Schmid Ludwig, Glässel Andrea, Schuster-Amft Corina
Physiotherapy Department, Rehabilitation Centre, KliniK Lengg, Zurich, Switzerland; Department of Physiotherapy, School of Health Professions, Bern University of Applied Sciences, Burgdorf, Switzerland.
School of Health Professions, Institute of Health Sciences, Zurich University of Applied Sciences, Winterthur, Switzerland.
Stroke Res Treat. 2016;2016:6210508. doi: 10.1155/2016/6210508. Epub 2016 Dec 12.
. During the past decade, virtual reality (VR) has become a new component in the treatment of patients after stroke. Therefore aims of the study were (a) to get an insight into experiences and expectations of physiotherapists and occupational therapists in using a VR training system and (b) to investigate relevant facilitators, barriers, and risks for implementing VR training in clinical practice. . Three focus groups were conducted with occupational therapists and physiotherapists, specialised in rehabilitation of patients after stroke. All data were audio-recorded and transcribed verbatim. The study was analysed based on a phenomenological approach using qualitative content analysis. . After code refinements, a total number of 1289 codes emerged out of 1626 statements. Intercoder reliability increased from 53% to 91% until the last focus group. The final coding scheme included categories on a four-level hierarchy: first-level categories are (a) therapists and VR, (b) VR device, (c) patients and VR, and (d) future prospects and potential of VR developments. . Results indicate that interprofessional collaboration is needed to develop future VR technology and to devise VR implementation strategies in clinical practice. In principal, VR technology devices were seen as supportive for a general health service model.
在过去十年中，虚拟现实（VR）已成为中风患者治疗的一个新组成部分。因此，本研究的目的是：（a）深入了解物理治疗师和职业治疗师在使用VR训练系统方面的经验和期望；（b）调查在临床实践中实施VR训练的相关促进因素、障碍和风险。对专门从事中风后患者康复治疗的职业治疗师和物理治疗师进行了三个焦点小组访谈。所有数据都进行了录音，并逐字转录。本研究采用现象学方法，通过定性内容分析进行分析。经过代码细化，从1626条陈述中总共得出了1289个代码。直到最后一个焦点小组，编码员间信度从53%提高到了91%。最终的编码方案包括一个四级层次结构的类别：一级类别为：（a）治疗师与VR；（b）VR设备；（c）患者与VR；（d）VR发展的未来前景和潜力。结果表明，需要跨专业合作来开发未来的VR技术，并在临床实践中制定VR实施策略。原则上，VR技术设备被视为对一般健康服务模式有支持作用。
