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视频游戏在治疗阻塞性呼吸系统疾病中的应用:系统评价。

Videogames in the Treatment of Obstructive Respiratory Diseases: A Systematic Review.

机构信息

Department of Physical Therapy, School of Health Sciences, University of Granada, Granada, Spain.

出版信息

Games Health J. 2019 Aug;8(4):237-249. doi: 10.1089/g4h.2018.0062.

DOI:10.1089/g4h.2018.0062
PMID:31386586
Abstract

Millions of people suffer from obstructive respiratory conditions globally. Including videogames in rehabilitation programs can be an interesting alternative to traditional programs or a complementary activity. To explore the use of videogames in the treatment of patients with obstructive respiratory diseases. A systematic literature search was performed to identify randomized clinical trials evaluating the effects of videogames on health outcomes in patients with respiratory obstructive diseases. The following databases were searched: PubMed, Web of Science, ScienceDirect, and Scopus. The methodological quality of the studies included was assessed with the Downs and Black quality assessment method. Nine articles were included, of which three used videogames as physical training methods and managed to improve exercise capacity, strength, quality of life, and symptoms. The remaining six articles used videogames to educate patients about the disease and showed slight improvements in knowledge of the disease and use of medication. The results of this review show that videogames are a very useful complementary therapy. They can contribute to enhance rehabilitation programs, as they improve exercise capacity, muscle strength, quality of life, severity, control, and knowledge of the disease. Videogames should be supervised by a professional so that programs can be tailored to patients, proposing different activities in the game and controlling the correct performance, and generating an increase in adherence to treatment. Registry: prospective register of systematic reviews (PROSPERO) CRD42018094094.

摘要

全球有数百万患有阻塞性呼吸道疾病的患者。将电子游戏纳入康复计划中,可以成为传统计划的有趣替代方案或补充活动。本研究旨在探讨电子游戏在治疗阻塞性呼吸疾病患者中的应用。我们进行了系统的文献检索,以确定评估电子游戏对阻塞性呼吸疾病患者健康结果影响的随机临床试验。我们检索了以下数据库:PubMed、Web of Science、ScienceDirect 和 Scopus。使用 Downs 和 Black 质量评估方法评估了纳入研究的方法学质量。共纳入 9 篇文章,其中 3 篇文章将电子游戏作为物理训练方法,成功改善了运动能力、力量、生活质量和症状。其余 6 篇文章使用电子游戏对患者进行疾病教育,显示出对疾病知识和药物使用的轻微改善。本综述的结果表明,电子游戏是一种非常有用的补充疗法。它们可以有助于增强康复计划,因为它们可以提高运动能力、肌肉力量、生活质量、严重程度、控制和疾病知识。电子游戏应由专业人员监督,以便可以根据患者的情况量身定制方案,在游戏中提出不同的活动,并控制正确的表现,从而提高治疗的依从性。注册号:系统评价的前瞻性注册(PROSPERO)CRD42018094094。

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