扩展现实技术在预防老年人残疾中的应用进展

doi:10.3761/j.issn.0254-1769.2024.10.006

摘要/Abstract

摘要：

国内老年人口规模大，老龄化速度快，增龄伴随的认知、运动、感官功能下降及疾病等问题日益突出，残疾老年人数量持续增加。扩展现实技术为老年人提供了个性化的、激励的、人机交互的多重任务训练环境，可应对基础设施缺乏和动力不足两大阻碍老年人主动健康的因素，维护老年人功能和预防残疾。该文总结了扩展现实技术在老年残疾预防中的应用现状和效果，并分析现阶段研究与应用中的不足，提出了展望，以为预防老年人残疾提供参考。

关键词: 残疾预防, 老年人, 扩展现实技术, 护理, 综述

Abstract:

China is currently experiencing rapid population aging，leading to a significant expansion of the elderly demographic. This aging process is accompanied by cognitive，motor，and sensory function decline and diseases，resulting in an increasing number of elderly individuals with disabilities. To address this challenge，extended reality technology offers a personalized，motivating，and human-computer interactive training environment that can effectively tackle the obstacles hindering active health and disability prevention in the elderly，such as inadequate infrastructure and motivation. This review summarized the current research status and effectiveness of extended reality technology in preventing disability among the elderly. Additionally，the review discusses the limitations and future prospects of extended reality technology in the context of elderly disability prevention，aiming to provide guidance for preventing disability in the elderly and promoting healthy aging.

Key words: Disability Prevention, Aged, Extended Reality Technology, Nursing Care, Review

李焕焕, 张薇, 陈雪梅, 庞亚娟, 周璇, 周兰姝. 扩展现实技术在预防老年人残疾中的应用进展[J]. 中华护理杂志, 2024, 59(10): 1195-1200.

LI Huanhuan, ZHANG Wei, CHEN Xuemei, PANG Yajuan, ZHOU Xuan, ZHOU Lanshu. Research progress of extended reality technology for disability prevention in the elderly[J]. Chinese Journal of Nursing, 2024, 59(10): 1195-1200.

参考文献 38

[1]	国家卫生健康委, 教育部, 科技部, 等. 关于印发“十四五”健康老龄化规划的通知[J]. 国务院公报, 2022(15):56-66.
	National Health Commission,Ministry of Education,Ministry of Science and Technology, et al. Notice on the issuance of the 14th Five-Year Plan for Healthy Aging[J]. The State Council, 2022(15):56-66.
[2]	王一然, 戴婉薇, 苏彬彬, 等. 我国康复服务需求评估与供需缺口原因分析[J]. 中国康复理论与实践, 2022, 28(6):725-729. DOI
	Wang YR, Dai WW, Su BB, et al. Assessment of demand for rehabilitation services and analysis of causes of the gap between supply and demand in China[J]. Chin J Rehabil Theory Pract, 2022, 28(6):725-729.
[3]	国家统计局,第二次全国残疾人抽样调查领导小组. 第二次全国残疾人抽样调查主要数据公报:(第二号)2007年5月28日[N]. 人民日报,2007-05-29(10).
	The National Bureau of Statistics,the Leading Group for the Second National Sampling Survey of the Disabled. Main data bulletin of the second national sample survey of the disabled:(No.2) May 28,2007[N]. People’s Daily,2007-05-29(10).
[4]	杜鹏, 董亭月. 促进健康老龄化:理念变革与政策创新——对世界卫生组织《关于老龄化与健康的全球报告》的解读[J]. 老龄科学研究, 2015, 3(12):3-10.
	Du P, Dong TY. Promoting healthy aging:changing concept and policy innovations——the inspiration from the world report on ageing and health[J]. Sci Res Aging, 2015, 3(12):3-10.
[5]	纪龙飞, 邓文洁, 黄曲云, 等. 发达国家脑卒中居家康复现况及对我国的启示[J]. 中国医药导报, 2021, 18(36):165-168,182.
	Ji LF, Deng WJ, Huang QY, et al. Status of stroke home-based rehabilitation in developed countries and its enlightenment to China[J]. China Med Her, 2021, 18(36):165-168,182.
[6]	范韫仪, 王一然, 郑晓瑛. 中国老年残疾人口康复服务利用现状及影响因素分析[J]. 中国卫生政策研究, 2022, 15(5):31-39.
	Fan YY, Wang YR, Zheng XY. Rehabilitation service utilization and its associated factors among the elderly with disability in China[J]. Chin J Health Policy, 2022, 15(5):31-39.
[7]	Sakaki K, Nouchi R, Matsuzaki Y, et al. Benefits of VR physical exercise on cognition in older adults with and without mild cognitive decline:a systematic review of randomized controlled trials[J]. Healthcare, 2021, 9(7):883.
[8]	李敏雄, 黄昕, 邝依敏, 等. 扩展现实技术在显微外科及其教学中的应用价值[J]. 中国美容整形外科杂志, 2022, 33(8):504-507,515.
	Li MX, Huang X, Kuang YM, et al. Application value of augmented reality technology in microsurgery and its teaching[J]. Chin J Aesthetic Plast Surg, 2022, 33(8):504-507,515.
[9]	国家质量监督检验检疫总局, 中国国家标准化管理委员会. 残疾人残疾分类和分级:GB/T 26341—2010[S]. 北京: 中国标准出版社, 2011.
	General Administration of Quality Supervision,Inspection and Quarantine of the People’s Republic of China, Standardization Administration of the People’s Republic of China. Classification and grading criteria of disability:GB/T 26341—2010[S]. Beijing: Standards Press of China, 2011.
[10]	卜晓繁, 谌永毅, 韦迪, 等. 虚拟现实技术在乳腺癌患者症状管理中的应用进展[J]. 中华护理杂志, 2020, 55(6):868-871. DOI
	Bu XF, Chen YY, Wei D, et al. Research progress on virtual reality technology for symptom management of breast cancer patients[J]. Chin J Nurs, 2020, 55(6):868-871.
[11]	Jeon S, Kim J. Effects of augmented-reality-based exercise on muscle parameters,physical performance,and exercise self-efficacy for older adults[J]. Int J Environ Res Public Health, 2020, 17(9):3260.
[12]	Park E, Yun BJ, Min YS, et al. Effects of a mixed reality-based cognitive training system compared to a conventional computer-assisted cognitive training system on mild cognitive impairment:a pilot study[J]. Cogn Behav Neurol, 2019, 32(3):172-178.
[13]	Corregidor-Sánchez AI, Segura-Fragoso A, Rodríguez-Hernández M, et al. Effectiveness of virtual reality technology on functional mobility of older adults:systematic review and meta-analysis[J]. Age Ageing, 2021, 50(2):370-379. DOI PMID
[14]	Laver KE, Lange B, George S, et al. Virtual reality for stroke rehabilitation[J]. Cochrane Database Syst Rev, 2017, 11(11):CD008349.
[15]	王凯蓉, 卫婉蕊, 马睛雅, 等. 沉浸式虚拟现实认知训练对认知障碍患者干预效果的系统评价[J]. 中华护理杂志, 2022, 57(2):230-236. DOI
	Wang KR, Wei WR, Ma JY, et al. Effects of immersive virtual reality-based cognitive training for people with cognitive impairment:a systematic review[J]. Chin J Nurs, 2022, 57(2):230-236.
[16]	陈霞丽, 邢利民, 凡颖, 等. 虚拟现实康复训练在慢性阻塞性肺疾病患者中应用的系统评价[J]. 中华护理杂志, 2023, 58(2):224-231. DOI
	Chen XL, Xing LM, Fan Y, et al. Effects of virtual reality-based rehabilitation training for people with chronic obstructive pulmonary disease:a systematic review[J]. Chin J Nurs, 2023, 58(2):224-231.
[17]	苏影红, 李结霞, 梁荣锟, 等. 虚拟场景训练对老年类风湿患者手关节功能康复的影响[J]. 按摩与康复医学, 2021, 12(18):30-32,36.
	Su YH, Li JX, Liang RK, et al. Effect of virtual scene training on hand joint function rehabilitation of elderly rheumatoid patients[J]. Chin Manip Rehabil Med, 2021, 12(18):30-32,36.
[18]	曾迎春, 吕启圆, 朱俊红, 等. 基于VR的老年癌症患者认知评估和沉浸式怀旧疗法康复系统的设计与应用探索[J]. 中国护理管理, 2021, 21(2):176-180.
	Zeng YC, Lü QY, Zhu JH, et al. Design and pilot application of cognitive assessment and immersive reminiscence therapy rehabilitation system for elderly cancer patients based on VR technology[J]. Chin Nurs Manag, 2021, 21(2):176-180.
[19]	曾杜纯, 叶祥明, 谭同才, 等. 虚拟运动游戏对老年2型糖尿病周围神经病变患者平衡功能和跌倒风险影响[J]. 浙江中西医结合杂志, 2020, 30(3):212-215.
	Zeng DC, Ye XM, Tan TC, et al. Effect of virtual sports games on balance function and fall risk in elderly patients with type 2 diabetic peripheral neuropathy[J]. Zhejiang J Integr Tradit Chin West Med, 2020, 30(3):212-215.
[20]	孙志成, 顾晓美, 欧阳钢, 等. 基于虚拟现实的八段锦对养老机构老年骨质疏松症患者跌倒风险及生活质量的影响[J]. 中国医药导报, 2020, 17(1):90-93,97.
	Sun ZC, Gu XM, Ouyang G, et al. Effects of Baduanjin based on virtual reality on fall risk and quality of life of elderly osteoporosis patients in nursing institution for the aged[J]. China Med Her, 2020, 17(1):90-93,97.
[21]	冯莹, 于新军, 徐秀峰, 等. 常规前庭康复训练联合虚拟现实技术治疗老年性前庭病的疗效[J]. 北京医学, 2020, 42(9):847-850.
	Feng Y, Yu XJ, Xu XF, et al. Clinical effects of vestibular rehabilitation training combined with virtual reality technology in the treatment of presbyvestibulopathy[J]. Beijing Med J, 2020, 42(9):847-850.
[22]	Jahouh M, González-Bernal JJ, González-Santos J, et al. Impact of an intervention with wii video games on the autonomy of activities of daily living and psychological-cognitive components in the institutionalized elderly[J]. Int J Environ Res Public Health, 2021, 18(4):1570.
[23]	Daikhes NA, Vladimirova TY, Sapozhnikov YM, et al. The effectiveness of auditory training using virtual reality technologies in persons with chronic sensorineural hearing loss[J]. Vestn Otorinolaringol, 2021, 86(6):17-21. DOI PMID
[24]	Cao Y, Huang X, Zhang BL, et al. Effects of virtual reality in post-stroke aphasia:a systematic review and meta-analysis[J]. Neurol Sci, 2021, 42(12):5249-5259.
[25]	Chang HB, Song Y, Cen XZ. Effectiveness of augmented reality for lower limb rehabilitation:a systematic review[J]. Appl Bionics Biomech, 2022, 2022:4047845.
[26]	Nishchyk A, Chen WQ, Pripp AH, et al. The effect of mixed reality technologies for falls prevention among older adults:systematic review and meta-analysis[J]. JMIR Aging, 2021, 4(2):e27972.
[27]	Cunyarachi LO, Santisteban A, Andrade-Arenas L. Augmented reality electronic glasses prototype to improve vision in older adults[J]. Int J Adv Comput Sci Appl, 2020, 11(11):704-709.
[28]	Yen HY, Chiu HL. Virtual reality exergames for improving older adults’ cognition and depression:a systematic review and meta-analysis of randomized control trials[J]. J Am Med Dir Assoc, 2021, 22(5):995-1002.
[29]	WHO. Integrated care for older people:guidelines on commu-nity-level interventions to manage declines in intrinsic capa-city[M]. Geneva: World Health Organization, 2017.
[30]	国务院办公厅. 国家残疾预防行动计划(2021—2025年)[J]. 国务院公报, 2022(2):8-15.
	The General Office of the State Council. The national action plan for disability prevention(2021-2025)[J]. The State Council, 2022(2):8-15.
[31]	Kwon SH, Park JK, Koh YH. A systematic review and meta-analysis on the effect of virtual reality-based rehabilitation for people with Parkinson’s disease[J]. J Neuroeng Rehabil, 2023, 20(1):94.
[32]	宋新明, 陈新民, 刘天俐, 等. 我国成年人慢性病导致的残疾负担分析[J]. 残疾人研究, 2013(4):43-48.
	Song XM, Chen XM, Liu TL, et al. An analysis on contribution of chronic diseases to the burden of adult disability in China[J]. Disabil Res, 2013(4):43-48.
[33]	Soares VN, Yoshida HM, Magna TS, et al. Comparison of exergames versus conventional exercises on the cognitive skills of older adults:a systematic review with meta-analysis[J]. Arch Gerontol Geriatr, 2021, 97:104485.
[34]	张蕾, 王临虹, 郭超, 等. 中国精神残疾数据质量再分析[J]. 人口与发展, 2015, 21(3):45-51.
	Zhang L, Wang LH, Guo C, et al. Re-analysis quality of mental disability in China[J]. Popul Dev, 2015,21(3):45-51.
[35]	Malinvaud D, Londero A, Niarra R, et al. Auditory and visual 3D virtual reality therapy as a new treatment for chronic subjective tinnitus:results of a randomized controlled trial[J]. Hear Res, 2016,333:127-135.
[36]	Gopalakrishnan S, Chouhan Suwalal S, Bhaskaran G, et al. Use of augmented reality technology for improving visual acuity of individuals with low vision[J]. Indian J Ophthalmol, 2020, 68(6):1136-1142. DOI PMID
[37]	张远星, 何磊, 靳千胜, 等. 虚拟现实语言训练对卒中后失语患者干预效果的Meta分析[J]. 中华护理杂志, 2023, 58(3):296-303. DOI
	Zhang YX, He L, Jin QS, et al. Effects of virtual reality-based language training for people with post-stroke aphasia:a meta-analysis[J]. Chin J Nurs, 2023, 58(3):296-303.
[38]	Bu XF, Ng PH, Tong Y, et al. A mobile-based virtual reality speech rehabilitation app for patients with aphasia after stroke:development and pilot usability study[J]. JMIR Serious Games, 2022, 10(2):e30196.