基于虚拟现实技术对维持性血液透析患者透析中运动依从性的干预效果
Effectiveness of Virtual Reality Technology on Exercise Adherence on Maintenance Hemodialysis Patients during Dialysis
DOI: 10.12677/ap.2025.153129, PDF,   
作者: 王浩月, 周 蕾*：联勤保障部队第904医院常州医疗区护理部，江苏 常州；孔令明：联勤保障部队第904医院常州医疗区心理中心，江苏 常州；严丽霞：联勤保障部队第904医院常州医疗区血液透析中心，江苏 常州
关键词: 维持性血液透析；虚拟现实技术；运动依从性；睡眠质量；Maintenance Hemodialysis； Virtual Reality Technology； Exercise Adherence； Sleep Quality
摘要: 目的：探讨虚拟现实技术(VR)对MHD患者透析中运动训练依从性的干预效果。方法：选择2023年1月至2023年6月在联勤保障部队第904医院血透中心行规律性血液透析治疗患者76例，将其按照随机数字表法分为对照组(n = 38)、干预组(n = 38)，两组患者进行为期12周的脚踏车运动，每周运动3次，共计36次。对照组患者接受常规血液透析治疗 + 脚踏车运动，干预组接受常规血液透析治疗 + 脚踏车运动 + VR设备，比较两组干预后的各观察指标。结果：与对照组相比，研究组运动依从性显著提高，差异有统计学意义(P < 0.05)；干预后患者低血压发生率显著降低；匹兹堡睡眠质量指数量表测评结果比较显示，干预后睡眠质量、睡眠时间、睡眠效率显著增加(P < 0.05)，入睡时间、睡眠障碍、催眠药物、日间功能障碍分值显著降低(P > 0.05)。结论：VR能有效提高MHD患者透析中运动训练依从性，从而降低患者透析并发反应，提高患者睡眠质量。
Abstract: Objective: To investigate the effectiveness of virtual reality (VR) on the adherence of exercise training in patients with MHD during dialysis. Methods: A total of 76 patients who received regular hemodialysis treatment at the Hemodialysis Center of the No. 904 Hospital of Joint Logistic Support Force from January 2023 to June 2023 were collected and divided into control group (n = 38) and study group (n = 38) randomly. The patients in both groups underwent bicycle exercise 3 times a week for 12 weeks. The control group received routine hemodialysis treatment + bicycle exercise, and the intervention group received routine hemodialysis treatment + bicycle exercise +VR equipment. The observation indexes of the two groups after intervention were compared. Results: Compared with the control group, the exercise adherence of the study group was significantly improved, and the difference was statistically significant (P < 0.05). The incidence of hypotension decreased significantly after intervention. The results of Pittsburgh Sleep quality Index showed that sleep quality, sleep time and sleep efficiency were significantly increased after intervention (P < 0.05), while the scores of sleep time and sleep disorder, hypnotic drugs and daytime dysfunction were significantly decreased (P > 0.05). Conclusion: Using VR technology on exercise can effectively improve the exercise adherence of MHD patients, thereby reducing the patients’ concurrent reaction and improving the patients’ sleep quality.
文章引用：王浩月, 孔令明, 严丽霞, 周蕾 (2025). 基于虚拟现实技术对维持性血液透析患者透析中运动依从性的干预效果. 心理学进展, 15(3), 62-68. https://doi.org/10.12677/ap.2025.153129

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