]
点击复制

虚拟现实系统在重症患者中应用的范围综述
分享到：

《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
40
期数:
2023年08期
页码:
35-39
栏目:
研究荟萃
出版日期:
2023-08-15

文章信息/Info

Title:
Application of Virtual Reality System in Critically Ill Patients: A Scoping Review
文章编号:
2097-1826(2023)08-0035-05
作者:
李丝静1; 江智霞1; 谢光辉1; 杨晓玲1; 董俊兰2; 罗娟2; 刘小会2
(1.贵州护理职业技术学院 护理系,贵州 贵阳 550000; 2.遵义医科大学 护理学院,贵州 遵义 563000)
Author(s):
LI Sijing1; JIANG Zhixia1; XIE Guanghui1; YANG Xiaoling1; DONG Junlan2; LUO Juan2; LIU Xiaohui2
(1.Department of Nursing,Guizhou Nursing Vocational College,Guiyang 550000,Guizhou Province,China; 2.School of Nursing,Zunyi Medical University,Zunyi 563000,Guizhou Province,China)
关键词:
虚拟现实;  重症监护病房;  重症患者;  康复;  范围综述
Keywords:
virtual reality;  intensive care unit;  critically ill patient;  rehabilitation;  scope review
分类号:
R473
DOI:
10.3969/j.issn.2097-1826.2023.08.009
文献标志码:
A
摘要:
目的 对虚拟现实(virtual reality,VR)系统在重症患者中应用的相关研究进行范围审查,探讨其可接受性、耐受性和潜在有效性。方法 根据范围综述研究方法,检索Embase、PubMed、Web of Science、Cochrane、中国知网、万方和维普等数据库,时限为建库至2022年12月31日; 总结系统内容、干预方法、应用效果及局限性等。结果 共纳入20篇文献。主要探讨VR系统对重症患者睡眠、心理、疼痛、认知和早期活动等的影响; 单次干预时长约5～30 min; 患者对VR系统的接受度较高且满意度良好,不良反应轻微、可控; 但临床实施方法不够完善,缺乏较为客观的特异性评估方式,且系统内容偏商业化,其专业性和针对性不强。结论 VR系统应用于重症患者中是可行的,且具有一定效果; 未来研究应注重基于循证探索VR最佳干预策略,根据患者病情制定个体化干预方案,考虑跨学科合作定制适合重症患者的系统内容,并分析成本效益,以进一步在临床上推广应用。
Abstract:
Objective Through reviewing the researches,to study the acceptability,tolerability,and potential effectiveness of the application of virtual reality(VR)systems in critically ill patients.Methods Based on the methodology of the scope review,the literature databases,including Embase,PubMed,Web of Science,Cochrane,CNKI,Wanfang Data,and VIP,were searched with the retrieving time between the inception and December 31,2022.The system contents,intervention methods,application effects,and limitations were summarized.Results A total of 20 articles were included,which mainly discussed the influence of VR system on sleep,psychology,pain,cognition,and early activity in severe cases.The single intervention lasted approximately 5-30 min.The patients generally had high acceptance and satisfaction on VR intervention,with mild and controllable adverse reactions,but the clinical application need to improved,such as lacking objective and specific assessment method,over commercialized contents,less professional and targeted intervention.Conclusions VR system is feasible in the intervention of critical ill patients,and has a certain effect.The future research should focus on the evidence-based exploration of VR intervention strategy,providing individualized interventions according to patients' conditions,developing suitable contents for critical ill patients based on interdisciplinary cooperation,and considering cost-benefit,so as to promote its application in clinical practice.

参考文献/References:

[1] LEACH J.Psychological factors in exceptional,extreme and torturous environments[J/OL].[2023-03-20].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4890253/.DOI:10.1186/s13728-016-0048-y.
[2] COLBENSON G A,JOHNSON A,WILSON M E.Post-intensive care syndrome:impact,prevention,and management[J].Breathe(Sheff),2019,15(2):98-101.
[3] LEE C C,HSIAO K L,CHEN C C.Exploring the benefit and sacrifice factors of virtual reality gameplay[J/OL].[2023-03-20].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7076171/.DOI:10.3389/fpsyg.2020.00251.
[4] BIRCKHEAD B,KHALIL C,LIU X,et al.Recommendations for methodology of virtual reality clinical trials in health care by an international working group:iterative study[J/OL].[2023-03-20].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6374734/.DOI:10.2196/11973.
[5] ARSKSEY H,O'MALLEY L.Scoping studies:towards a methodological framework[J].Int J Soc Methodol,2005,8(1):19-32.
[6] KROGG W,GOLOVYAN D,ABSHIRE L,et al.Development of a virtual reality environment to provide cognitive stimulation:a novel tool to reduce pain,anxiety,and delirium in critically ill patients[EB/OL].[2023-03-20].https://www.atsjournals.org/doi/abs/10.1164/ajrccm-conference.2018.197.1_MeetingAbstracts.A4891?role=tab.
[7] MUNBY H.An immersive augmented-reality environment of the intensive care bed space as a tool to orientate patients and families[J].J Intensive Care Soc,2019,20(2 Suppl):241-242.
[8] GERBER S M,JEITZINER M M,KNOBEL S E J,et al.Perception and performance on a virtual reality cognitive stimulation for use in the intensive care unit:a non-randomized trial in critically ill patients[J/OL].[2023-03-20].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6914846/.DOI:10.3389/fmed.2019.00287.
[9] GOMES T T,SCHUJMANN D S,FU C.Rehabilitation through virtual reality:physical activity of patients admitted to the intensive care unit[J].Rev Bras Ter Intensiva,2019,31(4):456-463.
[10]BLAIR G J,KAPIL S,COLE S P,et al.Virtual reality use in adult ICU to mitigate anxiety for a patient on VV ECMO[J/OL].[2023-03-20].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC30590187/.DOI:10.1016/j.jclinane.2018.12.033.
[11]SUVAJDZIC M,BIHORAC A,RASHIDI P,et al.Developing a patient-centered virtual reality healthcare system to prevent the onset of delirium in icu patients[C]//2019 IEEE 7th International Conference on Serious Games and Applications for Health(SeGAH),Kyoto,Japan,2019:1-7.DOI:10.1109/SeGAH.2019.8882442.
[12]PARKE S,HOUGH C L,E BUNNELL A.The feasibility and acceptability of virtual therapy environments for early icu mobilization[J].PM R,2020,12(12):1214-1221.
[13]ZHENG E,SCHECTER DE,JEONG S,et al.Feasibility of virtual reality goggles in the intensive care unit(FEVRICU)trial[J/OL].[2023-03-20].https://www.researchgate.net/publication/342766961/.DOI:10.1164/ajrccm-conference.2020.201.1_MeetingAbstracts.A6316.
[14]王佳妮,张春艳,贾燕瑞,等.呼吸ICU患者早期运动虚拟现实康复系统的设计与接受度评价[J].中国护理管理,2020,20(2):171-176.
[15]ONG T L,RUPPERT M M,AKBAR M,et al.Improving the intensive care patient experience with virtual reality-a feasibility study[J/OL].[2023-03-20].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7314318/.DOI:10.1097/CCE.000000000000 0122.
[16]MERLIOT-GAILHOUSTET L,RAIMBERT C,GARNIER O,et al.Discomfort improvement for critically ill patients using electronic relaxation devices:results of the cross-over randomized controlled trial E-CHOISIR[J].Crit Care,2022,26(1):1-12.
[17]HE M,LI X,ZHANG T,et al.The fifth generation mobile communication technology plus virtual reality system for intensive care unit visits during COVID-19 pandemic:keep the delirium away[J].J Nurs Manag,2022,30(8):3885-3887.
[18]LAGHLAM D,NAUDIN C,COROYER L,et al.Virtual reality vs.Kalinox for management of pain in intensive care unit after cardiac surgery:a randomized study[J/OL].[2023-03-20].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8119554/.DOI:10.1186/s13613-021-00866-w.
[19]NAVARRA-VENTURA G,GOMÀ G,DE HARO C,et al.Virtual reality-based early neurocognitive stimulation in critically ill patients:a pilot randomized clinical trial[J/OL].[2023-03-20].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8703623/.DOI:10.3390/jpm11121260.
[20]VLAKE J H,VAN BOMMEL J,WILS E-J,et al.Virtual reality to improve sequelae of the post intensive care syndrome:a multicenter,randomized controlled feasibility study[J/OL].[2023-03-20].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8443 843/.DOI:10.1097/CCE.000000000 0000538.
[21]YESILOT S B,YE ILKU R,BEYAZ F.Use of virtual reality for reducing pain and anxiety after laparoscopic sleeve gastrectomy:a randomized controlled trial[J].Pain Manag Nurs,2022,23(6):826-831.
[22]VLAKE J H,VAN BOMMEL J,WILS E-J,et al.Intensive care unit-specific virtual reality for critically ill patients with COVID-19:multicenter randomized controlled trial[J/OL].[2023-03-20].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8097671/.DOI:10.1186/s13063-021-05271-z.
[23]LEE S Y,KANG J.Effect of virtual reality meditation on sleep quality of intensive care unit patients:a randomised controlled trial[J/OL].[2023-03-20].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC32241625/.DOI:10.1016/j.iccn.2020.102849.
[24]ROUSSEAUX F,DARDENNE N,MASSION P B,et al.Virtual reality and hypnosis for anxiety and pain management in intensive care units:a prospective randomised trial among cardiac surgery patients[J].Eur J Anaesthesiol,2022,39(1):58-66.
[25]曾莹莹.认知行为干预联合虚拟现实训练在重症颅脑损伤术后患者中的应用效果[J].河南医学研究,2021,30(28):5362-5364.
[26]张习莹,江智霞,刘其兰,等.ICU后综合征患者疲劳轨迹的潜在类别及影响因素分析[J].中华护理杂志,2022,57(3):272-278.
[27]彭剑飞,施慧,余爽,等.虚拟现实在心肺复苏实践教学中应用的范围综述[J].军事护理,2022,39(11):69-72.
[28]BOGDANOVA R,BOULANGER P,ZHENG B.Three-dimensional eye tracking in a surgical scenario[J].Surg Innov,2015,22(5):522-527.
[29]沈婷婷,林欢,刘文崇,等.虚拟现实技术应用于重症患者的研究进展[J].护士进修杂志,2022,37(5):416-419.

相似文献/References:

[1]杨玉霞,顾莺,胡静,等.儿科重症监护病房患儿肠内营养中断的研究进展[J].军事护理,2021,38(02):69.[doi:10.3969/j.issn.1008-9993.2021.02.018]
[2]邵小平,唐雯琦,胡三莲.集束化方案对降低危重症患者肠内营养相关误吸的效果研究[J].军事护理,2021,38(05):5.[doi:10.3969/j.issn.1008-9993.2021.05.002]
　SHAO Xiaoping,TANG Wenqi,HU Sanlian.Effect of Care Bundles on Reducing Enteral Nutrition-Related Aspiration in Critically Ill Patients[J].Nursing Journal Of Chinese People's Laberation Army,2021,38(08):5.[doi:10.3969/j.issn.1008-9993.2021.05.002]
[3]刘宏见,牟绍玉,罗静,等.基于临床护理分类系统的重症监护室电子护理记录系统的开发与应用[J].军事护理,2021,38(08):85.[doi:10.3969/j.issn.1008-9993.2021.08.023]
　LIU Hongjian,MOU Shaoyu,LUO Jing,et al.Development and Application of Electronic Nursing Recording System of Intensive Care Units Based on the Clinical Care Classification System[J].Nursing Journal Of Chinese People's Laberation Army,2021,38(08):85.[doi:10.3969/j.issn.1008-9993.2021.08.023]
[4]史广玲,徐建珍,刘夕珍,等.重症监护病房患者大便失禁相关性皮炎预测风险模型的建立和验证[J].军事护理,2021,38(11):37.[doi:10.3969/j.issn.1008-9993.2021.11.010]
　SHI Guangling,XU Jianzhen,LIU Xizhen,et al.Development and Validation of A Predictive Risk Model for Fecal Incontinence Associated Dermatitis in ICU Patients[J].Nursing Journal Of Chinese People's Laberation Army,2021,38(08):37.[doi:10.3969/j.issn.1008-9993.2021.11.010]
[5]吴媛,张慧超,王楠楠,等.虚拟现实技术在癌症患者负性情绪管理中的应用进展[J].军事护理,2022,39(05):61.[doi:10.3969/j.issn.1008-9993.2022.05.015]
[6]王汇,程岚,唐淑慧,等.失效模式与效应分析在降低ICU患者肠内营养相关性腹泻中的应用[J].军事护理,2022,39(09):25.[doi:10.3969/j.issn.1008-9993.2022.09.007]
　WANG Hui,CHENG Lan,TANG Shuhui,et al.Application of Failure Mode and Effect Analysis in Reducing Enteral Nutrition-Related Diarrhea in ICU Patients[J].Nursing Journal Of Chinese People's Laberation Army,2022,39(08):25.[doi:10.3969/j.issn.1008-9993.2022.09.007]
[7]王志伟,梁倩,类美容,等.虚拟现实技术对肢体功能障碍患者居家康复干预效果的系统评价[J].军事护理,2022,39(09):65.[doi:10.3969/j.issn.1008-9993.2022.09.017]
　WANG Zhiwei,LIANG Qian,LEI Meirong,et al.Effect of Using Virtual Reality Technology in Home Rehabilitation of Patients with Limb Dysfunction:A Systematic Review[J].Nursing Journal Of Chinese People's Laberation Army,2022,39(08):65.[doi:10.3969/j.issn.1008-9993.2022.09.017]
[8]彭剑飞,施慧,余爽,等.虚拟现实在心肺复苏实践教学中应用的范围综述[J].军事护理,2022,39(11):69.[doi:10.3969/j.issn.2097-1826.2022.11.018]
　PENG Jianfei,SHI Hui,YU Shuang,et al.Application of Virtual Reality in the Practical Teaching of Cardiopulmonary Resuscitation: A Scoping Review[J].Nursing Journal Of Chinese People's Laberation Army,2022,39(08):69.[doi:10.3969/j.issn.2097-1826.2022.11.018]
[9]张静,杨龙飞,刘宇,等.基于虚拟现实技术的居家康复训练在脑瘫患儿中应用的范围综述[J].军事护理,2023,40(02):71.[doi:10.3969/j.issn.2097-1826.2023.02.017]
　ZHANG Jing,YANG Longfei,LIU Yu,et al.Rehabilitation Training Based on Virtual Reality Technology for Children with Cerebral Palsy at Home: A Scoping Review[J].Nursing Journal Of Chinese People's Laberation Army,2023,40(08):71.[doi:10.3969/j.issn.2097-1826.2023.02.017]
[10]祁聪慧,康凤英,赵文芳,等.ICU急性肾损伤患者连续性肾脏替代治疗上机时家属决策困境的现象学研究[J].军事护理,2023,40(03):41.[doi:10.3969/j.issn.2097-1826.2023.03.010]
　QI Conghui,KANG Fengying,ZHAO Wenfang,et al.Family Decision-making Dilemma of Continuous Renal Replacement Therapy for Patients with Acute Kidney Injury in ICU:A Phenomenological Study[J].Nursing Journal Of Chinese People's Laberation Army,2023,40(08):41.[doi:10.3969/j.issn.2097-1826.2023.03.010]

备注/Memo

备注/Memo:
【 收稿日期 】 2023-04-05 【 修回日期 】 2023-07-03
【 基金项目 】 教育部科技发展中心2022年度专项课题(ZJXF2022152)
【 作者简介 】 李丝静,硕士在读,助教,电话:0854-5412023
【 通信作者 】 江智霞,电话:0854-5412023
更新日期/Last Update: 2023-08-15