Anna Mall is Clinical Nurse Specialist, Duke Heart Center, Duke University Hospital, 7605 Duke Hospital North, Durham, NC 27710 (
Jason Stokes is Assistant Nurse Manager, Duke University Hospital, Durham, North Carolina.
AACN Adv Crit Care. 2024 Sep 15;35(3):238-243. doi: 10.4037/aacnacc2024315.
Prolonged bed rest is a known contributor to muscle atrophy, weakness, and deconditioning. Early active mobilization protocols aim to combat acquired weakness and loss of function in patients in the intensive care unit. Despite these benefits, mobilization of patients in the intensive care unit remains a challenge, most notably for patients with limited ability to get out of bed because of invasive devices and prolonged hospitalization. Virtual reality has gained favor for use in critical care to mitigate patients' stress, pain, and anxiety and to provide distraction and socialization. This case report demonstrates a novel application of virtual reality and the ease with which virtual reality can be used to facilitate early mobility and activity progression in the critically ill.
长时间卧床休息是导致肌肉萎缩、虚弱和机能下降的已知因素。早期积极的活动方案旨在对抗重症监护病房患者的获得性虚弱和功能丧失。尽管有这些好处，但重症监护病房患者的活动仍然是一个挑战，尤其是对于那些由于侵入性设备和长时间住院而无法下床的患者。虚拟现实在重症监护中得到了广泛应用，以减轻患者的压力、疼痛和焦虑，并提供分散注意力和社交机会。本病例报告展示了虚拟现实的一种新应用，以及虚拟现实在促进重症患者早期活动和活动进展方面的易用性。
