基于虚拟现实技术的康复训练在慢性阻塞性肺疾病患者中应用的范围综述

Application of rehabilitation exercise based on virtual reality technology in patients with chronic obstructive pulmonary disease: a scoping review

目的对虚拟现实技术在慢性阻塞性肺疾病(COPD)患者中的应用进行范围综述。方法以乔安娜布里格斯研究所提出的范围综述指南为方法学指导,系统检索PubMed、Scopus、Embase、OVID、SinoMed、Web of Science、中国知网、万方数据库及维普数据库,检索时间为建库至2023年3月,对纳入文献进行整理分析。结果纳入文献19篇。虚拟现实技术干预形式主要包括设备类型、运动模式、运动方案。干预时长多为2、4、8周,结局指标包括运动功能、肺功能、呼吸困难程度、认知功能等。未有文献报告虚拟现实技术应用的相关不良事件。结论虚拟现实技术在COPD患者康复训练中应用可行,且具有一定的效果,未来仍需要开展多中心、高质量的研究来完善虚拟现实技术在COPD患者运动康复中的效果评价指标,提高基于虚拟现实技术的康复训练的质量。

Objective To provide a scoping review of the application of virtual reality technology in patients with chronic obstructive pulmonary disease(COPD).Methods Guided by the scoping review guidance proposed by Joanna Briggs Institute,a systematic search was conducted on PubMed,Scopus,Embase,OVID,SinoMed,Web of Science,China National Knowledge Infrastructure,WanFang Data,and VIP.The search period was from database establishment to March 2023.The included literature was sorted and analyzed.Results A total of 19 articles were included.The intervention forms of virtual reality technology mainly included device type,exercise mode,and exercise plan.The intervention duration was usually 2,4,or 8 weeks.Outcome indicators included motor function,lung function,degree of difficulty breathing,cognitive function and so on.There was no article reported on adverse events related to the virtual reality technology.Conclusions The application of virtual reality technology in rehabilitation exercise in COPD patients is feasible and has certain effects.In the future,multicenter and high-quality research is still needed to perfect the effectiveness evaluation indicators of virtual reality technology in exercise rehabilitation of COPD patients and improve the quality of rehabilitation exercise based on virtual reality technology.