| 周嘉欣,束玉茹,颜美琼,朱婧怡,王君俏.虚拟现实技术对老年认知障碍症患者干预效果的系统评价和Meta分析[J].上海护理,2025,25(6): |
| 虚拟现实技术对老年认知障碍症患者干预效果的系统评价和Meta分析 |
| A Systematic Review of Virtual Reality Interventions for Alzheimer’s Patients |
| DOI： |
| 中文关键词: 老年痴呆 认知障碍症 失智症 虚拟现实技术 系统评价 Meta分析 |
| 英文关键词:Dementia Alzheimer"s disease Cognitive Impairment Virtual Reality technology Systematic Review Meta-analysis |
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| 中文摘要: |
| 目的 探讨虚拟现实技术对老年认知障碍症患者的干预效果。方法 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虚拟现实技术应用于老年认知障碍症患者的随机对照研究,检索时间为建库至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RevMan5.4软件进行Meta分析。结果 共纳入16篇文献,总计899例患者。Meta分析结果显示,虚拟现实技术在简易精神状态量表(MMSE)、蒙特利尔认知评估量表(MoCA)、Barthel指数、阿尔兹海默病生命质量量表(QoL-AD)、老年抑郁量表(GDS)、汉密尔顿抑郁量表(HAMD)评分上优于对照组(P＜0.05),但在欧洲生活质量五维问卷(EQOL-5D)、康奈尔痴呆症抑郁量表(CSDD)评分差异并不明确。亚组分析显示以游戏为干预方式的虚拟现实技术在改善患者MMSE得分上效果更显著(P＜0.0001)。结论：虚拟现实技术对于改善老年认知障碍症患者认知功能、抑郁情绪、日常生活能力和生活质量有效,而以游戏为主的干预方式在改善认知功能方面优于以任务为主的干预方式。受纳入研究质量的限制,上述结论尚待更多高质量研究予以验证。 |
| 英文摘要: |
| Objective: To systematically evaluate the effect of Virtual Reality(VR) as an intervention for individuals with dementia. Methods: Randomized Controlled Trials studies (RCTs) concerning the intervention effect of VR on patients with dementia were retrieved from the electronic database of Cochrane Library、PubMed、 Web of Science、Embase、CINAHL、Medline、ProQuest、CNKI、WanFang Data、VIP and SinoMed from the establishment of the database to December 19,2023. Meta analysis was conducted by RevMan 5.4. Results: 16 studies involving 899 patients were included.The meta-analysis results showed that virtual reality technology was superior to the control group in scores on the Mini-Mental State Examination (MMSE), Montreal Cognitive Assessment (MoCA), Barthel Index, Quality of Life in Alzheimer"s Disease Scale (QoL-AD), Geriatric Depression Scale (GDS), and Hamilton Depression Scale (HAMD) (P < 0.05), but the differences in scores on the European Quality of Life-5 Dimensions Questionnaire (EQOL-5D) and Cornell Scale for Depression in Dementia (CSDD) were not clear. Subgroup analysis showed that virtual reality technology as an intervention method using games had a more significant effect on improving patients" MMSE scores (P < 0.0001). Conclusions: Virtual reality technology is effective in improving cognitive function, depressive mood, daily living ability, and quality of life in elderly patients with cognitive disorders, and the intervention method based on games is superior to the task-based intervention method in improving cognitive function. Due to the limitations of the quality of the included studies, the above conclusions still need to be verified by more high-quality research. |
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