基于增强现实技术的体感互动游戏在慢性心力衰竭患者康复训练中的应用效果研究

Application Effect of Somatosensory Interactive Game Based on Augmented Reality Technology in Rehabilitation Training of Patients with Chronic Heart Failure

目的探讨基于增强现实(AR)技术的体感互动游戏在慢性心力衰竭(CHF)患者康复训练中的应用效果。方法选取2019年2月至2021年5月山西省心血管病医院收治的CHF患者112例为研究对象。采用抛硬币方式将患者分为观察组(接受基于AR技术的体感互动游戏干预+常规康复训练,56例)和对照组(接受常规康复训练,56例),两组患者共干预4周。比较两组患者干预前后心功能指标〔左心室射血分数(LVEF)、心脏指数(CI)、左心室舒张末期内径(LVEDD)及血清心型脂肪酸结合蛋白(H-FABP)、N末端脑钠肽前体(NT-proBNP)〕、运动功能指标〔6 min步行距离(6MWD)、最长运动时间(Tmax)〕、一般自我效能感量表(GSES)评分、明尼苏达心力衰竭生活质量问卷(MLHFQ)评分。结果干预后,两组患者LVEF、CI分别高于本组干预前,LVEDD及血清H-FABP、NT-proBNP分别低于本组干预前,且观察组患者LVEF、CI高于对照组,LVEDD及血清H-FABP、NT-proBNP低于对照组(P<0.05)。干预后,两组患者6MWD、Tmax分别长于本组干预前,且观察组长于对照组(P<0.05)。干预后,两组患者GSES评分分别高于本组干预前、MLHFQ评分分别低于本组干预前,且观察组患者GSES评分高于对照组、MLHFQ评分低于对照组(P<0.05)。结论与常规康复训练相比,基于AR技术的体感互动游戏可更好地改善CHF患者的心功能、运动功能、自我效能及生活质量。

Objective To explore the application effect of somatosensory interactive game based on augmented reality(AR)technology in rehabilitation training of patients with chronic heart failure(CHF).Methods A total of 112 CHF patients admitted to Shanxi Provincial Cardiovascular Diseases Hospital from February 2019 to May 2021 were selected and divided into the observation group(received somatosensory interactive game based on AR technology intervention+routine rehabilitation training,n=56)and the control group(received routine rehabilitation training,n=56)by coin flipping.The cardiac function indexes[left ventricular ejection fraction(LVEF),cardiac index(CI),left ventricular end diastolic diameter(LVEDD)and serum heart-type fatty acid-binding protein(H-FABP)and N-terminal pro-brain natriuretic peptide(NT-proBNP)],motor function indexes[6-min walking distance(6MWD),longest exercise time(Tmax)],General Self-Efficacy Scale(GSES)score,and Minnesota Living with Heart Failure Questionnaire(MLHFQ)score were compared between the two groups before and after the intervention.Results After the intervention,the LVEF and CI of the two groups were higher than those before the intervention,the LVEDD and serum H-FABP and NT-proBNP were lower than those before the intervention,respectively,and the LVEF and CI of the observation group were higher than those of the control group,the LVEDD and serum H-FABP and NT-proBNP were lower than those of the control group(P<0.05).After the intervention,the 6MWD and Tmax of the two groups were longer than those before the intervention,respectively,and the observation group was longer than the control group(P<0.05).After the intervention,the GSES score of the two groups was higher than that before the intervention,the MLHFQ score was lower than that before the intervention,respectively,and the GSES score of the observation group was higher than that of the control group,the MLHFQ score was lower than that of the control group(P<0.05).Conclusion Compared with routine rehabilitation training,somatosensory interactive games based on AR technology can better improve the cardiac function,motor function,self-efficacy and quality of life of CHF patients.