Abstract:

Objective To conduct a scoping review of virtual reality motor sensing exercise in the elderly with dementia，so as to identify the types of intervention，outcome indicators，evaluation tools and application effects of virtual reality motor sensing exercise and provide guidance for future research. Methods A literature search was performed in the PubMed，Embase，CINAHL，Web of Science，Cochrane Library，CNKI，Wanfang，VIP，and CMB databases to identify relevant studies. The search period is from the establishment of databases to October 15，2023. The included studies were summarized and analyzed. Results A total of 18 articles were included in this study，including 14 randomised controlled trials, one class-experimental study and three mixed studies involving a total of 1,054 elderly dementia patients. The types of virtual reality motor sensing exercise included motor sensing interactive games，interactive bicycle riding，remote game exercise，Wii Fit exercise and virtual reality environment exercise. The outcome indicators involve 4 aspects of physical indicators，psychological indicators，cognitive function and quality of life. Conclusion Virtual reality motor sensing exercise is feasible and effective in the elderly with dementia. However，large sample and high-quality randomized controlled trials are still needed in the future to verify the feasibility and application effect of virtual reality exercise in the elderly with dementia，so as to provide evidence-based basis for formulating the best exercise intervention program for the elderly with dementia.

Key words: Virtual Reality, Exercise, Dementia, Aged, Scoping Review, Evidence-Based Nursing

摘要：

目的 对虚拟现实体感运动在老年失智症患者中的应用研究进行范围综述，以识别虚拟现实体感运动的干预种类、结局指标、评价工具和应用效果，为今后该领域的研究提供参考。方法 计算机检索PubMed、Embase、CINAHL、Web of Science、Cochrane Library、中国知网、万方数据库、维普数据库和中国生物医学文献数据库中虚拟现实体感运动在老年失智症患者中应用的相关研究。检索时限为建库至2023年10月15日。对纳入文献进行筛选和归纳总结。结果 共纳入18篇文献，包括14篇随机对照试验、1篇类实验研究以及3篇混合研究，共涉及1 054例老年失智症患者。虚拟现实体感运动种类包括体感互动游戏、交互式骑自行车、远程游戏运动、Wii Fit运动和虚拟现实环境下的运动。结局指标涉及身体指标、心理指标、认知功能和生活质量4个方面。结论 虚拟现实体感运动在老年失智症患者应用中具有可行性和有效性，但未来仍需要开展大样本、高质量的随机对照试验来验证虚拟现实体感运动在老年失智症患者中的可行性和应用效果，为制订老年失智症患者运动干预方案提供依据。

关键词: 虚拟现实, 运动, 失智症, 老年人, 范围综述, 循证护理学