Wang Jinyao, Li Qian, Cui Jun, Tu Shuangyan, Deng Zhiqiang, Yang Rong, Wang Ying
Department of Cardiology, West China Hospital, Sichuan University, Chengdu, China.
Center of Gerontology and Geriatrics, West China Hospital, Sichuan University, Chengdu, China.
J Nurs Manag. 2023 Jun 6;2023:5449955. doi: 10.1155/2023/5449955. eCollection 2023.
To synthesize evidence on the effectiveness of virtual reality-based training of caregivers for the elderly with chronic diseases.
With a growing number of elderly suffering from chronic diseases, caregivers who lack the necessary caregiving skills and competence need practical training. Nowadays, virtual reality in training is a promising approach due to technological advancements. . We did a comprehensive search in the following six electronic databases (Web of Science, EMBASE, PubMed, SCOPUS, MEDLINE, and CINAHL) from their inception to April 2022 for original studies. We searched clinical trial registries of Clinical Trials.gov, International Standard Randomized Controlled Trial Number (ISRCTN) Registry, and the International Clinical Trials Registry Platform (ICTRP), for clinical trials. . 7610 searched records were yielded, of which nine studies (four randomized controlled trials and five nonrandomized controlled trials) met the eligibility criteria and were included with 1090 caregivers. There was a small but significant overall effect of virtual reality-based interventions on caregivers' caregiving competence (effect size = 0.362, 95% CI 0.181-0.543, < 0.001, = 25.636). The subgroup analysis results showed significant improvement in caregiving competence in caregivers trained by the Dementia Live program (effect size = 0.322, 95% CI 0.046-0.597, = 0.022). Regarding empathy, we did not find a statistically significant overall effect. The subgroup analysis results indicated that caregivers showed improvement in empathy after exposure to the Into D'mentia program (effect size = 0.265, 95% CI 0.015-0.515, = 0.037).
Findings of our meta-analysis demonstrated that virtual reality could have merits for improving the caregiving competence of caregivers taking care of the elderly with chronic diseases. . Virtual reality may be a training alternative for caregivers to improve their caregiving competence. However, empowering the embodiment of virtual reality programs remains a technological challenge that needs to be addressed in the future.
综合关于基于虚拟现实的慢性病老年人照护者培训效果的证据。
随着患慢性病的老年人数量不断增加，缺乏必要照护技能和能力的照护者需要实际培训。如今，由于技术进步，虚拟现实在培训中是一种很有前景的方法。我们对以下六个电子数据库（科学网、EMBASE、PubMed、SCOPUS、MEDLINE和CINAHL）从其创建到2022年4月进行了全面检索，以查找原始研究。我们在ClinicalTrials.gov、国际标准随机对照试验编号（ISRCTN）注册库和国际临床试验注册平台（ICTRP）的临床试验注册库中搜索临床试验。共检索到7610条记录，其中九项研究（四项随机对照试验和五项非随机对照试验）符合纳入标准，纳入了1090名照护者。基于虚拟现实的干预措施对照护者的照护能力有小但显著的总体效果（效应量=0.362，95%可信区间0.181 - 0.543，P<0.001，Q=25.636）。亚组分析结果显示，接受“痴呆体验”项目培训的照护者在照护能力方面有显著提高（效应量=0.322，95%可信区间0.046 - 0.597，P = 0.022）。关于同理心，我们未发现总体上有统计学显著效果。亚组分析结果表明，照护者在接触“走进痴呆症”项目后同理心有所改善（效应量=0.265，95%可信区间0.015 - 0.515，P = 0.037）。
我们的荟萃分析结果表明，虚拟现实可能有助于提高照顾慢性病老年人的照护者的照护能力。虚拟现实可能是照护者提高其照护能力的一种培训选择。然而，增强虚拟现实程序的实体体验仍然是一项技术挑战，未来需要加以解决。
