基于虚拟现实技术的目标导向性康复训练在ICU患者中的应用研究

doi:10.3761/j.issn.2096-7446.2026.02.007

Abstract

Abstract:

Objective To explore the application effect of goal-oriented training based on virtual reality（VR） technology in the rehabilitation of ICU patients. Methods Sixty patients admitted to the Department of Critical Care Medicine of a tertiary hospital in Zhejiang Province from July 2024 to December 2024 were selected and randomly divided into 30 cases each in the control group and the experimental group. Both groups received conventional rehabilitation treatment，and the experimental group applied the self-developed bedside VR rehabilitation system for immersive goal-oriented training on this basis. We compared the differences in muscle strength（Medical Research Council Scale，MRC） score and muscle thickness（rectus femoris） between the two groups at the time of transferring into ICU and transferring out of ICU，and compared the ICU Mobility Scale（IMS） score，lower limb stepping trainer active movement duration and grip strength before the intervention，1 week after the intervention，and 2 weeks after the intervention. Results The differences in MRC scores between the two groups were not statistically significant when the patients were transferred to the ICU（P>0.05），and the MRC scores of the experimental group were higher than those of the control group when the patients were transferred out of the ICU（P<0.05）. The differences between the two groups were not statistically significant in terms of the IMS scores，grip strength，the length of active exercise on treadmill，and the resistance before the intervention（P>0.05），and the differences of the scores in the experimental were higher than those of the control group 1 week and 2 weeks after the intervention（P<0.05）. The differences in muscle thickness between the two groups of patients at the time of transfer to and from the ICU were not statistically significant（P>0.05）. Conclusion Goal-oriented training based on VR technology can improve the muscle strength，grip strength and activity ability of ICU patients，and has a promoting effect on their recovery.

Key words: Virtual Reality Technology, ICU Patients, Goal-Oriented Training, Rehabilitation

ZHENG Xiaochen, CUI Mingou, AN Cong, LIU Yousheng. Research on the application of goal-oriented rehabilitation training based on virtual reality technology in ICU patients[J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(2): 175-181.

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References 23

[1]	Piva S, Fagoni N, Latronico N. Intensive care unit-acquired weakness:unanswered questions and targets for future research[J]. F1000Res,2019,8:F1000FacultyRev-F1000Faculty508.
[2]	Wang WK, Xu CJ, Ma XL, et al. Intensive care unit-acquired weakness:a review of recent progress with a look toward the future[J]. Front Med, 2020, 7:559789. doi: 10.3389/fmed.2020.559789
[3]	李晓君, 吴丹, 丁秀梅. 重症监护病房获得性衰弱风险防控及预模型研究进展[J]. 中华现代护理杂志, 2022, 28(2):269-275.
	Li XJ, Wu D, Ding XM. Research progress on risk prevention and prediction model of intensive care unit acquired weakness[J]. Chin J Mod Nurs, 2022, 28(2):269-275.
[4]	夏艳玲, 潘文彦, 赵洋洋, 等. 虚拟现实技术在ICU患者早期活动中的应用研究[J]. 中华护理杂志, 2023, 58(9):1050-1055. doi: 10.3761/j.issn.0254-1769.2023.09.004
	Xia YL, Pan WY, Zhao YY, et al. Application of virtual reality technology in early activities of ICU patients[J]. Chin J Nurs, 2023, 58(9):1050-1055. doi: 10.3761/j.issn.0254-1769.2023.09.004
[5]	宋杨杨, 陈校云, 张曙欣, 等. 虚拟现实技术在我国康复医学领域中的研究进展[J]. 中国医疗设备, 2019, 34(1):128-132.
	Song YY, Chen XY, Zhang SX, et al. Research progress of virtual reality technology in the field of rehabilitation in China[J]. China Med Devices, 2019, 34(1):128-132.
[6]	Kiekkas P, Tzenalis A, Gklava V, et al. Delayed admission to the intensive care unit and mortality of critically ill adults:systematic review and meta-analysis[J]. Biomed Res Int, 2022, 2022:4083494. doi: 10.1155/bmri.v2022.1
[7]	Cano-de-la-Cuerda R. Influential women in the field of neurological rehabilitation:a literature review[J]. Int J Environ Res Public Health, 2022, 19(3):1112. doi: 10.3390/ijerph19031112
[8]	石晓卫, 苑慧, 吕茗萱, 等. 虚拟现实技术在医学领域的研究现状与进展[J]. 激光与光电子学进展, 2020, 57(1):66-75.
	Shi XW, Yuan H, Lü MX, et al. Current status and progress of virtual reality technology in medical field[J]. Laser Optoelectron Prog, 2020, 57(1):66-75.
[9]	Montoya D, Barria P, Cifuentes CA, et al. Biomechanical assessment of post-stroke patients’ upper limb before and after rehabilitation therapy based on FES and VR[J]. Sensors, 2022, 22(7):2693. doi: 10.3390/s22072693
[10]	曹永生, 李哲, 王国胜, 等. 虚拟现实技术对脑卒中偏瘫患者平衡稳定性的影响[J]. 中国康复医学杂志, 2023, 38(5):631-637.
	Cao YS, Li Z, Wang GS, et al. Effects of virtual reality technology on balance control and standing stability of stroke patients with hemiplegia[J]. Chin J Rehabil Med, 2023, 38(5):631-637.
[11]	张川林, 张泽菊, 米洁, 等. ICU活动量表的汉化及信效度研究[J]. 护理学杂志, 2019, 34(10):46-48.
	Zhang CL, Zhang ZJ, Mi J, et al. Translation of the ICU Mobility Scale into Chinese and validation[J]. J Nurs Sci, 2019, 34(10):46-48.
[12]	Casey P, Alasmar M, McLaughlin J, et al. The current use of ultrasound to measure skeletal muscle and its ability to predict clinical outcomes:a systematic review[J]. J Cachexia Sarcopenia Muscle, 2022, 13(5):2298-2309. doi: 10.1002/jcsm.v13.5
[13]	Wischmeyer PE, Bear DE, Berger MM, et al. Personalized nutrition therapy in critical care:10 expert recommendations[J]. Crit Care, 2023, 27(1):261. doi: 10.1186/s13054-023-04539-x
[14]	叶娟, 刘美连, 邰明霞, 等. 虚拟现实技术在国内外护理领域应用的研究进展[J]. 全科护理, 2023, 21(2):174-178.
	Ye J, Liu ML, Tai MX, et al. Research progress on the application of virtual reality technology in the field of nursing in China and abroad[J]. Chin Gen Pract Nurs, 2023, 21(2):174-178.
[15]	王淑金, 王丽萍, 安聪, 等. 虚拟现实技术在临床护理中的研究进展[J]. 中华现代护理杂志, 2022, 28(8):1116-1120.
	Wang SJ, Wang LP, An C, et al. Research progress of virtual reality technology in clinical nursing[J]. Chin J Mod Nurs, 2022, 28(8):1116-1120.
[16]	王志伟, 梁倩, 类美容, 等. 虚拟现实技术对肢体功能障碍患者居家康复干预效果的系统评价[J]. 军事护理, 2022, 39(9):65-69.
	Wang ZW, Liang Q, Lei MR, et al. Effect of using virtual reality technology in home rehabilitation of patients with limb dysfunction:a systematic review[J]. Mil Nurs, 2022, 39(9):65-69.
[17]	中华医学会重症医学分会. 《中国重症加强治疗病房(ICU)建设与管理指南》(2006)[J]. 中国危重病急救医学, 2006, 18(7):387-388.
	Critical Care Medicine Branch of the Chinese Medical Association. Guidelines for the construction and management of intensive care units(ICU) in China(2006)[J]. Chin Crit Care Med, 2006, 18(7):387-388.
[18]	Zhang X, Elnady AM, Randhawa BK, et al. Combining mental training and physical training with goal-oriented protocols in stroke rehabilitation:a feasibility case study[J]. Front Hum Neurosci, 2018, 12:125. doi: 10.3389/fnhum.2018.00125 pmid: 29666575
[19]	Novakovic-Agopian T, Kornblith E, Abrams G, et al. Training in goal-oriented attention self-regulation improves executive functioning in veterans with chronic traumatic brain injury[J]. J Neurotrauma, 2018, 35(23):2784-2795. doi: 10.1089/neu.2017.5529
[20]	Chen JY, Or CK, Chen TR. Effectiveness of using virtual reality-supported exercise therapy for upper extremity motor rehabilitation in patients with stroke:systematic review and meta-analysis of randomized controlled trials[J]. J Med Internet Res, 2022, 24(6):e24111. doi: 10.2196/24111
[21]	Gorman C, Gustafsson L. The use of augmented reality for rehabilitation after stroke:a narrative review[J]. Disabil Rehabil Assist Technol, 2022, 17(4):409-417. doi: 10.1080/17483107.2020.1791264
[22]	Chen SW, Hu B, Gao Y, et al. Lower limb balance rehabilitation of post-stroke patients using an evaluating and training combined augmented reality system[C]// Proceedings of the IEEE International Symposium on Mixed and Augmented Reality Adjunct. Los Alamitos: IEEE Computer Society Press,2020:217-218.
[23]	翁冬, 崔鸣欧, 蒋静. 5G赋能智慧虚拟现实技术在ICU患者谵妄干预中的应用[J]. 中国中西医结合急救杂志, 2023, 30(6): 693-696.
	Weng D, Cui MO, Jiang J. Application of 5G enabled virtual reality technology in the intervention of delirium in intensive care unit patients[J]. Chin J Integr Tradit West Med Intensive Crit Care, 2023, 30(6):693-696.

Research on the application of goal-oriented rehabilitation training based on virtual reality technology in ICU patients

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