可穿戴传感设备在ICU言语不能患者中应用的范围综述

doi:10.3761/j.issn.0254-1769.2026.16.018

摘要/Abstract

摘要：

目的对可穿戴传感设备在ICU言语不能患者中应用的研究进行范围综述，为开展相关护理干预、满足ICU患者沟通需求提供参考。方法以范围综述方法学为指导，系统检索PubMed、Web of Science、Embase、CINAHL、Cochrane Library、万方数据库、中国知网、维普数据库及中国生物医学文献数据库中关于可穿戴传感设备在ICU言语不能患者中应用的研究；检索时间为建库至2026年4月22日；对检索到的文献进行筛选、汇总、提取、分析。结果共纳入10篇文献，采用的可穿戴传感设备主要包括可穿戴追踪设备、可穿戴电喉及脑机接口；用于满足ICU言语不能患者的生理需求、安全需求、爱与归属需求、尊重需求4个方面的沟通需求；结局指标涵盖临床状态评估、患者相关指标、可行性评价等；但可穿戴传感设备的应用仍存在一些问题。结论可穿戴传感设备能够满足ICU言语不能患者的基本需求表达和简单交互，但对患者的认知有一定要求，在临床应用仍处于探索阶段。

关键词: 可穿戴传感设备, 病房，重症监护, 言语不能, 沟通需求, 护理, 范围综述

Abstract:

Objective To conduct a scoping review on the application of wearable sensor devices in non-speaking ICU patients，so as to provide a reference for developing nursing interventions to meet the communication needs of ICU patients. Methods Using the scoping review methodology as a guide，a systematic search was performed in PubMed，Web of Science，Embase，CINAHL，Cochrane Library，Wanfang database，CNKI，VIP database，and China Biomedical Literature Database for relevant studies on the application of wearable sensor devices for communication needs in non-speaking ICU patients. The search period was from the establishment of the databases to April 22，2026. The retrieved literature was screened，summarized，extracted，and analyzed. Results A total of 10 articles were included. The wearable sensor devices used mainly included wearable tracking devices，wearable electronic larynges，and brain-computer interfaces. They were used to meet the communication needs of non-speaking ICU patients in 4 aspects：physiological needs，safety needs，love and belonging needs，and esteem needs. The outcome measures covered clinical status assessment，patient-related indicators，feasibility evaluation，etc. However，the application of wearable sensing devices still faces some challenges. Conclusion Wearable sensor devices can meet the basic needs of expression and simple interaction of non-speaking ICU patients，but they have certain requirements for patients’ cognition and are still in the clinical exploration stage.

Key words: Wearable Sensor Devices, Ward，Intensive Care Unit, Non-Speaking, Communication Needs, Nursing Care, Scoping Review

廉雨晴, 冯凤, 孔立, 陈梦雨, 张杰, 白芸菲, 杨硕. 可穿戴传感设备在ICU言语不能患者中应用的范围综述[J]. 中华护理杂志, 2026, 61(16): 2283-2289.

LIAN Yuqing, FENG Feng, KONG Li, CHEN Mengyu, ZHANG Jie, BAI Yunfei, YANG Shuo. Application of wearable sensor devices in non-speaking ICU patients：a scoping review[J]. Chinese Journal of Nursing, 2026, 61(16): 2283-2289.

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