虚拟现实用于机械通风ICU患者的妄想预防:一个叙事审查
Jiaxin Li1, Mengyao Su1, Yuhao Zhao1
1College of Nursing and Health, Henan University, Kaifeng, China.
Frontiers in medicine
|December 8, 2025
概括
虚拟现实 (VR) 有望通过减少负面情绪和改善认知来预防机械通风的ICU患者的妄想. 需要进一步的研究来完善VR干预措施,并验证其在临床环境中的有效性.
科学领域:
- 关键护理医学 关键护理医学
- 神经科学是一个神经科学.
- 医疗卫生技术 技术 技术
背景情况:
- 痴呆症是重症监护室 (ICU) 患者的常见并发症,特别是那些需要机械通风的人.
- 机械通风可以加剧心理痛苦和认知障碍,增加妄想风险.
- 需要新的干预措施来缓解这种脆弱患者群体的妄想.
研究的目的:
- 审查目前关于虚拟现实 (VR) 技术的证据,以预防机械通风ICU患者的妄想.
- 在这种临床背景下探索VR的优势,应用和局限性.
- 为未来的临床实践和研究提供见解.
主要方法:
- 采用了一个叙事审查方法.
- 在九个主要数据库 (PubMed,科学网,Scopus,Embase,Cochrane图书馆,CBM,CNKI,万芳,VIP) 进行系统的文献搜索.
- 包括截至2025年4月30日出版的中英文献,重点关注ICU机械通风患者虚拟现实预防痴呆症.
主要成果:
- 虚拟现实技术在缓解消极情绪和增强患者参与方面显示出潜力,对工作记忆等认知功能产生积极影响.
- 虚拟现实显示了对于需要机械通风的重症患者的基本安全性和可行性.
- 目前的研究受限于样本规模小,缺乏高质量的随机对照试验,以及对ICU环境的VR内容和工具的个性化和验证不足.
结论:
- 虚拟现实技术对预防机械通风的ICU患者的妄想具有显著的前景.
- 未来的研究应该专注于开发系统的,个性化的VR程序和对ICU患者的验证评估工具.
- 需要大规模的多中心研究来确认长期疗效,最佳实施和标准化临床应用的成本效益.
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