Chinese Journal of Nursing Education >
Application of virtual reality technology combined with scenario simulation health education in elderly patients undergoing painless gastroscopy
Objective To explore the application effect of Virtual Reality(VR) technology combined with scenario simulation health education in elderly patients undergoing painless gastroscopy. Methods A total of 180 elderly patients(≥65 years old) who underwent painless gastroscopy in a tertiary hospital in Shaanxi Province from January 2023 to October 2023 were selected by convenience sampling method. They were randomly divided into trial group and control group with 90 cases in each group. The experimental group accepted VR scene simulation health education,while the control group accepted routine health education. The anxiety scores,heart rates,blood pressures,positioning time for painless gastroscopy,first-time success rates,and doctors’ evaluations of patients’ cooperation abilities were compared between the two groups before and after the intervention. Results After the intervention,the experimental group showed lower anxiety scores,blood pressure,and positioning time for painless gastroscopy compared to the control group. Additionally,the first-time success rate for painless positioning and doctors’ evaluations of patients’ cooperation abilities were higher in the experimental group,with statistically significant differences(P<0.05). Conclusion The method of combining VR with situational simulation health education can effectively alleviates anxiety in elderly patients,enhances their understanding of painless gastroscopy,and improves compliance with medical advice,ensuring the smooth conduct of the examination.
Li WANG , Yajuan SHANG , Shuli ZHAO , Jinping MA . Application of virtual reality technology combined with scenario simulation health education in elderly patients undergoing painless gastroscopy[J]. Chinese Journal of Nursing Education, 2025 , 22(1) : 97 -103 . DOI: 10.3761/j.issn.1672-9234.2025.01.016
| [1] | 国家消化内镜质控中心,国家麻醉质控中心. 中国消化内镜诊疗镇静/麻醉操作技术规范[J]. 临床麻醉学杂志, 2019, 35(1):81-84. |
| [2] | Sidhu R, Turnbull D, Haboubi H, et al. British Society of Gas-troenterology guidelines on sedation in gastrointestinal endos-copy[J]. Gut, 2024, 73(2):219-245. |
| [3] | 王玉婷, 冯蓓, 周雄, 等. 基于问题提示清单和个人决策指导的急性阑尾炎患儿决策辅助干预[J]. 护理学杂志, 2023, 38(23):30-34. |
| [3] | Wang YT, Feng B, Zhou X, et al. Decision-aid intervention for decision-making concerning children with acute appendicitis based on Question Prompt List and Personal Decision Guide[J]. J Nurs Sci, 2023, 38(23):30-34. |
| [4] | Pardini S, Gabrielli S, Gios L, et al. Customized virtual reality naturalistic scenarios promoting engagement and relaxation in patients with cognitive impairment:a proof-of-concept mixed-methods study[J]. Sci Rep, 2023, 13(1):20516. |
| [5] | Trueba A, Park S, Dickinson R, et al. Developing low-cost and scalable virtual reality mindfulness interventions for older psychiatry inpatients[J]. Am J Geriatr Psychiatry, 2023, 31(3):S132. |
| [6] | 居馨星, 冯竞, 葛玲, 等. 虚拟漫游在患者术前健康教育中应用的范围综述[J]. 中华护理杂志, 2023, 58(14):1766-1772. |
| [6] | Ju XX, Feng J, Ge L, et al. A scoping review of application of virtual roaming in patient preoperative education[J]. Chin J Nurs, 2023, 58(14):1766-1772. |
| [7] | 王宁, 刘新春, 朱梅林, 等. 舒适护理在无痛胃镜检查患者中的临床效果[J]. 心理月刊, 2021, 16(22):146-148. |
| [8] | 李小峰, 陈敏. 改良Barthel指数评定量表的设计与应用[J]. 护理研究, 2015, 29(13):1657-1658. |
| [8] | Li XF, Chen M. Design and application of improved barthel index rating scale[J]. Chin Nurs Res, 2015, 29(13):1657-1658. |
| [9] | 中华医学会麻醉学分会老年人麻醉与围术期管理学组,国家老年疾病临床医学研究中心,国家老年麻醉联盟. 中国老年患者围手术期麻醉管理指导意见(2020版)(一)[J]. 中华医学杂志, 2020, 100(31):2404-2415. |
| [10] | Szuhany KL, Simon NM. Anxiety disorders:a review[J]. JAMA, 2022, 328(24):2431-2445. |
| [11] | 娄莹, 马文君, 王子君, 等. 中国高血压临床实践指南计划书[J]. 中华心血管病杂志, 2022, 50(7):671-675. |
| [11] | Lou Y, Ma WJ, Wang ZJ, et al. Writing protocols for the Chinese clinical practice guidelines of hypertension[J]. Chin J Cardiol, 2022, 50(7):671-675. |
| [12] | 曾珊, 刘花艳, 谭玲芳, 等. 基于VR游戏的运动想象疗法在吉兰-巴雷综合征患儿下肢功能康复中的应用[J]. 护理研究, 2023, 37(24):4445-4451. |
| [12] | Zeng S, Liu HY, Tan LF, et al. Application of motor imagery therapy based on VR game of functional rehabilitation of lower limbs in children with Guillain-Barre syndrome[J]. Chin Nurs Res, 2023, 37(24):4445-4451. |
| [13] | 曹芷棣. 老年患者无痛胃镜检查期间无缝隙护理配合模式的效果[J]. 护理实践与研究, 2023, 20(18):2821-2826. |
| [13] | Cao ZD. Effect of seamless nursing cooperation model during painless gastroscopy examination in elderly patients[J]. Nurs Pract Res, 2023, 20(18):2821-2826. |
| [14] | 钟晓燕. 情景模拟教育联合音乐护理干预在无痛胃镜检查中的应用[J]. 中国当代医药, 2023, 30(29):181-184. |
| [14] | Zhong XY. Application of scenario simulation education com-bined with music nursing intervention in painless gastroscopy[J]. China Mod Med, 2023, 30(29):181-184. |
| [15] | Cinalioglu K, Lavín P, Bein M, et al. Effects of virtual reality guided meditation in older adults:the protocol of a pilot randomized controlled trial[J]. Front Psychol, 2023, 14:1083219. |
| [16] | Zung WW. A rating instrument for anxiety disorders[J]. Psychosomatics, 1971, 12(6):371-379. |
| [17] | 张明园. 精神科评定量表手册[M]. 武汉: 湖南科学技术出版社, 2015. |
| [18] | 中国医师协会内镜医师分会消化内镜专业委员会, 中国抗癌协会肿瘤内镜学专业委员会. 中国消化内镜诊疗相关肠道准备指南(2019, 上海)[J]. 中华医学杂志,2019, 99(26):2024-2035. |
| [19] | Pallavicini F, Pepe A, Minissi ME. Gaming in virtual reality:what changes in terms of usability,emotional response and sense of presence compared to non-immersive video games?[J]. Simul Gaming, 2019, 50(10):104687811983142. |
| [20] | 范志光, 袁群明. 知觉压力对老年人抑郁的影响:有调节的中介模型[J]. 中国临床心理学杂志, 2020, 28(1):168-172,177. |
| [20] | Fan ZG, Yuan QM. Perceived stress and depression among elderly:a mediated moderation model[J]. Chin J Clin Psychol, 2020, 28(1):168-172,177. |
| [21] | 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. |
| [21] | Wang LN, Lai LX, Li HL, et al. Application progress of virtual reality technology in rehabilitation training after breast cancer surgery[J]. J Nurs Sci, 2023, 38(6):15-18. |
| [22] | 高佩, 侯殿东, 杜姝姝, 等. 虚拟现实技术减轻病人术前焦虑研究进展[J]. 护理研究, 2023, 37(15):2765-2770. |
| [22] | Gao P, Hou DD, Du SS, et al. Research progress of virtual reality technology on reducing preoperative anxiety in patients[J]. Chin Nurs Res, 2023, 37(15):2765-2770. |
| [23] | Bhattad PB, Pacifico L. Empowering patients:promoting patient education and health literacy[J]. Cureus, 2022, 14(7):e27336. |
| [24] | 周莹莹, 盖海云. 虚拟现实技术在阿尔茨海默病病人中的应用研究进展[J] 护理研究, 2023, 37(10):1802-1805. |
| [24] | Zhou YY, Gai HY. Research progress on virtual reality technology in patients with Alzheimer’s disease[J]. Chin Nurs Res, 2023, 37(10):1802-1805. |
/
| 〈 |
|
〉 |