Huang Houqiang, Huang Min, Chen Qi, Hayter Mark, Watson Roger
Nursing Department, The Affiliated Hospital of Southwest Medical University, Luzhou, China.
Department of Respiratory and Critical Care Medicine, The Affiliated Hospital of Southwest Medical University, Luzhou, China.
JMIR Serious Games. 2023 Sep 25;11:e46358. doi: 10.2196/46358.
The use of serious games for rehabilitation has been an emerging intervention in health care fields, referred to as an entertaining and positive activity. Although related studies have been conducted on patients with chronic obstructive pulmonary disease (COPD), a more comprehensive study that summarizes and evaluates its effects in this area is needed.
This review aimed to systematically evaluate the effects of serious games in promoting rehabilitation and related outcome measures of serious game-based engagement in patients with COPD.
This review adhered to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) statement. Searches were performed in the following databases: PubMed, Scopus, Embase (via Ovid), CINAHL, Science Direct, and China Biology Medicine disc. Only quantitative studies were included in this review, and the methodological quality and bias of the included studies were evaluated using related tools. Several outcomes, including clinical outcomes and serious game-based engagement outcomes, were ultimately collected in this review. The results were summarized and evaluated using descriptive methods due to significant heterogeneity.
In total, 11 studies were included. Serious games played a potentially positive effect on pulmonary function and exercise capacity. However, no consistent findings were reported on dyspnea and psychological status. Additionally, serious game engagement showed favorable findings on adherence, enjoyment, and acceptability. Furthermore, no serious adverse effects were identified in all included studies.
This review preliminarily indicated the potential benefits of serious games in promoting rehabilitation for patients with COPD, despite the limited quality of the included studies. More studies with high methodological quality are needed to further explore the effects of serious games in this field.
将严肃游戏用于康复治疗已成为医疗保健领域一种新兴的干预措施，被视为一种有趣且积极的活动。尽管已针对慢性阻塞性肺疾病（COPD）患者开展了相关研究，但仍需要一项更全面的研究来总结和评估其在该领域的效果。
本综述旨在系统评价严肃游戏在促进COPD患者康复方面的效果以及基于严肃游戏的参与的相关结局指标。
本综述遵循PRISMA（系统评价和Meta分析的首选报告项目）声明。在以下数据库中进行检索：PubMed、Scopus、Embase（通过Ovid）、CINAHL、Science Direct和中国生物医学文献数据库。本综述仅纳入定量研究，并使用相关工具评估纳入研究的方法学质量和偏倚。最终收集了包括临床结局和基于严肃游戏的参与结局在内的多个结局指标。由于存在显著异质性，使用描述性方法对结果进行总结和评估。
共纳入11项研究。严肃游戏对肺功能和运动能力可能具有积极作用。然而，关于呼吸困难和心理状态未报告一致的研究结果。此外，严肃游戏参与在依从性、趣味性和可接受性方面显示出良好的结果。此外，在所有纳入研究中均未发现严重不良反应。
本综述初步表明，尽管纳入研究的质量有限，但严肃游戏在促进COPD患者康复方面具有潜在益处。需要更多方法学质量高的研究来进一步探索严肃游戏在该领域的效果。
