Application of immersive virtual reality technology in cardiac rehabilitation health education for patients undergoing percutaneous coronary intervention
Objective To analyze the application effect of immersive virtual reality(VR)technology in cardiac rehabilitation health education for patients undergoing percutaneous coronary intervention(PCI).Methods PCI patients admitted to the Second Affiliated Hospital of the Military Medical University of the PLA Air Force from June 2022 to June 2023 were selected as research objects,and they were divided into VR group and control group The control group received conventional health education intervention,and the VR group received immersive VR technology for health education intervention.The scores of cardiac rehabilitation knowledge,cardiac rehabilitation attitude,cardiac rehabilitation exercise compliance,self-management behavior,Hamilton Depression Scale(HAMD)and Hamilton Anxiety Scale(HAMA)were compared between the two groups before and after the intervention.The incidence of adverse cardiovascular events was compared between the two groups after 3 months of intervention.Measurement data conforming to the normal distribution are expressed as((x)±s),t-test was conducted for indipendent samples,the statistical data were expressed as percentage,and the rates were compared by x2 test,the differences P＜0.05 was considered statistically significant.Results A total of 436 PCI patients were included in the study,200 were in the control group and 236 were in the VR group.In the VR group,the scores of cardiac rehabilitation knowledge before and after intervention were(21.43±5.59)points and(30.42±6.83)points,respectively.And the scores of cardiac rehabilitation attitude were(39.87±8.63)points and(47.72±9.76)points,respectively,and the differences before and after intervention were statistically significant(t=15.873,9.256,all P＜0.001).In the control group,the scores of cardiac rehabilitation knowledge before and after intervention were(21.69±5.72)points and(25.37±6.14)points,and the scores of cardiac rehabilitation attitude were(39.36±8.81)points and(43.33±9.47)points,respectively,and the differences before and after intervention were statistically significant(t=6.201,4.340,all P＜0.001).The compliance of cardiac rehabilitation exercise in VR group was 87.71％(207/236)after intervention,which was higher than that before intervention 69.49％(164/236),the differences was considered statistically significant(x2=65.322,P＜0.001).In the control group,the compliance of cardiac rehabilitation exercise after intervention was 79.50％(159/200),which was better than that before intervention,68.50％(137/200),and the difference was statistically significant(x2=41.513,P＜0.001).The total score of self-management behavior in VR group after intervention was(97.79±9.64),which was better than that before intervention(61.74±7.38).The total score of self-management behavior of the control group after intervention was(82.06±8.53),which was better than that before intervention(61.53±7.29).The HAMD scores of the VR group before and after the intervention were(17.33±3.46)points and(10.34±2.53)points,respectively,and the differences were statistically significant(t=25.052,P＜0.001).The HAMA scores of the VR group before and after intervention were(19.36±3.31)and(11.27±2.53),respectively,and the differences were statistically significant(t=29.831,P＜0.001).The HAMD scores of the control group before and after intervention were(17.48±3.59)points and(12.76±3.22)points,respectively,and the difference was statistically significant(t=13.841,P＜0.001).The HAMA scores of the control group before and after intervention were(19.73±3.56)points and(13.19±2.94)points,respectively,and the differences were statistically significant(t=20.032,P＜0.001).After the intervention,the difference in HAMD score between the VR group and the control group was statistically significant(t=8.782,P＜0.001),and the difference in HAMA score between the VR group and the control group was statistically significant(t=7.329,P＜0.001).The incidence of adverse cardiovascular events 3 months after intervention was 3.39％(8/236)in the VR group and 8.00％(16/200)in the control group,the difference was statistically significant(x2=4.423,P=0.035).Conclusions Immersive VR technology has a good application effect in the cardiac rehabilitation health education of PCI patients,which can improve the cognition of cardiac rehabilitation,self-management ability,cardiac rehabilitation exercise compliance and reduce the occurrence of adverse emotions.
万方数据
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