关键词: 轻度认知障碍, 虚拟现实技术, 体验, 质性研究, Meta整合, 循证护理学

Abstract:

Objective To systematize and synthesize qualitative evidence regarding the experiences of individuals with mild cognitive impairment（MCI） using virtual reality（VR） technology，thereby informing the development of targeted interventions. Methods A systematic computer-based search was conducted across 10 domestic and international databases for qualitative studies focusing on the VR user experiences of MCI patients，covering the period from the inception of each database to October 2025. The methodological quality of the included studies was assessed using the Joanna Briggs Institute（JBI） Critical Appraisal Checklist for Qualitative Research. Findings were synthesized via a meta-aggregation approach，and the quality of the synthesized evidence was evaluated. Results A total of 8 studies were included，from which 31 findings were extracted. These findings were categorized into 12 subcategories，ultimately converging into 3 synthesized findings：1） A complex interplay of multifaceted user experiences encompassing perceptions of novelty and enjoyment，an immersive sense of presence，and challenges arising from technological barriers；2） Perceived improvements in physical and cognitive functioning coupled with an enhanced sense of control over daily life，including perceived cognitive remediation and optimized physical functioning，increased psychological and physical well-being，acquisition of coping strategies，proactive engagement in cognitive exercises in daily routines，heightened motivation for social participation，and a restored sense of self-worth；3） An intertwined set of requirements for technology use，including the need for multifaceted support and assurances，desires for further refinement of VR training programs，and an expressed willingness for sustained future engagement with the technology. The ConQual score indicated an overall moderate level of quality in the synthesized evidence. Conclusion Healthcare providers should closely pay attention to patients’ experiences with VR technology，identify their specific cognitive rehabilitation needs，and formulate tailored intervention strategies to prevent the progression from MCI to dementia.

Key words: Mild Cognitive Impairment, Virtual Reality, Experience, Qualitative Research, Meta-Synthesis, Evidence-Based Nursing