虚拟现实在护理跨学科合作中的应用进展及护理人员的角色定位

doi:10.3969/j.issn.1674-490X.2023.04.010

摘要/Abstract

摘要： 总结虚拟现实技术在护理康复训练、沟通培训、症状管理及护理教育等护理领域的应用进展及效果,分析护理人员在与虚拟现实技术跨学科合作过程中的角色定位,包括设计者、影响者及实施者,提出目前虚拟现实技术应用的挑战和展望。在护理行业多元化发展的现况下,护理人员发挥专业优势和主观能动性,为跨学科合作提供更多机会。

关键词: 虚拟现实, 护理, 跨学科合作, 信息技术, 护理人员

Abstract: This review summarizes the application and effects of virtual reality technology in nursing rehabilitation training, communication training, symptom management and nursing education and other nursing fields. Nursing staff play an important role in the interdisciplinary cooperation between nursing and virtual reality technology: designers, implementers, influencer and implementer. It also puts forward the challenges and prospects of the current application of virtual reality technology in the field of nursing. Nursing staff should give full play to their professional dominance and subjective initiative to provide more opportunities for transdisciplinary collaboration between nursing and virtual reality technology.

Key words: virtual reality, nursing, interdisciplinary cooperation, information technology, nursing staff

中图分类号:

王守碧,凌文静. 虚拟现实在护理跨学科合作中的应用进展及护理人员的角色定位[J]. 医学研究与教育, 2023, 40(4): 61-66.

参考文献

[1] SCARFE P, GLENNERSTER A. The science behind virtual reality displays[J]. Annu Rev Vis Sci, 2019, 5: 529-547. DOI: 10.1146/annurev-vision-091718-014942.
[2] SUTHERLAND J, BELEC J, SHEIKH A, et al. Applying modern virtual and augmented reality technologies to medical images and models[J]. J Digit Imaging, 2019, 32(1): 38-53. DOI: 10.1007/s10278-018-0122-7.
[3] HAMILTON D, MCKECHNIE J, EDGERTON E, et al. Immersive virtual reality as a pedagogical tool in education: a systematic literature review of quantitative learning outcomes and experimental design[J]. J Comput Educ, 2021, 8(1): 1-32. DOI: 10.1007/s40692-020-00169-2.
[4] 肖倩,余赛英,孙沛.虚拟现实技术在医疗护理领域中的应用与研究进展[J]. 中国护理管理, 2020, 20(2): 165-170. DOI: 10.3969/j.issn.1672-1756.2020.02.004.
[5] SAKAKI K, NOUCHI R, MATSUZAKI Y, et al. Benefits of VR physical exercise on cognition in older adults with and without mild cognitive decline: a systematic review of randomized controlled trials[J]. Healthcare(Basel), 2021, 9(7): 883. DOI: 10.3390/healthcare9070883.
[6] PAPAIOANNOU T, VOINESCU A, PETRINI K, et al. Efficacy and moderators of virtual reality for cognitive training in people with dementia and mild cognitive impairment: a systematic review and meta-analysis[J]. J Alzheimers Dis, 2022, 88(4): 1341-1370. DOI: 10.3233/JAD-210672.
[7] GAO Y, MA L, LIN C, et al. Effects of virtual reality-based intervention on cognition, motor function, mood, and activities of daily living in patients with chronic stroke: a systematic review and meta-analysis of randomized controlled trials[J]. Front Aging Neurosci, 2021, 13: 766525. DOI: 10.3389/fnagi.2021.766525.
[8] LIAO Y Y, YANG Y R, CHENG S J, et al. Virtual reality-based training to improve obstacle-crossing performance and dynamic balance in patients with parkinson's disease[J]. Neurorehabil Neural Repair, 2015, 29(7): 658-667. DOI: 10.1177/1545968314562111.
[9] ROGERS J M, DUCKWORTH J, MIDDLETON S, et al. Elements virtual rehabilitation improves motor, cognitive, and functional outcomes in adult stroke: evidence from a randomized controlled pilot study[J]. J Neuroeng Rehabil, 2019, 16(1): 56. DOI: 10.1186/s12984-019-0531-y.
[10] MIRELMAN A, ROCHESTER L, MAIDAN I, et al. Addition of a non-immersive virtual reality component to treadmill training to reduce fall risk in older adults(V-TIME): a randomised controlled trial[J]. Lancet, 2016, 388(10050): 1170-1182. DOI: 10.1016/S0140-6736(16)31325-3.
[11] LIAW S Y, OOI S W, RUSLI K D B, et al. Nurse-physician communication team training in virtual reality versus live simulations: randomized controlled trial on team communication and teamwork attitudes[J]. J Med Internet Res, 2020, 22(4): e17279. DOI: 10.2196/17279.
[12] SHOREY S, ANG E, YAP J, et al. A virtual counseling application using artificial intelligence for communication skills training in nursing education: development study[J]. J Med Internet Res, 2019, 21(10): e14658. DOI: 10.2196/14658.
[13] SHOREY S, ANG E, NG E D, et al. Communication skills training using virtual reality: a descriptive qualitative study[J]. Nurse Educ Today, 2020, 94: 104592. DOI: 10.1016/j.nedt.2020.104592.
[14] CHEN Y J, CHENG S F, LEE P C, et al. Distraction using virtual reality for children during intravenous injections in an emergency department: a randomised trial[J]. J Clin Nurs, 2020, 29(3/4): 503-510. DOI: 10.1111/jocn.15088.
[15] 卫平莲,刘安诺.虚拟现实技术联合小丑照护在门诊伤口换药患儿中的应用[J].军事护理, 2023(4): 28-31.
[16] KOÇ ÖZKAN T, POLAT F. The effect of virtual reality and kaleidoscope on pain and anxiety levels during venipuncture in children[J]. J Perianesth Nurs, 2020, 35(2): 206-211. DOI: 10.1016/j.jopan.2019.08.010.
[17] JUNG M J, LIBAW J S, MA K, et al. Pediatric distraction on induction of anesthesia with virtual reality and perioperative anxiolysis: a randomized controlled trial[J]. Anesth Analg, 2021, 132(3): 798-806. DOI: 10.1213/ANE.0000000000005004.
[18] AYDIN A I., ÖZYAZICIOGˇLU N. Using a virtual reality headset to decrease pain felt during a venipuncture procedure in children[J]. J Perianesth Nurs, 2019, 34(6): 1215-1221. DOI: 10.1016/j.jopan.2019.05.134.
[19] GOLD J I, SOOHOO M, LAIKIN A M, et al. Effect of an immersive virtual reality intervention on pain and anxiety associated with peripheral intravenous catheter placement in the pediatric setting: a randomized clinical trial[J]. JAMA Netw Open, 2021, 4(8): e2122569. DOI: 10.1001/jamanetworkopen.2021.22569.
[20] 张宁宁,陈艺.虚拟现实技术结合音乐干预对烧伤患者创面换药时疼痛程度及心率、血压的影响[J].解放军护理杂志, 2020, 37(11):78-80. DOI: 10.3969/j.issn.1008-9993.2020.11.020.
[21] 贺婷婷,张修航,孔祥力,等.出院前虚拟现实视频心理干预对面部深度烧伤患者出院后情绪影响的前瞻性随机对照研究[J].中华烧伤杂志, 2021, 37(1): 70-75. DOI: 10.3760/cma.j.cn501120-20191226-00473.
[22] 王丽娜,来李鑫,李慧林,等.虚拟现实技术在乳腺癌术后康复训练中的应用进展[J].护理学杂志, 2023, 38(6):15-18. DOI: 10.3870/j.issn.1001-4152.2023.06.015.
[23] SPIEGEL B M. Virtual medicine: how virtual reality is easing pain, calming nerves and improving health[J]. Med J Aust, 2018, 209(6): 245-247. DOI: 10.5694/mja17.00540.
[24] 王莉,周宁宁,汤桂芳,等.虚拟现实疼痛控制管理平台在肝胆外科术后患者中的应用[J].中国护理管理, 2020, 20(11):1704-1707. DOI: 10.3969/j.issn.1672-1756.2020.11.023.
[25] IOANNOU A, PAPASTAVROU E, AVRAAMIDES M N, et al. Virtual reality and symptoms management of anxiety, depression, fatigue, and pain: a systematic review[J]. SAGE Open Nurs, 2020, 6: 2377960820936163. DOI: 10.1177/2377960820936163.
[26] FORONDA C, GATTAMORTA K, SNOWDEN K, et al. Use of virtual clinical simulation to improve communication skills of baccalaureate nursing students: a pilot study[J]. Nurse Educ Today, 2014, 34(6): e53-e57. DOI: 10.1016/j.nedt.2013.10.007.
[27] BAYRAM S B, CALISKAN N. Effect of a game-based virtual reality phone application on tracheostomy care education for nursing students: a randomized controlled trial[J]. Nurse Educ Today, 2019, 79: 25-31. DOI: 10.1016/j.nedt.2019.05.010.
[28] 范春梅,梁晓灿,石静,等.护理专业本科生参与虚拟现实技术教学体验研究的Meta整合[J]. 中华护理教育, 2023, 20(2): 151-157. DOI: 10.3761/j.issn.1672-9234.2023.02.004.
[29] CHEN F Q, LENG Y F, GE J F, et al. Effectiveness of virtual reality in nursing education: meta-analysis[J]. J Med Internet Res, 2020, 22(9): e18290. DOI: 10.2196/18290.
[30] JOUPPILA T, TIAINEN T. Nurses' participation in the design of an intensive care unit: the use of virtual mock-ups[J]. HERD, 2021, 14(2): 301-312. DOI: 10.1177/1937586720935407.
[31] WANG J N, ZHANG C Y, JIA Y R, et al. Development of a virtual reality system for early mobilization of critically ill patients[J]. Stud Health Technol Inform, 2019, 264: 1805-1806. DOI: 10.3233/SHTI190657.
[32] FULLER R, HANSEN A. Disruption ahead: navigating and leading the future of nursing[J]. Nurs Adm Q, 2019, 43(3): 212-221. DOI: 10.1097/NAQ.0000000000000354.
[33] KLOSTER M, BABIC A. Mobile VR-application for neck exercises[J]. Stud Health Technol Inform, 2019, 262: 206-209. DOI: 10.3233/SHTI190054.