虚拟现实技术对失能老年人护理的应用进展综述
Review on the Application Progress of Virtual Reality Technology in Nursing Care for Disabled Elderly
DOI: 10.12677/acm.2026.162471, PDF,   
作者: 李广朝:黑龙江中医药大学第一临床医学院,黑龙江 哈尔滨;张 敏*:黑龙江中医药大学第三附属医院纪委办公室,黑龙江 哈尔滨
关键词: 虚拟现实技术失能老年人老年护理康复训练心理干预社交互动Virtual Reality Technology Disabled Elderly Elderly Care Rehabilitation Training Psychological Intervention Social Interaction
摘要: 随着全球老龄化进程的加速,失能老年人的护理需求日益突出,但传统护理模式面临诸多挑战。虚拟现实(VR)技术作为一种新兴的干预手段,近年来在老年护理领域展现出广阔的应用前景。文章系统综述了虚拟现实技术对失能老年人护理在康复训练、心理支持、社交互动及疼痛管理等多领域的应用现状,并特别关注该群体因功能受限所带来的特殊适应性问题。同时,对现有研究的质量进行评述,指出其在样本代表性、对照设计、长期随访等方面的局限,以期为未来研究提供更严谨的理论依据与实践方向。
Abstract: With the acceleration of global aging, the care needs of disabled elderly individuals have become increasingly prominent, while traditional nursing models face numerous challenges. Virtual reality (VR) technology, as an emerging intervention, has demonstrated broad application prospects in the field of geriatric care in recent years. This article systematically reviews the current status of VR technology applications in the care of disabled elderly individuals across multiple domains, including rehabilitation training, psychological support, social interaction, and pain management, with particular attention to the unique adaptive challenges arising from functional limitations in this population. Additionally, the article evaluates the quality of existing research, highlighting limitations in sample representativeness, control design, and long-term follow-up, aiming to provide a more rigorous theoretical foundation and practical direction for future research.
文章引用:李广朝, 张敏. 虚拟现实技术对失能老年人护理的应用进展综述[J]. 临床医学进展, 2026, 16(2): 939-944. https://doi.org/10.12677/acm.2026.162471

参考文献

[1] Ansah, J.P., Chiu, C., Wei-Yan, A.C., Min, T.L.S. and Matchar, D.B. (2021) Trends in Functional Disability and Cognitive Impairment among the Older Adult in China up to 2060: Estimates from a Dynamic Multi-State Population Model. BMC Geriatrics, 21, Article No. 380. [Google Scholar] [CrossRef] [PubMed]
[2] 于普林, 高超, 雷平, 等. 预防老年人失能核心信息中国专家共识(2019) [J]. 中华老年医学杂志, 2019, 38(10): 1073-1074.
[3] 邓欢欢, 郝习君, 崔慧英, 等. 家庭环境和社区服务对 失能老年人照护需求的影响路径分析[J]. 中国实用护理杂志, 2024, 40(10): 752-758.
[4] Qin, Y., Yao, X., Ma, Q., Salvador, J.T. and Pang, L. (2023) Needs and Influence Factors of Medical-Nursing-Pension of Disabled Elderly. Medicine, 102, e35189. [Google Scholar] [CrossRef] [PubMed]
[5] Wang, M., Li, D., Li, J. and Zhang, X. (2024) Professional Competencies in Geriatric Nursing for Geriatric Nurses: A Latent Profile Analysis. BMC Nursing, 23, Article No. 512. [Google Scholar] [CrossRef] [PubMed]
[6] Lu, S. and Kuang, Y. (2025) Prediction of Disability Levels and Research on Nursing Economic Costs for Elderly People in China. PLOS ONE, 20, e0336605. [Google Scholar] [CrossRef
[7] Huygelier, H., Schraepen, B., Lafosse, C., Vaes, N., Schillebeeckx, F., Michiels, K., et al. (2020) An Immersive Virtual Reality Game to Train Spatial Attention Orientation after Stroke: A Feasibility Study. Applied Neuropsychology: Adult, 29, 915-935. [Google Scholar] [CrossRef] [PubMed]
[8] Chang, A., Lin, P., Lin, P., Lin, Y., Kabasawa, Y., Lin, C., et al. (2022) Effectiveness of Virtual Reality-Based Training on Oral Healthcare for Disabled Elderly Persons: A Randomized Controlled Trial. Journal of Personalized Medicine, 12, Article No. 218. [Google Scholar] [CrossRef] [PubMed]
[9] 王鑫宇, 黑鹏, 兰超玉, 等. 虚拟现实技术在康复领域的发展与应用[J]. 运动科学与健康研究, 2025(5): 52-58+15.
[10] Früh, A., Wetzel-Yalelis, A., Jelgersma, C., Wasilewski, D., Weber, C.F., Truckenmueller, P., et al. (2025) Spinal Anesthesia and Digital Anxiolysis (SPIDA) for the Treatment of Lumbar Spinal Stenosis—A Feasibility Study. Neurosurgical Review, 48, Article No. 316. [Google Scholar] [CrossRef] [PubMed]
[11] Saab, M.M., Hegarty, J., Murphy, D. and Landers, M. (2021) Incorporating Virtual Reality in Nurse Education: A Qualitative Study of Nursing Students’ Perspectives. Nurse Education Today, 105, Article ID: 105045. [Google Scholar] [CrossRef] [PubMed]
[12] Yan, S., Shen, S., Lu, Q., Zhong, S., Lv, S., Lai, S., et al. (2024) Virtual Reality Working Memory Training Improves Cognitive Performance of Acute and Remitted Patients with Major Depressive Disorder. Journal of Affective Disorders, 344, 267-276. [Google Scholar] [CrossRef] [PubMed]
[13] Yi, Y., Hu, Y., Cui, M., Wang, C. and Wang, J. (2022) Effect of Virtual Reality Exercise on Interventions for Patients with Alzheimer’s Disease: A Systematic Review. Frontiers in Psychiatry, 13, Article ID: 1062162. [Google Scholar] [CrossRef] [PubMed]
[14] Santos, V.D., Costa, A.C., Junior, N.C., Delaere, F.J., Serlet, S. and Dourado, M.C.N. (2024) Virtual Reality Interventions and Their Effects on the Cognition of Individuals with Alzheimer’s Disease: A Systematic Review and Meta-Analysis. Journal of Alzheimers Disease, 103, 68-80. [Google Scholar] [CrossRef] [PubMed]
[15] Faria, A.L., Pinho, M.S. and Bermúdez i Badia, S. (2020) A Comparison of Two Personalization and Adaptive Cognitive Rehabilitation Approaches: A Randomized Controlled Trial with Chronic Stroke Patients. Journal of NeuroEngineering and Rehabilitation, 17, Article No. 78. [Google Scholar] [CrossRef] [PubMed]
[16] 何欣欣, 谢冬梅, 王晓玲, 等. 人工智能在失能老年人照护中的应用研究进展[J]. 实用老年医学, 2025, 39(8): 757-761.
[17] 杨祺, 宋朝晖. 社区居家失能老年人住所环境适老化改造现况[J]. 护理研究, 2025, 39(18): 3129-3134.
[18] 张蕾, 刘征, 何文梅, 等. 虚拟现实技术在失能老年人康复中的应用研究进展[J]. 中国疗养医学, 2024, 33(6): 79-83.
[19] Zhang, C. and Yu, S. (2024) Technology to Enhance Patient Motivation in Virtual Reality Rehabilitation: A Review. Games for Health Journal, 13, 215-233. [Google Scholar] [CrossRef] [PubMed]
[20] Wang, S., Meng, H., Zhang, Y., Mao, J., Zhang, C., Qian, C., et al. (2025) Effect of Virtual Reality-Based Rehabilitation on Mental Health and Quality of Life of Stroke Patients: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Archives of Physical Medicine and Rehabilitation, 106, 607-617. [Google Scholar] [CrossRef] [PubMed]
[21] Cheng, L., Pang, W.Y.J. and Kong, A. (2025) A Virtual Reality Game for Older Adults’ Immersive Learning. Scientific Reports, 15, Article No. 22195. [Google Scholar] [CrossRef] [PubMed]
[22] Kiper, P., Przysiężna, E., Cieślik, B., Broniec-Siekaniec, K., Kucińska, A., Szczygieł, J., et al. (2022) Effects of Immersive Virtual Therapy as a Method Supporting Recovery of Depressive Symptoms in Post-Stroke Rehabilitation: Randomized Controlled Trial. Clinical Interventions in Aging, 17, 1673-1685. [Google Scholar] [CrossRef] [PubMed]
[23] 鞠惠, 王湘云, 李玲, 等. 虚拟现实技术在老年慢病中的应用进展[J]. 牡丹江医学院学报, 2023, 44(6): 128-131.
[24] Rutkowski, S., Szczegielniak, J. and Szczepańska-Gieracha, J. (2021) Evaluation of the Efficacy of Immersive Virtual Reality Therapy as a Method Supporting Pulmonary Rehabilitation: A Randomized Controlled Trial. Journal of Clinical Medicine, 10, Article No. 352. [Google Scholar] [CrossRef] [PubMed]
[25] Moscato, S., Sichi, V., Giannelli, A., Palumbo, P., Ostan, R., Varani, S., et al. (2021) Virtual Reality in Home Palliative Care: Brief Report on the Effect on Cancer-Related Symptomatology. Frontiers in Psychology, 12, Article ID: 709154. [Google Scholar] [CrossRef] [PubMed]
[26] Vecchio, M., Chiaramonte, R., Buccheri, E., Tomasello, S., Leonforte, P., Rescifina, A., et al. (2025) Metaverse-Aided Rehabilitation: A Perspective Review of Successes and Pitfalls. Journal of Clinical Medicine, 14, Article No. 491. [Google Scholar] [CrossRef] [PubMed]
[27] Zhang, J. (2025) Preventing Suicide among Older Women in China: The Integration of Gamified Group-Based Exercise in a Virtual Reality Environment. Frontiers in Psychology, 16, Article ID: 1626476. [Google Scholar] [CrossRef
[28] Darnall, B.D., Krishnamurthy, P., Tsuei, J. and Minor, J.D. (2020) Self-Administered Skills-Based Virtual Reality Intervention for Chronic Pain: Randomized Controlled Pilot Study. JMIR Formative Research, 4, e17293. [Google Scholar] [CrossRef] [PubMed]
[29] Hughes, S. (2025) Immersive Nature-Based Virtual Reality for Chronic Pain: From Analgesia to Accessibility. Current Opinion in Supportive & Palliative Care, 19, 145-149. [Google Scholar] [CrossRef] [PubMed]
[30] Pretat, T., Koller, C. and Hügle, T. (2025) Virtual Reality as a Treatment for Chronic Musculoskeletal Pain Syndromes. Joint Bone Spine, 92, Article ID: 105769. [Google Scholar] [CrossRef] [PubMed]
[31] Ehioghae, M., Montoya, A., Keshav, R., Vippa, T.K., Manuk-Hakobyan, H., Hasoon, J., et al. (2023) Effectiveness of Virtual Reality-Based Rehabilitation Interventions in Improving Postoperative Outcomes for Orthopedic Surgery Patients. Current Pain and Headache Reports, 28, 37-45. [Google Scholar] [CrossRef] [PubMed]
[32] Ioannou, A., Papastavrou, E., Avraamides, M.N. and Charalambous, A. (2020) Virtual Reality and Symptoms Management of Anxiety, Depression, Fatigue, and Pain: A Systematic Review. SAGE Open Nursing, 6. [Google Scholar] [CrossRef] [PubMed]
[33] 冯新凌. VR技术的应用——针对老年人及残障人士的探究[J]. 科技与创新, 2016(12): 56.
[34] Yang, Q., Du, S., Tang, L., Zhang, Y. and Wang, X. (2025) Analgesic Effects and Neural Oscillatory Mechanisms of Music-Synchronized Virtual Reality Intervention. Journal of NeuroEngineering and Rehabilitation, 22, Article No. 202. [Google Scholar] [CrossRef
[35] Medina, S. and Hughes, S.W. (2025) Immersion in Nature through Virtual Reality Attenuates the Development and Spread of Mechanical Secondary Hyperalgesia: A Role for Insulo-Thalamic Effective Connectivity. Pain, 166, 2181-2193. [Google Scholar] [CrossRef] [PubMed]
[36] Matys-Popielska, K., Popielski, K. and Sibilska-Mroziewicz, A. (2024) Study of the Possibility of Using Virtual Reality Application in Rehabilitation among Elderly Post-Stroke Patients. Sensors, 24, Article No. 2745. [Google Scholar] [CrossRef] [PubMed]
[37] Falkowski, P., Zawalski, K., Jeznach, K., Oleksiuk, J., Aktan, M.E., Ömürlü, V.E., et al. (2025) Investigation of Delays and Connection Stability in Teleoperation via VR Capabilities for Remote Exoskeleton-Aided Physiotherapy. 2025 International Conference on Rehabilitation Robotics (ICORR), Chicago, 12-16 May 2025, 308-313. [Google Scholar] [CrossRef] [PubMed]