摘要
目的系统评价体感互动游戏在COPD患者中的应用效果,以期为临床应用提供依据。方法计算机检索PubMed、Embase、Cochrane Library、CINAHL、中国生物医学文献数据库、万方、中国知网、维普等数据库中关于体感互动游戏在COPD患者中应用的随机对照试验、类实验研究,检索时限为建库至2022年10月,采用RevMan5.2软件进行Meta分析。结果最终纳入10篇文献,共611例患者。Meta分析结果显示,体感互动游戏组在改善COPD患者FEV1/FVC%(WMD=6.83,95%CI3.71~9.95,Z=4.29,P<0.01)、6MWD(WMD=13.36,95%CI0.50~26.23,Z=2.04,P<0.05)、医院焦虑抑郁量表评分(WMD=-1.64,95%CI-2.31~-0.97,Z=4.78,P<0.01)、COPD患者自我评估测试评分(WMD=-2.95,95%CI-4.08~-1.82,Z=5.13,P<0.01)方面优于常规训练组;但2组在FEV1%(WMD=2.91,95%CI-1.61~7.43,P=0.210)、呼吸困难(SMD=0.63,95%CI-0.24~1.49,P=0.150)方面差异无统计学意义。结论与常规训练相比,体感互动游戏训练能有效改善COPD患者肺功能和生命质量,缓解焦虑抑郁。受纳入文献的数量、质量限制,结论的可靠性仍需开展更多高质量的研究验证。
Objective To systematically evaluate the application effect of somatosensory interactive games in patients with chronic obstructive pulmonary disease(COPD)in order to provide a basis for clinical application.Methods Randomized controlled trials and quasi-experimental studies on the application of somatosensory interactive games in patients with COPD were retrieved from PubMed,Embase,Cochrane Library,CINAHL,Chinese Biomedical Literature Database,Wanfang,China Knowledge Network and VIP.The retrieval time limit is from the establishment of the database to October 2022.RevMan5.2 software was used for Meta analysis.Results Ten articles involving 611 patients were included.The results of Meta-analysis showed that the somatosensory interactive game group was superior to the conventional training group in improving FEV1/FVC%(WMD=6.83,95%CI 3.71-9.95,Z=4.29,P<0.01),6-minute walking distance(6MWD)(WMD=13.36,95%CI 0.50-26.23,Z=2.04,P<0.05),Hospital Anxiety and Depression Scale(WMD=-1.64,95%CI-2.31--0.97,Z=4.78,P<0.01),COPD Assessment Test score(WMD=-2.95,95%CI-4.08--1.82,Z=5.13,P<0.01)in COPD patients.However,there was no significant difference in FEV1%(WMD=2.91,95%CI-1.61-7.43,P=0.210)and dyspnea(SMD=0.63,95%CI-0.24-1.49,P=0.150)between the two groups.Conclusions Compared with conventional training,somatosensory interactive game training can effectively improve lung function and quality of life in patients with COPD,relieve anxiety and depression.Due to the limited quantity and quality of the included literature,the reliability of the conclusions still needs to be verified by more high-quality studies.
作者
沈玉珊
陈梦玲
黄厚强
熊隆雨
郑思琳
Shen Yushan;Chen Mengling;Huang Houqiang;Xiong Longyu;Zheng Silin(School of Nursing,Southwest Medical University,Luzhou 646000,China;Nursing Department,the Affiliated Hospital of Southwest Medical University,Luzhou 646000,China)
出处
《中国实用护理杂志》
2023年第31期2473-2480,F0003,共9页
Chinese Journal of Practical Nursing
基金
中华护理学会科研课题(ZHKYQ202114)。
关键词
肺疾病
慢性阻塞性
Meta分析(主题)
体感互动游戏
系统评价
Pulmonary disease,chronic obstructive
Meta-analysis as topic
Somatic interactive games
System evaluation
