虚拟现实技术在全膝关节置换术后康复中的应用:范围审查

IF 1.5 Q3 NURSING
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引用次数: 0

摘要

背景随着老龄化时代的到来,接受膝关节置换术的老年患者越来越多。术后长期规范的功能锻炼是膝关节置换术后患者关节功能恢复的重点和难点。虚拟现实(VR)被越来越多的人认为是一种潜在的有效选择,它能为患者提供一种轻松愉快的锻炼方法。目的本范围综述的主要目的是系统评估虚拟现实(VR)技术对全膝关节置换术(TKA)后患者的运动和功能恢复、心理状态、疼痛程度和生活质量的影响。它总结和归纳了 VR 在 TKA 康复训练中的效果和可行性,为骨科实习护士的专业提升和该领域的未来研究提供了科学依据和参考。方法我们采用 Joanna Briggs 研究所的范围界定综述指南作为我们的方法框架。文献检索的时间跨度为 2018 年 1 月至 2023 年 12 月 31 日,包括 PubMed、Web of Science、The Cochrane Library、Embase、CNKI、万方、CQVIP 和中国生物医学文献数据库等数据库。结果初步检索共获得 2708 篇文章,经过严格筛选后有 17 项研究符合纳入标准。研究结果表明,VR 设备主要包括 VR 眼镜、手持控制器和传感器技术。干预通常每周进行 3 到 5 次,每次持续 20 到 30 分钟。主要评估指标包括疼痛程度、心理状态、关节功能和生活质量。结论 VR 技术在 TKA 患者的康复中证明是可行的,它能有效减轻疼痛、改善心理状态、提高关节功能和生活质量。然而,VR 在增强下肢肌肉力量方面的效果还存在差异。未来的研究应侧重于循证医学实践、优化 VR 干预策略、针对患者个体差异制定定制计划,并有可能延长干预时间,以扩大 VR 技术在 TKA 患者康复中的应用效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Application of virtual reality technology in postoperative rehabilitation following total knee arthroplasty: A scoping review

Background

With the advent of an ageing era, the number of elderly patients undergoing knee joint replacement is increasing. Postoperative long-term standardized functional exercise is a focal point and difficulty in the recovery of joint function for patients after knee replacement. Virtual reality (VR) is increasingly considered a potentially effective option that can provide patients with a relaxed and enjoyable exercise method.

Objective

The primary objective of the scoping review to systematically evaluates the impact of virtual reality (VR) technology the movement and functional recovery, psychological state, pain levels, and quality of life of patients after total knee arthroplasty (TKA). It summarises and synthesises VR's effects and feasibility in TKA rehabilitation training, offering a scientific basis and reference for the professional advancement of orthopaedic practice nurses and future research in this domain.

Methods

We employed the Joanna Briggs Institute's scoping review guidelines as our methodological framework. The literature search spanned from January 2018 to December 31, 2023, encompassing databases such as PubMed, Web of Science, The Cochrane Library, Embase, CNKI, Wanfang, CQVIP, and the China Biomedical Literature Database.

Results

An initial search yielded 2708 articles, with 17 studies meeting the inclusion criteria after stringent screening. The findings indicate that VR equipment primarily comprises VR goggles, handheld controllers, and sensor technology. Interventions typically occurred 3 to 5 times weekly, lasting 20–30 min per session. The principal assessment metrics included pain levels, psychological state, joint function, and quality of life.

Conclusion

VR technology proves feasible in the rehabilitation of TKA patients, effectively alleviating pain, enhancing psychological states, and improving joint function and quality of life. However, discrepancies exist regarding VR's effect on bolstering lower limb muscle strength. Future research should focus on evidence-based medical practices, optimising VR intervention strategies, developing customised plans tailored to individual patient differences, and potentially extending intervention durations to amplify VR technology's application effects in TKA patient rehabilitation.

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CiteScore
2.60
自引率
14.30%
发文量
34
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