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中风幸存者基于虚拟现实的康复体验:定性研究的元综合分析

Virtual reality-based rehabilitation experience of stroke survivors: a meta-synthesis of qualitative studies.

作者信息

Cai Jingyi, Liu Beixue, Song Mingyang, Wang Qiuyi, Zhou Lanshu

机构信息

Key Laboratory of Geriatric Long-term Care (Naval Medical University), Ministry of Education, Shanghai, China.

Department of Nursing, Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, China.

出版信息

Front Public Health. 2025 Jul 24;13:1566813. doi: 10.3389/fpubh.2025.1566813. eCollection 2025.

Abstract

AIM

To examine and synthesize qualitative data regarding the experiences of stroke survivors who underwent rehabilitation using virtual reality (VR).

METHODS

We critically appraised the included study using the Joanna Briggs Institute Critical Assessment Checklist for Qualitative Research. Relevant qualitative studies were searched in PubMed, EMBASE, CINAHL, Web of Science, Cochrane Library, China National Knowledge Infrastructure, Wan Fang Database, China Science and Technology Journal Database, and China Biomedical Literature Database from inception to December 2024. Two researchers independently extracted and analysed the data and integrated the results using a pooled meta-aggregation approach.

RESULTS

Sixteen studies ( = 145 stroke survivors) were included. A total of 5 meta-themes, 12 categories, and 38 research results were extracted. The meta-themes included perceived benefits, facilitating factors of using VR, and hindering factors of using VR, changes in the physical and mental health following VR rehabilitation, and suggestions and expectations for VR rehabilitation.

CONCLUSION

Stroke survivors perceived the benefits and barriers of using VR-based rehabilitation (VRBR); therefore, it is a complex perceptual change for them. They require emotional support from family and peers, professional support from healthcare professionals, and financial support from the government. Moreover, rehabilitation motivation is an important factor that influences utilization. Updating VRBR content and functionality is essential to improve user experience.

SYSTEMATIC REVIEW REGISTRATION

PROSPERO CRD42024504700, https://www.crd.york.ac.uk/PROSPERO/search.

摘要

目的

审查并综合关于使用虚拟现实(VR)进行康复治疗的中风幸存者经历的定性数据。

方法

我们使用乔安娜·布里格斯研究所定性研究批判性评估清单对纳入的研究进行了批判性评估。从创刊至2024年12月,在PubMed、EMBASE、CINAHL、科学网、考科蓝图书馆、中国知网、万方数据库、中国科技期刊数据库和中国生物医学文献数据库中检索相关的定性研究。两名研究人员独立提取和分析数据,并使用汇总元聚合方法整合结果。

结果

纳入了16项研究(n = 145名中风幸存者)。共提取了5个元主题、12个类别和38个研究结果。元主题包括感知到的益处、使用VR的促进因素和阻碍因素、VR康复后身心健康的变化以及对VR康复的建议和期望。

结论

中风幸存者感知到了基于VR的康复治疗(VRBR)的益处和障碍;因此,这对他们来说是一种复杂的感知变化。他们需要家人和同伴的情感支持、医疗保健专业人员的专业支持以及政府的财政支持。此外,康复动机是影响利用率的一个重要因素。更新VRBR的内容和功能对于改善用户体验至关重要。

系统评价注册

PROSPERO CRD42024504700,https://www.crd.york.ac.uk/PROSPERO/search。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6151/12330812/b9c5b2e8e3fd/fpubh-13-1566813-g001.jpg

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