眼动追踪在ICU言语不能患者中应用的范围综述

doi:10.3761/j.issn.0254-1769.2025.06.019

摘要/Abstract

摘要：

目的对眼动追踪在ICU言语不能患者中的应用进行范围综述，为开展相关研究提供参考。方法基于范围综述框架，系统检索Web of Science、PubMed、Cochrane Library、Embase、CINAHL、中国知网、万方数据库、中华医学期刊全文数据库、中国生物医学文献数据库，检索时限为建库至2024年10月29日。由2名研究者对纳入的文献进行综合分析。结果共纳入12篇文献，包括4篇前瞻性队列研究、4篇类实验研究、3篇前瞻性观察性研究、1篇随机对照试验。眼动追踪在ICU中的应用人群主要包括机械通气、谵妄高风险、脊髓损伤患者等。眼动追踪系统集成设备类型主要包括头戴式、固定式；眼动追踪指征涉及注视、眨眼等；功能包括范式化评估、自由沟通以及眼动模型识别；主要结局指标为研究的可行性、躯体症状及社会心理状态。结论眼动追踪适用于特定的ICU言语不能患者，并在患者的基本需求表达、症状自我评估及社会心理状态改善方面有一定的可行性和有效性。

关键词: 眼动追踪, 重症监护病房, 言语失用, 范围综述, 护理

Abstract:

Objective This review aims to investigate the application of eye tracking（ET） in patients with speech impairment in the ICU. The review summarizes the current status and prospects of ET technology applications. Methods Following the scoping reviews framework，a systematic search was conducted across Web of Science，PubMed，Cochrane Library，Embase，CINAHL，CNKI，Wanfang Data，Chinese Medical Database，and Chinese biomedical database. The search covered publications from the inception of each database to October 29th，2024. The included studies were comprehensively analyzed. Results A total of 12 pieces of the literature were included，including 4 prospective cohort studies，4 experimental studies，3 prospective observational studies，and 1 randomized controlled trial. The application population of ET in the ICU mainly includes patients on mechanical ventilation，those at high risk of delirium，patients with spinal cord injury，etc. The types of integrated ET system equipment are mainly head-mounted and fixed；the types of ET involve gaze，blinking，etc.；the functions include standardized scale assessment，free interaction，and eye-movement model recognition. The main outcome indicators of the research are feasibility，physical symptoms and social-psychological status. Conclusion ET is applicable to a specific group of ICU patients with aphasia，and has shown good feasibility and effectiveness in the expression of patients’ basic needs，self-assessment of symptoms and improvement of psychosocial status.

Key words: Eye Tracking, Intensive Care Unit, Apraxia of Speech, Scoping Review, Nursing Care

黄真真, 隋伟静, 董婧, 张君如, 张楚楚, 周泓廷, 张佳宇, 张娜, 庄一渝. 眼动追踪在ICU言语不能患者中应用的范围综述[J]. 中华护理杂志, 2025, 60(6): 757-763.

HUANG Zhenzhen, SUI Weijing, DONG Jing, ZHANG Junru, ZHANG Chuchu, ZHOU Hongting, ZHANG Jiayu, ZHANG Na, ZHUANG Yiyu. Application of eye tracking techniques in ICU patients with aphasia：a scoping review[J]. Chinese Journal of Nursing, 2025, 60(6): 757-763.

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