Centre for Nursing and Midwifery Research, James Cook University, Townsville, Queensland, Australia.
School of Nursing and Midwifery, Centre for Quality and Patient Safety Research, Deakin University, Burwood, Victoria, Australia.
J Ren Care. 2021 Sep;47(3):193-207. doi: 10.1111/jorc.12362. Epub 2021 Jan 24.
An understanding of the potential of virtual reality to affect the level of engagement in self-care and health-related quality of life is required for patients receiving haemodialysis.
This scoping review aimed to collate, summarise, and report on related study findings to identify evidence gaps and draw conclusions from the existing literature.
The methodological steps outlined in the Arksey and O'Malley framework combined with modifications of Levac and colleagues guided this systematic scoping review. MEDLINEComplete, Embase, CINAHLComplete and PsychINFO databases were searched. Additionally, hand searches of key articles and journals were performed.
From the database searches, 610 studies were identified with 11 meeting the inclusion criteria; another study was added after searching reference lists of included articles, resulting in 12 included articles. The quality, study design and type of virtual reality intervention varied. Only three studies used immersive virtual reality. Several studies demonstrated significant improvement in the physical activity level and a reduction in fatigue in patients during haemodialysis, with no adverse events. Despite the demands of haemodialysis sessions, this study showed that virtual reality interventions may improve the level of haemodialysis patients' adherence and engagement with treatment.
Findings favour the use of virtual reality to improve physical health and engagement with treatment. However, there is a need for more rigorous study designs within different clinical settings to provide high-quality evidence regarding other ways that virtual reality interventions could improve the quality of life of haemodialysis patients.
接受血液透析的患者需要了解虚拟现实的潜力，以影响自我护理和健康相关生活质量的参与度。
本范围综述旨在整理、总结和报告相关研究结果，以确定证据差距并从现有文献中得出结论。
阿特塞和奥马利框架中概述的方法步骤结合列瓦克等人的修改指导了这项系统范围综述。检索了 MEDLINEComplete、Embase、CINAHLComplete 和 PsychINFO 数据库。此外，还对关键文章和期刊进行了手工检索。
从数据库搜索中确定了 610 项研究，其中 11 项符合纳入标准；在纳入文章的参考文献列表中搜索后又添加了一项研究，共纳入 12 项研究。研究的质量、设计和虚拟现实干预的类型各不相同。只有三项研究使用了沉浸式虚拟现实。几项研究表明，在血液透析期间，虚拟现实干预可显著提高患者的身体活动水平并减轻疲劳，且无不良事件。尽管血液透析治疗的需求很高，但这项研究表明，虚拟现实干预可能会提高血液透析患者对治疗的依从性和参与度。
研究结果支持使用虚拟现实来改善身体健康和对治疗的参与度。然而，需要在不同的临床环境中采用更严格的研究设计，以提供关于虚拟现实干预如何改善血液透析患者生活质量的其他方式的高质量证据。
