数智化背景下认知-运动双任务训练在脑卒中患者康复中应用的范围综述

doi:10.3761/j.issn.0254-1769.2026.20.018

摘要/Abstract

摘要：

目的对数智化背景下认知-运动双任务训练在脑卒中患者康复中的应用研究进行范围综述，为脑卒中康复护理实践提供参考。方法系统检索中英文数据库中与认知-运动双任务训练数字相关的干预性研究，检索时限为建库至2026年3月10日，对纳入文献进行整理分析。结果最终纳入23篇文献，共1 182例脑卒中患者。干预技术载体分为虚拟现实或增强现实、运动游戏或体感交互训练平台、交互式数字作业训练系统、机器人辅助虚拟训练系统、移动端或网络化训练平台5类；实施场景以医疗机构内为主，仅少数延伸至社区与家庭。干预内容整合认知加工与运动控制双重任务，包含目标规则、即时反馈、难度递进等核心游戏化要素。结局指标以认知功能、运动功能、日常生活活动能力为主，护理敏感指标与长期随访评价较为缺乏。结论数智化背景下认知-运动双任务训练在脑卒中康复中有良好的应用前景，但当前实施方案、训练剂量与评价体系仍需规范。未来应完善干预标准，构建护理支持路径，加强居家远程场景的应用研究。

关键词: 脑卒中, 康复护理, 认知-运动双任务训练, 数字干预, 范围综述

Abstract:

Objective To conduct a scoping review of the application of digital interventions for cognitive-motor dual-task training in stroke patients，with the aim of providing a reference for rehabilitation nursing practice. Methods Original intervention studies published in Chinese and English databases from inception to March 10，2026 were systematically searched，and the included studies were summarized and analyzed. Results A total of 23 studies involving 1 182 patients with stroke were included. The intervention platforms were classified into 5 categories：virtual reality/augmented reality，motion-sensing interaction，digital occupational training，robot-assisted virtual training，and mobile network-based platforms. Most interventions were implemented in medical institutions，with only a few extending to community and home settings. The interventions integrated dual tasks of cognitive processing and motor control，and included core gamification elements such as goal rules，real-time feedback，and progressive difficulty. Outcome measures mainly focused on cognitive function，motor function，and activities of daily living，while nursing-sensitive indicators and long-term follow-up evaluations were insufficient. Conclusion Digital interventions for cognitive-motor dual-task training have promising application value in stroke patients. However，intervention protocols，training dosage，and evaluation systems require further standardization. Future studies should refine intervention standards，establish nursing support pathways，and strengthen research on home-based and remote applications.

Key words: Stroke, Rehabilitation Nursing, Cognitive-Motor Dual-Task Training, Digital Intervention, Scoping Review

吴信雅, 蒋小曼, 常然, 任震晴. 数智化背景下认知-运动双任务训练在脑卒中患者康复中应用的范围综述[J]. 中华护理杂志, 2026, 61(20): 2861-2867.

WU Xinya, JIANG Xiaoman, CHANG Ran, REN Zhenqing. A scoping review of the application of digital interventions for cognitive-motor dual-task training in stroke patients[J]. Chinese Journal of Nursing, 2026, 61(20): 2861-2867.

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