摘要
目的探讨虚拟现实技术(VR)在老年认知障碍症患者中的应用效果。方法计算机检索Cochrane Library、PubMed、Web of Science、Embase、CINAHL、Medline、ProQuest、中国知网、万方、维普、中国生物医学文献数据库中关于VR应用于老年认知障碍症患者干预的文献,检索时限为建库至2023年12月19日。由2名研究者独立筛选文献并提取资料,并采用RevMan 5.4软件进行Meta分析。结果共纳入16篇随机对照试验,总计899例患者。Meta分析结果显示,观察组认知功能高于对照组{简易精神状态量表(MMSE)[MD=3.05,95%CI(1.68~4.43),P<0.001],蒙特利尔认知评估量表(MoCA)[MD=6.08,95%CI(1.58~10.58),P=0.008]};自理能力高于对照组[MD=3.42,95%CI(1.82~5.02),P<0.001];抑郁水平低于对照组{老年抑郁量表(GDS)[MD=−1.50,95%CI(−2.18~−0.83),P<0.001],康奈尔痴呆症抑郁量表(CSDD)[MD=−1.14,95%CI(−1.60~−0.67),P<0.001],汉密尔顿抑郁量表(HAMD)[MD=−4.00,95%CI(−7.26~−0.75),P=0.02]};两组生活质量评分的比较结果尚不明确。结论VR对于改善老年认知障碍症患者认知功能、抑郁及自理能力有一定积极作用,对生活质量的作用有待更多大样本研究进行验证。
Objective To explore the effect of virtual reality(VR)technology on elderly patients with cognitive impairment.Methods Articles regarding the application of VR technology in elderly patients with cognitive impairment were searched online in Cochrane Library,PubMed,Web of Science,Embase,CINAHL,Medline,ProQuest,CNKI,Wanfang Data,VIP and CBMdisc from their establishment to December 19,2023.Two independent investigators screened articles,extracted data and conducted Meta-analyses using RevMan 5.4.Results A total of 16 randomized controlled studies were included,involving 899 patients.According to Meta-analysis results,the observation group exhibited higher cognitive function compared to the control group,evidenced by Mini-Mental State Examination(MMSE)[MD=3.05,95%CI(1.68−4.43),P<0.001]and Montreal Cognitive Assessment(MoCA)[MD=6.08,95%CI(1.58−10.58),P=0.008];the observation group exhibited higher self-care ability compared to the control group[MD=3.42,95%CI(1.82−5.02),P<0.001];the observation group exhibited lower depression levels compared to the control group,evidenced by Geriatric Depression Scale(GDS)[MD=−1.50,95%CI(−2.18 to−0.83),P<0.001],Cornell Scale for Depression in Dementia(CSDD)[MD=−1.14,95%CI(−1.60 to−0.67),P<0.001]and Hamilton Depression Rating Scale(HAMD)[MD=−4.00,95%CI(−7.26 to−0.75),P=0.02];the comparison of quality of life between groups remained inconclusive.Conclusion VR technology has positive effects on cognitive function,depression and self-care ability in elderly patients with cognitive impairment.However,its effect on quality of life requires further validation in large sample size studies.
作者
周嘉欣
束玉茹
颜美琼
朱婧怡
王君俏
ZHOU Jiaxin;SHU Yuru;YAN Meiqiong;ZHU Jingyi;WANG Junqiao(School of Nursing,Fudan University,Shanghai 200032;Zhongshan Hospital Affiliated to Fudan University,Shanghai 200032)
出处
《上海护理》
2025年第6期31-37,共7页
Shanghai Nursing
