Qualitative Meta-synthesis of the rehabilitation experience of stroke patients using virtual reality
屈简妮 1孙超 2郭红 1刘丹 3焦萌 1郭张慧 1段煜 1陈颖宇1
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作者信息
1. 北京中医药大学护理学院,北京 100029
2. 北京医院护理部国家老年医学中心中国医学科学院老年医学研究院,北京 100730
3. 中日友好医院肾病科,北京 100029
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摘要
目的 系统整合和评价脑卒中患者虚拟现实技术康复体验的质性研究.方法 计算机检索 PubMed、Embase、Web of Science、CINAHL、Cochrane Library、中国知网、万方数据库、维普网及中国生物医学文献服务系统中有关脑卒中患者虚拟现实技术康复的质性研究,检索时限均为建库至2023年10月24日.2名研究者采用澳大利亚乔安娜布里格斯循证卫生保健中心质性研究质量评价工具独立评价文献,采用汇集性整合方法整合结果.结果 共纳入14篇文献,提炼出72个明确的研究结果,重新归纳形成13个类别,整合形成脑卒中患者对虚拟现实技术康复的体验、脑卒中患者使用虚拟现实技术康复的促进因素、脑卒中患者使用虚拟现实技术康复的障碍因素、脑卒中患者对虚拟现实技术康复的需求与期望4个结果.结论 虚拟现实技术作为康复治疗的一种方法,其效果获得了大多数脑卒中患者的肯定,未来需对脑卒中患者展开相关培训,不断完善系统设置,研发游戏内容的多样化与个性化,提高患者使用虚拟现实技术的体验感.
Abstract
Objective To systematically synthesize and evaluate qualitative studies on the rehabilitation experience of stroke patients using virtual reality.Methods A comprehensive search of databases including PubMed,Embase,Web of Science,CINAHL,Cochrane Library,China National Knowledge Infrastructure,Wanfang Data,VIP,and SinoMed was conducted for qualitative studies on the rehabilitation experience of stroke patients using virtual reality,with studies included up to October 24,2023.Two researchers independently assessed study quality using the Joanna Briggs Institute qualitative assessment tool,and a Meta-synthesis approach was used to integrate findings.Results Fourteen studies were included,yielding 72 distinct results that were categorized into 13 themes,and further integrated into four main themes:stroke patients'experience with virtual reality-assisted rehabilitation,facilitators for virtual reality-assisted rehabilitation,barriers to virtual reality-assisted rehabilitation,and stroke patients'needs and expectations for virtual reality-assisted rehabilitation.Conclusions Virtual reality is widely appreciated by stroke patients for its rehabilitation benefits.Future efforts should focus on patient training,system enhancement,and the development of diverse and personalized virtual reality content to improve the user experience.
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