虚拟现实情景互动训练在养老院阿尔茨海默病患者康复治疗中的应用

doi:10.3969/j.issn.1007-3205.2021.02.022

河北医科大学学报 ›› 2021, Vol. 42 ›› Issue (2): 222-227.doi: 10.3969/j.issn.1007-3205.2021.02.022

虚拟现实情景互动训练在养老院阿尔茨海默病患者康复治疗中的应用

1.南京医科大学附属老年医院沐春园护理院分部，江苏南京 210024； 2.南京医科大学第一附属医院康复医学中心，
江苏南京 210029；3.南京江宁沐春园护理院康复诊疗中心，江苏南京 211000；
4.南京江宁沐春园护理院颐康中心，江苏南京 211000

出版日期:2021-02-25 发布日期:2021-03-09
作者简介:孙志成（1982-），男，江苏南京人，南京医科大学附属老年医院副主任技师，医学硕士，从事老年康复及医养结合研究。
基金资助:
国家重点研发计划资助项目（2018YFC2001600；2018YFC2001603）；江苏省老年医学学会老年医学科技发展基金（医养结合）专项项目（JGS2019ZXYY03）；江苏卫生健康职业学院院级科研项目暨江苏高校品牌专业建设工程资助项目（JKPY1810）

Application of virtual reality situational interactive training in the rehabilitation treatment of patients with Alzheimer′s disease in nursing home

1.Department of Muchunyuan Nursing Home， Geriatric Hospital of Nanjing Medical University， Jiangsu
Province, Nanjing 210024， China； 2.Rehabilitation Medical Center, the First Affiliated Hospital of
Nanjing Medical University， Jiangsu Province, Nanjing 210029，China；3.Department of
Rehabilitation Center， Nanjing Jiangning Muchunyuan Nursing Home, Jiangsu Province
Nanjing, 211100, China; 4.Department of Dementia Rehabilitation Center, Nanjing
Jiangning Muchunyuan Nursing Home， Jiangsu Province, Nanjing 211100，China

Online:2021-02-25 Published:2021-03-09

摘要/Abstract

摘要： 目的探讨虚拟现实（virtual reality，VR）情景互动训练应用在养老院阿尔茨海默病（Alzheimer′s disease，AD）患者康复治疗中的效果。
方法将56例养老院AD患者随机分为观察组和对照组，各28例。对照组给予养老院常规养老护理服务和健康宣教，观察组在对照组的基础上给予VR情景互动训练进行干预，每次45min，每周训练3次，共训练6个月。干预前后分别对2组进行认知功能［简易精神状态检查量表（mini-mental state examination，MMSE）和AD认知功能评估量表（Alzheimer′s disease assessment scale-cognition，ADAS-cog）］、运动功能［“起立-行走”记时测试（timed up and go test，TUGT）、30 s坐椅站立试验（30-second chair stand test，30 sCST）、30 s手臂弯曲试验（30-second arm curl test，30 sACT）和坐椅前伸试验（chair sit-and-reach test，CSRT）］、日常生活活动能力［日常生活活动能力评估量表（activity of daily living scale，ADL）］及生活质量［老年性痴呆生活质量量表（quality of life-Alzheimer's disease，QOL-AD）］评估。
结果干预后，观察组的MMSE评分、ADAS-cog评分均较干预前显著改善，且明显优于对照组（均P＜0.05）；观察组的TUGT、30 sCST、30 sACT和CSRT测试结果均较干预前显著改善，且明显优于对照组；观察组的ADL评分和QOL-AD评分均较干预前显著改善，且明显优于对照组干预后；而对照组的上述各项评估测试结果较干预前差异均无统计学意义（P＞0.05）。
结论〖JP2〗VR情景互动训练可有效改善养老院AD患者的认知功能、运动功能和日常生活活动能力，提高生活质量，适用于养老院内推广应用。〖JP〗

关键词: 阿尔茨海默病, 虚拟现实情景互动训练, 养老院

Abstract: Objective To investigate the effect of rehabilitation therapy of virtual reality（VR） situational interactive training on patients with Alzheimer′s disease（AD） in nursing home.
Methods A total of 56 patients with AD in nursing home were randomly divided into control group(n=28) and observation group(n=28). The control group was treated with routine care service of the nursing home and health education. The observation group was given 6 months of VR situational interactive training on the basis of the control group， 45 min each time and 3 times per week. All patients were assessed with cognitive function［mini-mental state examination（MMSE） and AD assessment scale-cognition（ADAS-cog）］， motor function［timed up and go test（TUGT）， 30-second chair stand test（30 sCST）， 30-second arm curl test（30 sACT） and chair sit-and-reach test（CSRT）］， activity of daily living(ADL)［ADL scale］ and quality of life［quality of life-Alzheimer's disease(QOL-AD)］ before and after intervention.
Results After intervention， the MMSE scores and the ADAS-cog scores of the observation group were significantly improved, as compared with those before intervention and better than those of the control group(all P＜0.05). The test results of the TUGT， 30 sCST， 30 sACT and CSRT of the observation group were significantly improved, as compared with those before intervention and better than those of the control group（all P＜0.05）. The ADL scores and the QOL-AD scores of the observation group were significantly improved, as compared with those before intervention and better than those of the control group（all P＜0.05）. However, there were no significant differences in the above evaluate test indicators in the control group, as compared with those before intervention（P＞0.05）.
Conclusion VR situational interactive training could effectively improve the cognitive function, motor function and ADL， and could increase the quality of life of AD patients in nursing home. Therefore, it is worthy of promotion and application in nursing home.

Key words: Alzheimer′s disease, virtual reality situational interactive training, nursing home

孙志成, 王彤, 马金霖, 张娜, 潘丽君, 董亚军. 虚拟现实情景互动训练在养老院阿尔茨海默病患者康复治疗中的应用[J]. 河北医科大学学报, 2021, 42(2): 222-227.

SUN Zhi-cheng, WANG Tong, MA Jin-lin, ZHANG Na, PAN Li-jun, DONG Ya-jun. Application of virtual reality situational interactive training in the rehabilitation treatment of patients with Alzheimer′s disease in nursing home[J]. Journal of Hebei Medical University, 2021, 42(2): 222-227.

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虚拟现实情景互动训练在养老院阿尔茨海默病患者康复治疗中的应用

Application of virtual reality situational interactive training in the rehabilitation treatment of patients with Alzheimer′s disease in nursing home

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