肺部和物理虚拟现实练习对于患有不胸部创伤的患者:随机临床试验
Tjitske D Groenveld1, Indy Gm Smits2, Naomi Scholten1
1Department of Surgery, Radboud University Medical Center, Nijmegen, Netherlands.
JMIR serious games
|December 9, 2024
概括
虚拟现实 (VR) 练习显示,与标准物理治疗相比,不胸部创伤患者的肺部恢复没有显著改善. 患者对VR的体验是积极的,但强调了临床整合和坚持方面的挑战.
科学领域:
- 肺部康复治疗 肺部康复治疗
- 医学中的虚拟现实应用.
- 创伤护理的护理人员.
背景情况:
- 粗的胸部创伤在疼痛管理,呼吸系统恢复和患者移动性方面提出了挑战.
- 虚拟现实 (VR) 提供了增强患者在治疗中的自我有效性和自主性的潜力.
- 虚拟现实可能有助于在减少临床医生的支持下实现关键的恢复目标.
研究的目的:
- 评估基于VR的呼吸和体育炼对创伤患者肺部恢复的有效性.
- 为了比较VR干预结果与医院病房环境中的常规物理治疗.
主要方法:
- 一项试点随机对照试验,将VR练习与标准物理治疗进行比较.
- 主要结局:第五天或出院时的重要肺容量.
- 二次结果:流动性,住院,并发症,疼痛和患者报告的措施;定性访谈评估经验.
主要成果:
- 由于两组的入学率和坚持低,研究提前结束.
- 在VR和对照组之间,重要肺容量没有显著差异.
- 患者报告了VR可视化和止痛效果的积极经验,但指出在通常的护理中缺乏附加值.
结论:
- 在创伤病房中,患者适合VR治疗的程度可能低于预期.
- 有效的VR实施需要专业指导和临床整合.
- 未来的研究应该在有效性研究之前优先考虑坚持,患者报告的经验和系统的接受分析.
相关概念视频
Flail Chest-II
160
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
160
Chest Physiotherapy
388
Chest Physiotherapy (CPT) is a therapeutic technique used in respiratory care to improve ventilation, clear bronchial secretions, and enhance the efficiency of respiratory muscles. This therapy includes three primary procedures: postural drainage, percussion, and vibration. It can be performed on spontaneously breathing patients and those who are intubated and mechanically ventilated.
Purpose
CPT is primarily used for patients with excessive bronchial secretions who have difficulty clearing...
Purpose
CPT is primarily used for patients with excessive bronchial secretions who have difficulty clearing...
388
Flail Chest-I
139
Overview of Flail Chest
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
139
Pneumothorax-II
120
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
120
Physical Assessment of the Respiratory Tract II: Palpation
232
Physical assessment of the respiratory tract is critical in identifying potential health issues. One key component of this assessment is palpation, a technique healthcare providers use to assess the body for abnormalities. This content explores the method of palpation in evaluating the respiratory tract, focusing on thoracic palpation and tactile fremitus.
Thoracic Palpation
Thoracic palpation detects tenderness, masses, lesions, respiratory excursions, and vocal fremitus. The nurse assesses...
Thoracic Palpation
Thoracic palpation detects tenderness, masses, lesions, respiratory excursions, and vocal fremitus. The nurse assesses...
232


