Jin Xiaoliang, Jin Mengni, Zhang Beilei, Niu Mei'e, Han Yanxia, Qian Jiale
Department of Pulmonary and Critical Care Medicine, The First Affiliated Hospital of Soochow University, Suzhou, China.
Department of Nursing, The First Affiliated Hospital of Soochow University, Suzhou, China.
Games Health J. 2025 Apr;14(2):127-135. doi: 10.1089/g4h.2023.0095. Epub 2024 Aug 29.
This study aimed to evaluate the effect of somatosensory interactive games in combination with pulmonary rehabilitation programs (PRPs) on exercise tolerance, balance function, pulmonary function, inflammatory markers, and healthcare utilization in individuals with acute exacerbation of chronic obstructive pulmonary disease over 12 months. In a randomized controlled trial, 80 patients were divided into two groups. The control group participated in a lasted 30 minutes daily program composed of postural training for 10 minutes, limb movement for 10 minutes, and breathing exercises for 10 minutes based on regular oxygen therapy and medication. The experimental group received a once-daily, 20-minute somatosensory interactive game session based on the control group. Patients began treatment within 48 hours after admission and lasted for 6 weeks. The time × group interactions on 6-minute walk distance (6MWD) and Brief Balance Evaluation Systems Test (Brief-BESTest) between the two groups were significant ( < 0.001). At the postintervention and each time point of follow-up, the 6-minute walk distance (6MWD) and Brief-BESTest of the intervention group were significantly higher than those of the control group ( < 0.05). The effects of time factor on forced expiratory volume in one second and forced vital capacity were statistically significant ( < 0.05). The 6MWD and Brief-BESTest of the intervention group peaked 3 months after the intervention and were higher than the control group within 12 months. C-reactive protein and procalcitonin were similar between the groups before and after intervention ( > 0.05). The readmission rates and mean length of time spent in the hospital were comparable between the groups at 12 months ( > 0.05). The addition of somatosensory interactive games based on a PRP was safe and feasible, and this benefit persisted for 12 months, peaked at 3 months after the intervention, and then gradually decreased.
本研究旨在评估体感互动游戏联合肺康复计划（PRP）对慢性阻塞性肺疾病急性加重患者12个月内运动耐力、平衡功能、肺功能、炎症标志物及医疗资源利用的影响。在一项随机对照试验中，80例患者被分为两组。对照组在常规吸氧治疗和药物治疗基础上，参加每日持续30分钟的项目，包括10分钟的姿势训练、10分钟的肢体运动和10分钟的呼吸练习。实验组在对照组基础上，每日接受一次20分钟的体感互动游戏。患者在入院后48小时内开始治疗，持续6周。两组之间在6分钟步行距离（6MWD）和简易平衡评估系统测试（Brief - BESTest）上的时间×组间交互作用显著（<0.001）。在干预后及各随访时间点，干预组的6分钟步行距离（6MWD）和Brief - BESTest均显著高于对照组（<0.05）。时间因素对一秒用力呼气量和用力肺活量的影响具有统计学意义（<0.05）。干预组的6MWD和Brief - BESTest在干预后3个月达到峰值，并在12个月内高于对照组。干预前后两组间C反应蛋白和降钙素原相似（>0.05）。12个月时两组的再入院率和平均住院时间相当（>0.05）。基于PRP添加体感互动游戏是安全可行的，这种益处持续12个月，在干预后3个月达到峰值，然后逐渐下降。
