Effect of virtual situational interactive training on patients after stroke surgery

doi:10.3760/cma.j.issn.1007-1245.2024.24.007

Abstract

Abstract:

Objective　To analyze the effects of virtual situational interactive training on motor function, daily activity ability, and quality of life in patients after stroke surgery. Methods　This study was a randomized controlled trial. A total of 88 patients after stroke surgery admitted to Ankang Hospital of Traditional Chinese Medicine from September 2021 to September 2023 were selected as the study objects, and the patients were randomly divided into a control group (44 cases) and an observation group (44 cases). In the control group, there were 20 males and 24 females, aged (62.43±2.01) years, the course of disease was (1.41±0.32) years, and the type of stroke was ischemic stroke in 27 cases and hemorrhagic stroke in 17 cases. In the observation group, there were 25 males and 19 females, aged (61.98±2.33) years, the course of disease was (1.37±0.40) years, and the type of stroke was ischemic stroke in 26 cases and hemorrhagic stroke in 18 cases. The control group received routine nursing, and the observation group received virtual situational interactive training based on the control group. Both groups were treated for 30 days. The motor function [Fugl-Meyer Motor Function Assessment (FMA)] and daily activity ability [modified Barthel Index (MBI)] of the two groups were compared 1, 15, and 30 days after surgery, and the quality of life [EuroQol Five-Dimensional Questionnaire (EQ-5D)] of the two groups were compared 1 and 30 days after surgery. Independent sample t test, paired t test, and χ² test were used for statistical analysis. Results　On day 15 and 30 after surgery, the FMA scores in the observation group were higher than those in the control group [(20.76±2.86) points vs. (19.20±2.75) points, (28.81±1.47) points vs. (26.12±1.08) points] (both P<0.05); the MBI scores in the observation group were higher than those in the control group [(6.89±1.01) points vs. (5.76±1.03) points, (8.43±1.01) points vs. (7.21±1.26) points] (both P<0.05). On day 30 after surgery, the scores of mobility, self-management, activity, pain or discomfort, and anxiety or depression of the EQ-5D in the observation group were all higher than those in the control group [(2.01±0.64) points vs. (1.78±0.14) points, (1.95±0.43) points vs. (1.77±0.34) points, (1.82±0.26) points vs. (1.69±0.27) points, (2.01±0.27) points vs. (1.90±0.12) points, (1.92±0.14) points vs. (1.81±0.30) points] (all P<0.05). Conclusion　Virtual situational interactive training can improve the motor function, daily activity ability, and quality of life in patients after stroke surgery.

Key words:

Stroke, Postoperative care, Virtual scenario interactive training, Motor function, Daily activity ability, Quality of life

摘要：

目的　分析虚拟情景互动训练对脑卒中术后患者运动功能、日常活动能力及生活质量的影响。方法　本研究为随机对照试验。选取2021年9月至2023年9月安康市中医医院收治的88例脑卒中术后患者作为研究对象，将患者随机分为对照组（44例）和观察组（44例）。对照组男20例，女24例；年龄（62.43±2.01）岁；病程（1.41±0.32）年；卒中类型：缺血性脑卒中27例，出血性脑卒中17例。观察组男25例，女19例；年龄（61.98±2.33）岁；病程（1.37±0.40）年；卒中类型：缺血性脑卒中26例，出血性脑卒中18例。对照组采用常规护理，观察组在对照组基础上采用虚拟情景互动训练。两组均连续干预30 d。比较两组术后1 d、15 d、30 d运动功能［Fugl-Meyer运动功能评定量表（FMA）］与日常活动能力［改良Barthel指数（MBI）］，比较两组术后1 d、30 d生活质量［欧洲五维健康量表（EQ-5D）］。采用独立样本t检验、配对t检验和χ²检验进行统计学分析。结果　术后15 d、30 d，观察组FMA评分均高于对照组［（20.76±2.86）分比（19.20±2.75）分、（28.81±1.47）分比（26.12±1.08）分］（均P<0.05）；观察组MBI评分均高于对照组［（6.89±1.01）分比（5.76±1.03）分、（8.43±1.01）分比（7.21±1.26）分］（均P<0.05）。术后30 d，观察组EQ-5D中的行动能力、自我管理能力、活动能力、疼痛或不适、焦虑或抑郁评分均高于对照组［（2.01±0.64）分比（1.78±0.14）分、（1.95±0.43）分比（1.77±0.34）分、（1.82±0.26）分比（1.69±0.27）分、（2.01±0.27）分比（1.90±0.12）分、（1.92±0.14）分比（1.81±0.30）分］（均P<0.05）。结论　虚拟情景互动训练可改善脑卒中术后患者运动功能、日常活动能力以及生活质量。

关键词:

脑卒中, 术后护理, 虚拟情景互动训练, 运动功能, 日常活动能力, 生活质量

Wang Fei, Liao Lin, Liang Wenjun.

Effect of virtual situational interactive training on patients after stroke surgery [J]. International Medicine and Health Guidance News, 2024, 30(24): 4096-4100.

王斐廖林梁文君.

虚拟情景互动训练对脑卒中术后患者的疗效研究 [J]. 国际医药卫生导报, 2024, 30(24): 4096-4100.

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