Lee Connie M S, Fong Kenneth N K, Mok Maggie M Y, Lam M K, Kung Y, Chan Paven P W, Ma Maggie K M, Lui S L, Kwan Lorraine P Y, Chu W L, Hui P C, Yau Christina S F, Kwan Ivan W L, Chan Kelsey Y M, Chan T M
Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong, SAR China.
Department of Occupational Therapy, Queen Mary Hospital, Hong Kong, SAR China.
Virtual Real. 2022 Dec 3:1-13. doi: 10.1007/s10055-022-00728-1.
Cognitive impairment is not uncommon in patients with end-stage renal disease and can make it more difficult for these patients to carry out peritoneal dialysis (PD) on their own. Their attempts to do so may result in adverse consequences such as peritonitis. PD exchange is a complex procedure demanding knowledge and skill which requires close supervision and guidance by a renal nurse specialist. In this study, a non-immersive virtual reality (VR) training program using a Leap motion hand tracking device was developed to facilitate patients' understanding and learning of the PD exchange procedure before attempting real task practice. This study was a two-center single-blinded randomized controlled trial on 23 incident PD patients. Patients in the experimental group received 8 sessions of VR training, while patients in the control were provided with printed educational materials. The results showed that there were significant differences between the two groups in performance of the overall PD exchange sequence, especially on the crucial steps. VR had a patient satisfaction rate of 89%, and all patients preferred to have the VR aid incorporated in PD training. Our findings conclude VR can be a useful aid in the training and reinforcement of PD exchange procedures, with distinct merits of being free from restrictions of time, space, and manpower.
认知障碍在终末期肾病患者中并不罕见，这会使这些患者更难以自行进行腹膜透析（PD）。他们尝试自行操作可能会导致诸如腹膜炎等不良后果。腹膜透析换液是一个复杂的过程，需要知识和技能，这需要肾脏专科护士的密切监督和指导。在本研究中，开发了一种使用Leap motion手部追踪设备的非沉浸式虚拟现实（VR）培训项目，以促进患者在尝试实际操作前对腹膜透析换液过程的理解和学习。本研究是一项针对23例新开始腹膜透析患者的双中心单盲随机对照试验。实验组患者接受8次VR培训，而对照组患者则获得印刷版教育材料。结果显示，两组在腹膜透析换液整个流程的操作上，尤其是关键步骤上，存在显著差异。VR的患者满意度为89%，所有患者都希望将VR辅助工具纳入腹膜透析培训。我们的研究结果表明，VR在腹膜透析换液程序的培训和强化方面可能是一种有用的辅助工具，具有不受时间、空间和人力限制的明显优点。
