Cacau Lucas de Assis Pereira, Oliveira Géssica Uruga, Maynard Luana Godinho, Araújo Filho Amaro Afrânio de, Silva Walderi Monteiro da, Cerqueria Neto Manoel Luiz, Antoniolli Angelo Roberto, Santana-Filho Valter J
Graduate Program in Health Science, Federal University of Sergipe, Aracaju, SE, Brazil .
Rev Bras Cir Cardiovasc. 2013 Jun;28(2):281-9. doi: 10.5935/1678-9741.20130039.
Cardiac surgery has been the intervention of choice in many cases of cardiovascular diseases. Susceptibility to postoperative complications, cardiac rehabilitation is indicated. Therapeutic resources, such as virtual reality has been helping the rehabilitational process. The aim of the study was to evaluate the use of virtual reality in the functional rehabilitation of patients in the postoperative period.
Patients were randomized into two groups, Virtual Reality (VRG, n = 30) and Control (CG, n = 30). The response to treatment was assessed through the functional independence measure (FIM), by the 6-minute walk test (6MWT) and the Nottingham Health Profile (NHP). Evaluations were performed preoperatively and postoperatively.
On the first day after surgery, patients in both groups showed decreased functional performance. However, the VRG showed lower reduction (45.712.3) when compared to CG (35.0612.09, P<0.05) in first postoperative day, and no significant difference in performance on discharge day (P>0.05). In evaluating the NHP field, we observed a significant decrease in pain score at third assessment (P<0.05). These patients also had a higher energy level in the first evaluation (P<0.05). There were no differences with statistical significance for emotional reactions, physical ability, and social interaction. The length of stay was significantly shorter in patients of VRG (9.410.5 days vs. 12.2 1 0.9 days, P<0.05), which also had a higher 6MWD (319.9119.3 meters vs. 263.5115.4 meters, P<0.02).
Adjunctive treatment with virtual reality demonstrated benefits, with better functional performance in patients undergoing cardiac surgery.
心脏手术一直是许多心血管疾病病例的首选干预措施。鉴于术后并发症的易感性，需要进行心脏康复。诸如虚拟现实等治疗资源一直在帮助康复过程。本研究的目的是评估虚拟现实在术后患者功能康复中的应用。
将患者随机分为两组，虚拟现实组（VRG，n = 30）和对照组（CG，n = 30）。通过功能独立性测量（FIM）、6分钟步行试验（6MWT）和诺丁汉健康量表（NHP）评估治疗反应。在术前和术后进行评估。
术后第一天，两组患者的功能表现均下降。然而，与对照组（35.06±12.09）相比，虚拟现实组在术后第一天的下降幅度较小（45.71±12.3，P<0.05），出院日的表现无显著差异（P>0.05）。在评估NHP领域时，我们观察到第三次评估时疼痛评分显著降低（P<0.05）。这些患者在第一次评估时也有较高的能量水平（P<0.05）。在情绪反应、身体能力和社交互动方面没有统计学意义上的差异。虚拟现实组患者的住院时间明显更短（9.4±1.0天对12.2±1.0天，P<0.05），6分钟步行距离也更长（319.9±119.3米对263.5±115.4米，P<0.02）。
虚拟现实辅助治疗显示出益处，心脏手术患者的功能表现更好。
