CN109308946A - Mental nursing system after Pain Management displacement technique based on immersive VR - Google Patents

Mental nursing system after Pain Management displacement technique based on immersive VR Download PDF

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CN109308946A
CN109308946A CN201811058565.XA CN201811058565A CN109308946A CN 109308946 A CN109308946 A CN 109308946A CN 201811058565 A CN201811058565 A CN 201811058565A CN 109308946 A CN109308946 A CN 109308946A
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immersive
nursing
module
mental
technology
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吴宏燕
张朝阳
李智杰
范彦博
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WUHAN HOSPITAL OF TRADITIONAL CHINESE MEDICINE
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WUHAN HOSPITAL OF TRADITIONAL CHINESE MEDICINE
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    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
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Abstract

The invention belongs to technical field of medical image processing, disclose Mental nursing system after a kind of Pain Management displacement technique based on immersive VR, Mental nursing system includes: care regimen design module after Pain Management displacement technique based on immersive VR, standard definition module, test data obtains module, evaluation module improves care regimen module.The present invention is analyzed by the method for being applied to the nursing of hip replacement patient Mental to immersive VR technology, evaluate the clinical meaning of its nursing efficacy and Quality of Life, and improve this method, ultimately form complete set, scientific and efficient, it is suitble to the hip replacement Mental care method of clinical application, to promote patient compliance, mitigate patient pain, improve Mental health, reduce complication, improve patient's postoperative life quality, and it can lay the foundation to apply this method to other orthopedic nursing fields from now on.

Description

Mental nursing system after Pain Management displacement technique based on immersive VR
Technical field
The invention belongs to technical field of medical image processing more particularly to a kind of Pain Managements based on immersive VR Mental nursing system after displacement technique.
Background technique
Currently, the prior art commonly used in the trade is such that
China human mortality aging degree is continuously increased at present, and the quantity of hip joint disease is also increasing, and hip replacement Art is to treat the important means of hip joint disease.Hip replacement is that Orthopaedics Major Operation, patient are mostly Elderly patients, therefore make It is relatively long at the recovery period of postoperative patient, easily there are various complication, if can improve patient compliance, mitigate pain, Prevention of postoperative complication, recovery hip joint function are very important.
One, hip replacement application immersive VR technology carries out the necessity of Mental nursing:
Hip joint disease is the principal disease for influencing middle-aged and the old's health, and hip replacement is treatment hip joint disease Important means, however patient, since operation and postoperative mobility are limited, bed rest time is long, and rehabilitation training difficulty is big, is easy to close And severe complication, secondly patient worry it is postoperative disable and the medical expense of great number, be easy to produce depression and anxiety mood.Ge Xiang For illuminate etc. analysis shows that the postoperative common psychological problems of Therapy of Elder Hip Fracture are mainly depression and anxiety, these unhealthy emotions can be direct Physiological health, social function, life quality and the rehabilitation process for influencing patient, using suitable Mental nursing technique to trouble Person carries out psychological intervention, can be with the depression and anxiety mood of reduction of patient.
Hip replacement is big to body wound, and patient often feels serious incision pain after anesthetic effect disappearance, And sustainable 72 hours or longer.Pain cause patient anxiety, agitation, blood pressure raising, insomnia, depressed, immunity degradation, The variation of a series of physiology such as dysfunction and psychology, drastically influences the quality of life of patient.The country is at present in nursing field Has the report for mitigating lower limb vascular ulcer pain of patients changing dressing, hand Wound during Dressing Change pain etc. using virtual reality technology, thus Speculate, Mental nursing is carried out to hip replacement application immersive VR technology, can be changed with reduction of patient pain The psychological condition of kind patient.
Caput femoris necrosis is common disease in hip joint disease, and essential therapeutic arsenals are hip replacements, bad for femoral head The feelings will that the TCM psychiatry nursing of dead patient is summarized as mutually wins, therapy of shifting one's love, feelings will raise three kinds.Feelings will mutually triumphantly between feelings will and The relationship influence each other between feelings will and the five internal organs, mutually restricted is controlled or is disappeared using a kind of positive reason will activity consciously Except disease caused by another too drastic emotional stimulation, disease purpose is cured to reach;Therapy of shifting one's love is by actively or passively The attention for shifting patient, even is eliminated its unhealthy emotion to slow down;It is enhancing patient's self-control mood that feelings will, which is raised then, Ability, keep its ataraxy, feelings will is happy.Mental is carried out to hip replacement application immersive VR technology Nursing, feeling of immersion is strong, and empathy is obvious, is conducive to the psychological condition for improving patient.
Mental is primarily referred to as five will, seven feelings;Anger, think of, compassion, is probably five will at happiness.Seven feelings, happiness, anger, sorrow, think of, compassion, Probably, shy 7 kinds of feelings will variations.Five will, seven feelings are collectively referred to as feelings will, " the big opinion of Plain Questions YIN YANG classification of natural phenomena ": " five ZAHG-organs producing the five QI in the body, it is raw Happiness, compassion, sorrow, is feared anger ".Separately have liver " be anger in will ", the heart " will be happiness ", spleen " will be think of ", lung " will be compassion ", kidney " Will be probably " saying.Gu Simeng etc. is theoretical, refreshing from the mood correlation argument of pop psychology mainstream group, basic emotion respectively Through body fluid basis and mood mutually convert 3 aspects to the relationship of the concept of Mental, Mental and basic emotion, in The physiological foundation and interpromotion and interrestraint relationship for curing feelings will have carried out pop psychology explaination, provide for the Mental nursing of this analysis Foundation.
Two, immersive VR technology is applied to the overview of medical field
Virtual reality technology (Virtual Reality, VR), also known as virtual reality, are that one kind can create and experience void The Digital Simulation System in the quasi- world, it generates a kind of simulated environment using digital technology, passes through a kind of Multi-source Information Fusion, friendship The mutual Three-Dimensional Dynamic what comes into a driver's of formula and the system emulation of entity behavior are immersed to user in the environment.Virtual reality technology is divided into table Face virtual reality, immersive VR, the virtual reality of augmented reality, distributed virtual reality etc. are several classes of.
Wherein, its obvious feature of immersive VR is: the vision of user, the sense of hearing being closed using Helmet Mounted Display Get up, generates virtual vision, meanwhile, it gets up the feel channel enclosed of user using data glove, generates virtual touch and feels. System assigns operational order to system host using the speech recognition device person of letting on, and at the same time, head, hand, eye have accordingly The tracking of head-tracker, hand tracker, eyes visual direction tracker, makes system reach real-time as far as possible.Common is heavy Immersion system has: system, projection type virtual reality system based on helmet-mounted display.
Adjuvant treatment, is currently the field that virtual reality medical treatment is most widely used.It mainly include psychotherapy and physiology Treat two classes.Such as Tashjian VC of Los Angeles,U.S Xi Dasainai medical centre (Cedars-Sinai) etc. is using dedicated VR glasses the ground landscape such as Iceland is reproduced by 3D technology patient is helped to ease off the pressure and pain, and reduce patient in ward and its Medical resource usage amount in terms of him, this also mitigates financial burden of the patients in terms of health care to a certain extent.It is empty Quasi- reality industry has stepped into mature period of expansion, and the year two thousand twenty its world market scale will be in reaching a $ 100 billion.It is virtual existing Real technical application is extensive, has a high potential in medical industries, and the market of VR (virtual reality) and AR (augmented reality) will in 2025 5,000,000,000 dollars or more can be reached.
In conclusion problem of the existing technology is:
(1) the Hip Replacement Patients rehabilitation of patients after surgical treatment period is long, various complication easily occurs, in the prior art, does not have Have intervene using the Mental nursing technique for being suitable in time and improves patient compliance, mitigates patient pain, prevention concurrently Disease restores function of joint.
(2) it in existing commercialization VR system, is not ground for the dedicated VR scene of Hip Replacement Patients postoperative rehabilitation Study carefully, design and applies, and different VR scenes mitigates pain to patient, the use for reducing analgestic, improves depression and anxiety shape There are significant differences for the effect of state.
(3) individual nursing combines self nursing of postoperative propaganda and education, mental nursing and pain, relatively conventional in clinical practice Nurse mitigate pain, the use for reducing analgestic, improve depression and the effect of anxiety state there are significant differences.Existing quotient With in VR system, the function of being both designed without the individual nursing for patient, and implemented, assess and changed is also no special Door is directed to the aforementioned function of Hip Replacement Patients disease feature.
(4) in the prior art, it is excessively laid particular stress in recruitment evaluation and scale (SF-MPQ), Han Midun is inquired to McGill pain Depression Scale (Hamilton Depression Scale, HAMD), general compliance scale (general adherence Scale, GAS), the criterions of therapeutical effect such as SF-36 Health Scale (the Mos 36-item Short Form Health Survey) Dependence, five will, seven feelings of Chinese medicine are not combined organically, thus cannot be to nurse skill using suitable Mental Art, which intervene, provides effective twelve Earthly Branches support.
Solve the difficulty and meaning of above-mentioned technical problem:
Difficulty is: to this Technology application in hip replacement, not there is correlative study at present.Main cause is first is that hip The joint replacement postoperative patient person recovery period is long, and the entire rehabilitation stage is related to operation hospitals, community hospital and hospital bed set up at a patient's home, and tracking is commented Estimate big with Adjusted Option difficulty;Second is that for a long time there is the case where weight physiological maladies light psychological rehabilitation in medical field, in rehabilitation Pre- counteracting bedsores is paid close attention in the process, lower limb vein thrombus is formed, and Nursing care of pain for patient and therewith height positive There are certain degree ignorance for anxiety, the depression of pass;Third is that postoperative rehabilitation doctor trained in Western medicine Nursing graduate education is more, integrated Western and Chinese nursing research It is few, the VR system research that the theories of traditional Chinese medical science such as five feelings, seven will apply to hip replacement postoperative rehabilitation there is not into related report at present Road;Fourth is that VR Technology application is in the ascendant to medical rehabilitation field, specifically for the personalization of hip replacement postoperative rehabilitation The system that the VR technology of nursing and suitable disease feature combines, does not there is correlative study at present.
Solve above-mentioned technology bring meaning are as follows:
The present invention is applied to the effect of hip replacement patient Mental nursing to immersive VR technology Analysis evaluates the clinical meaning of its nursing efficacy and Quality of Life, goes forward side by side one by testing with comparing property of control group Step improve this method, ultimately form complete set, it is scientific, efficient, be suitable in the hip replacement of clinical application TCM psychiatry nursing method is cured, to promote patient compliance, mitigate patient pain, improve Mental health, reduces complication hair Raw, raising patient's postoperative life quality.
Summary of the invention
In view of the problems of the existing technology, the Pain Management displacement based on immersive VR that the present invention provides a kind of Postoperative Mental nursing system.
The present invention is by being applied to the side that Hip Replacement Patients Mental is nursed to immersive VR technology Method is analyzed, and experimental group and control group carry out random controls analysis, evaluates the clinic of its nursing efficacy and Quality of Life Meaning, and further improve this method ultimately forms complete set, hip joint scientific, efficient, that be suitble to clinical application Displacement technique Mental care method, thus promote patient's postoperative compliance, mitigate patient pain, improve Mental health, Complication is reduced to occur, improve patient's postoperative life quality.
The invention is realized in this way Mental is nursed after a kind of Pain Management displacement technique based on immersive VR System, Mental nursing system includes: after the Pain Management displacement technique based on immersive VR
Care regimen designs module, is based on helmet-type immersive VR technology, to each in the Pain Management displacement technique course of disease The characteristics of stage data information and Mental nursing points information analyzed;Obtain the piece for being suitable for Mental nursing Source, scene selection, equipment choosing application scheme information form final shield after arranging to the application scheme information of selection Reason scheme;
Standard definition module carries out inclusion criteria, exclusion criteria using immersive VR technology, criterion of therapeutical effect Definition;
Test data obtains module, is collected simulated experiment data by establishing simulated experiment group and simulation control group;
Evaluation module carries out statistical analysis to every simulated experiment data application statistic software SPSS of collection, and answers It is evaluated with the effect that immersive VR technology carries out TCM psychiatry nursing;
Care regimen module is improved, to the data of statistical analysis, carries out feelings will shield using immersive VR technology Manage the formulation of protocol information.
Further, care regimen design module includes:
Retrospect analysis from documents module, for analyzing the information of various TCM psychiatry nursings and scheme of psychology nursing in documents and materials;
Immersive VR applied analysis module is based on helmet-type immersive VR technology, analyzes in being suitable for Every application message of TCM psychiatry nursing is cured, items application includes film source, scene selection, equipment choosing;
TCM psychiatry nursing conceptual design module, using immersive VR technology, to displacement technique Mental care regimen Information is analyzed;
Care regimen module is tested, using helmet-type immersive VR technology, Chinese medicine TCM psychiatry nursing scheme is carried out Data information test analysis;
It completes care regimen and designs module, according to test care regimen module testing situation, arranged, obtained final Care regimen data.
Further, standard definition module includes:
Inclusion criteria definition module: analyzing existing documents and materials, carries out TCM psychiatry nursing using immersive VR technology Inclusion criteria information be defined;
Exclusion criteria definition module: analyzing existing documents and materials, using immersive VR technology, carries out TCM psychiatry nursing Exclusion criteria information definition;
Criterion of therapeutical effect definition module: analyzing existing documents and materials, using immersive VR technology, carries out TCM psychiatry nursing Criterion of therapeutical effect information definition.
Further, test data acquisition module includes:
It establishes experimental group and control group module: being established and simulated according to digital random method principle by inclusion criteria, exclusion criteria Experimental group and simulation control group;
Collect experimental data module: the Mental stage by stage used to simulated experiment group and simulation control group nurses letter Breath is acquired.
Another object of the present invention is to provide a kind of terminal, the terminal is at least carried described virtual based on immersion Mental nursing system after the Pain Management displacement technique of reality.
Another object of the present invention is to provide a kind of computer readable storage mediums, including instruction, when it is in computer When upper operation, so that computer executes Mental nursing system after the Pain Management displacement technique based on immersive VR Operation method.
The hip replacement Chinese medicine feelings based on immersive VR that another object of the present invention is to provide a kind of Will care platform, the hip replacement Mental care platform based on immersive VR include being based on immersing Mental nursing system after the Pain Management displacement technique of formula virtual reality;The Pain Management displacement based on immersive VR Postoperative Mental nursing system is by being wirelessly connected mobile terminal.
In conclusion advantages of the present invention and good effect are as follows:
The first, mode is innovated.Currently world wide is interior in every field Rapid Popularization for immersive VR technology It will be in reaching a $ 100 billion using, the entire virtual reality world market scale of the year two thousand twenty, though it is foreseeable that the technology is each The application in a field will promote the rapid development of global information technology significantly.And immersive VR technology is applied to Chinese medicine Orthopaedics TCM psychiatry nursing field yet there are no relevant report.
The second, feeling of immersion is strong, and interactive interface is friendly.Feeling of immersion refers to that user feels that oneself is fused in virtual environment, It is believed that themselves is in some true environment, can be easy for forming degree of immersing using immersive VR technology Higher virtual environment can be easy to interact operation, highly-safe, entertaining by the head movement or finger manipulation of patient Property is strong.
It is third, cheap, easy to implement.In immersive VR equipment, system is presented in the video helmet of low side Price is extremely cheap, and is not limited by patient body position and place, can also support hand other than Projection Display, display screen are shown The equipment such as machine are shown, can easily be implemented.
The advantage of Mental nursing is carried out also using immersive VR technology:
For the patient of hip replacement, the advantage of Mental nursing is carried out using immersive VR technology:
It is strong using immersive VR technology feeling of immersion, the interest of nursing process and the enthusiasm of patient are increased, So that feelings will is raised the active behavior for becoming patient, enhances the ability of patient's self-control mood.
Can be carried out in environment known to patient using immersive VR technology, can adaptation to local conditions, with projection or Helmet mode carries out, and the requirement in equipment and place is low, is easy to carry out.
Manpower needed for saving therapeutic process using immersive VR technology, nursing staff can be in the same times Several patients are instructed to carry out TCM psychiatry nursing;And technology help patient eases off the pressure and pain, can save to a certain extent The medical expense of medical resource and patient needed for saving therapeutic process.
The safety of patient's TCM psychiatry nursing is increased using immersive VR technology, which can lie in bed in patient Carried out under position, almost without special place and environmental requirement so that patient in TCM psychiatry nursing as caused by fault from Body danger substantially reduces.
The rehabilitation desire that patient can be excited using immersive VR technology improves the compliance and satisfaction of patient Degree, improves the psychological condition of patient.
The present invention treats point of the rehabilitation effect of shoulder dysfunction in previous work under body feeling interaction technology intervention Obvious with Kinect technology patient's shoulder joint function recovery effects in analysis, CMS total score evaluation acceptance rate reaches 88.46%.
Detailed description of the invention
Fig. 1 is Mental nursing after the Pain Management displacement technique provided in an embodiment of the present invention based on immersive VR System schematic.
In figure: 1, care regimen designs module;1-1, retrospect analysis from documents module;1-2, immersive VR application point Analyse module;1-3, TCM psychiatry nursing conceptual design module;1-4, test care regimen module;1-5, care regimen design mould is completed Block;2, standard definition module;2-1, inclusion criteria definition module;2-2, exclusion criteria definition module;2-3, criterion of therapeutical effect definition Module;3, test data obtains module;3-1, experimental group and control group module are established;3-2, experimental data module is collected;4, it comments Valence module;5, care regimen module is improved.
Specific embodiment
In order to make the objectives, technical solutions, and advantages of the present invention clearer, with reference to embodiments, to the present invention It is further elaborated.It should be appreciated that the specific embodiments described herein are merely illustrative of the present invention, it is not used to Limit the present invention.
The Hip Replacement Patients rehabilitation of patients after surgical treatment period is long, various complication easily occurs, in the prior art, without and Shi Caiyong suitable Mental nursing technique, which intervene, to be improved patient compliance, mitigates patient pain, prevent complication, is extensive Compound articulation function.
Mode of the present invention is innovated.Currently world wide is interior in every field Rapid Popularization for immersive VR technology It will be in reaching a $ 100 billion using, the entire virtual reality world market scale of the year two thousand twenty, though it is foreseeable that the technology is each The application in a field will promote the rapid development of global information technology significantly.And immersive VR technology is closed applied to hip Mental nursing field yet there are no relevant report after section displacement technique.
Feeling of immersion is strong, and interactive interface is friendly.Feeling of immersion refers to that user feels that oneself is fused in virtual environment, it is believed that he Oneself be in some true environment, can be easy for forming degree of immersing using immersive VR technology higher Virtual environment can be easy to interact operation by the head movement or finger manipulation of patient, and highly-safe, interest is strong.
It is cheap, easy to implement.In immersive VR equipment, it is different that system price is presented in the video helmet of low side It is often cheap, and do not limited by patient body position and place, mobile phone etc. can also be supported to set other than Projection Display, display screen are shown Standby display, can easily be implemented.
The Hip Replacement Patients rehabilitation of patients after surgical treatment period is long, various complication easily occurs, uses in suitable in time It is to improve patient compliance, mitigate patient pain, prevention complication, restore function of joint that doctor's TCM psychiatry nursing technology, which intervene, Important link.
Compared with Traditional Chinese Medicine TCM psychiatry nursing, it can be influenced in completely new visual impact using immersive VR technology Under, the interest of nursing process and the enthusiasm of patient are increased, the rehabilitation desire of patient can be excited, improve the compliance of patient Property and satisfaction, improve the psychological condition of patient, and psychology can be shown loving care for and be incorporated to patient personalized nursing, promote nursing effect Fruit not only technically maintains the leading position, and can with adaptation to local conditions, facilitate operation, furthermore its low price is more advantageous to out Exhibition is implemented.
As shown in Figure 1, Chinese medicine feelings after the Pain Management displacement technique provided in an embodiment of the present invention based on immersive VR Will nursing system, comprising:
Care regimen designs module 1, is based on helmet-type immersive VR technology, to each in the Pain Management displacement technique course of disease The characteristics of stage data information and Mental nursing points information analyzed;Obtain the piece for being suitable for Mental nursing Source, scene selection, equipment choosing application scheme information form final shield after arranging to the application scheme information of selection Reason scheme;
Standard definition module 2 carries out inclusion criteria, exclusion criteria using immersive VR technology, criterion of therapeutical effect Definition;
Test data obtains module 3, is collected simulated experiment data by establishing simulated experiment group and simulation control group;
Evaluation module 4 carries out statistical analysis to every simulated experiment data application statistic software SPSS of collection, and answers It is evaluated with the effect that immersive VR technology carries out TCM psychiatry nursing;
Care regimen module 5 is improved, to the data of statistical analysis, carries out feelings will shield using immersive VR technology Manage the formulation of protocol information.
Care regimen designs module
Retrospect analysis from documents module 1-1, for analyzing the letter of various TCM psychiatry nursings and scheme of psychology nursing in documents and materials Breath;
Immersive VR applied analysis module 1-2, is based on helmet-type immersive VR technology, and analysis is suitable for Every application message of Mental nursing, items application include film source, scene selection, equipment choosing;
TCM psychiatry nursing conceptual design module 1-3, using immersive VR technology, to displacement technique Mental nursing side Case information is analyzed;
Test care regimen module 1-4, using helmet-type immersive VR technology, to Chinese medicine TCM psychiatry nursing scheme into Row data information test analysis;
It completes care regimen and designs module 1-5, according to test care regimen module testing situation, arranged, obtained most Whole care regimen data.
Standard definition module 2 includes:
Inclusion criteria definition module 2-1: analyzing existing documents and materials, carries out feelings will shield using immersive VR technology The inclusion criteria information of reason is defined;
Exclusion criteria definition module 2-2: analyzing existing documents and materials, using immersive VR technology, carries out feelings will The exclusion criteria information of nursing defines;
Criterion of therapeutical effect definition module 2-3: analyzing existing documents and materials, using immersive VR technology, carries out feelings will The criterion of therapeutical effect information of nursing defines.
Test data obtains module 3
It establishes experimental group and control group module 3-1: mould being established according to digital random method principle by inclusion criteria, exclusion criteria Draft experiment group and simulation control group;
Collect experimental data module 3-2: the Mental stage by stage used to simulated experiment group and simulation control group protects Reason information is acquired.
Hip replacement Mental care platform provided in an embodiment of the present invention based on immersive VR, The hip replacement Mental care platform based on immersive VR includes being based on immersive VR Pain Management displacement technique after Mental nursing system;Chinese medicine feelings after the Pain Management displacement technique based on immersive VR Will nursing system is by being wirelessly connected mobile terminal.
Below with reference to concrete analysis, the invention will be further described.
1, Mental department of nursing after the Pain Management displacement technique provided in an embodiment of the present invention based on immersive VR System, the Mental care regimen of proposed adoption helmet-type immersive VR Technology design hip replacement:
By in the analysis of cases hip replacement course of disease the characteristics of each stage and Mental nursing points;
The various TCM psychiatry nursings and scheme of psychology nursing of hip replacement patient in Arranging Literatures data;
Analysis helmet-type immersive VR technology has in application, and the items for applying to Mental nursing is suitble to answer With (including film source, scene selection, equipment choosing etc.);
It designs immersive VR technology and is applied to hip replacement Mental care regimen;
Test helmet-type immersive VR technology Mental care regimen;
According to test case, every change is arranged, final care regimen and plan are formed.
2, inclusion criteria, exclusion criteria and criterion of therapeutical effect definition:
TCM psychiatry nursing is carried out using immersive VR technology to hip replacement patient and defines inclusion criteria, row Except standard, referring to Standards for Diagnosis and Curative Effect of Chinese Medical Symptom, simplify the inquiry of McGill pain scale (SF-MPQ), Han Midun depression amount Table (Hamilton Depression Scale, HAMD), general compliance scale (general adherence scale, GAS), the criterions of therapeutical effect such as SF-36 Health Scale (the Mos 36-item Short Form Health Survey).
Inclusion criteria definition: referring to Standards for Diagnosis and Curative Effect of Chinese Medical Symptom, existing documents and materials are analyzed, to hip replacement The inclusion criteria that postoperative patient application immersive VR technology carries out TCM psychiatry nursing is defined;
Exclusion criteria definition: existing documents and materials are analyzed referring to Standards for Diagnosis and Curative Effect of Chinese Medical Symptom, to hip replacement The exclusion criteria that postoperative patient application immersive VR technology carries out TCM psychiatry nursing is defined;
Criterion of therapeutical effect definition: referring to Standards for Diagnosis and Curative Effect of Chinese Medical Symptom, simplify McGill pain inquiry scale (SF- MPQ), Hamilton Depression Scale (Hamilton Depression Scale, HAMD), general compliance scale (general Adherence scale, GAS), SF-36 Health Scale (the Mos 36-item Short Form Health Survey) Deng the existing documents and materials of analysis, to the curative effect of hip replacement application immersive VR technology progress TCM psychiatry nursing Standard is defined;
3, control clinical trial is carried out, experimental data is collected:
(1) experimental group and control group are established: experimental group being established according to digital random method principle by inclusion criteria, exclusion criteria And control group, collect case and be no less than 100, this experiment will continue to continue progress 6 months (or more), two groups are given to the ill Treatment and conventional TCM nursing, control group carry out conventional Mental nursing on this basis, and observation group is on the basis of the control group Carry out the psychological intervention of immersive VR technology.
(2) it collects experimental data: each group patient being nursed using conventional Mental stage by stage, during the experiment rank Evaluate nursing efficacy (curative effect, pain, depression, compliance, quality of life), patient satisfaction and safety to section property, and Possible adverse events are observed when appropriate.
4, effect assessment
Simplify McGill pain referring to Standards for Diagnosis and Curative Effect of Chinese Medical Symptom and inquires scale (SF-MPQ), Han Midun depression amount Table (Hamilton Depression Scale, HAMD), general compliance scale (general adherence scale, GAS), SF-36 Health Scale (the Mos 36-item Short Form Health Survey) etc., to each item number of collection Statistical analysis is carried out according to applied statistics software (SPSS), Kinect somatosensory interaction training method suffers from hip replacement Person evaluates using the effect that immersive VR technology carries out TCM psychiatry nursing.
5, training method is improved
Statistical analysis and patient satisfaction data for various situations, efficacy data in experimentation etc., into one Step improves the scheme for carrying out TCM psychiatry nursing using immersive VR technology to hip replacement patient.
Below with reference to concrete analysis, the invention will be further described.
1, nearly 10 years China Biomedical Literature Database (CBM), Chinese Journal Full-text Database (CNKI), Wei Pu are retrieved Database (VIP) and Wanfang Database carry out feelings will shield using immersive VR technology with hip replacement patient Clinical analysis, status and the therapeutic advance related literatures of reason.
2, comparative analysis:
Experimental group and control group are established according to randomly assigne by inclusion criteria, exclusion criteria, case is collected and is no less than 100 Example, this Therapy lasted persistently carry out 6 months (or more), two groups are given symptomatic treatment and conventional TCM nursing, and control group exists Conventional Mental nursing is carried out on the basis of this, it is dry that observation group carries out immersive VR technology psychology on the basis of the control group In advance.The data such as nursing efficacy, patient satisfaction and safety are periodically evaluated in experimentation, and statistics is carried out to data Analysis.
3, questionnaire method:
Questionnaire survey and scale measurement are carried out to experimental group and control group patient, personnel carry out questionnaire survey and amount by analysis Table measurement data is collected.
4, statistical analysis method:
It is analyzed with general information of the descriptive statistics analysis method to experimental group and control group patient, application card side It examines and T check analysis experimental group and the nursing efficacy (curative effect, pain, depression, compliance, quality of life) of control group, patient Satisfaction carries out comparison in difference.
Below with reference to concrete analysis, the invention will be further described.
Intervention group totall effective rate in clinical treatment is 98.00%, hence it is evident that higher than the 74.00% of control group, difference has statistics Meaning (P < 0.05).See Table 1 for details.Do not occur obvious adverse reaction during two groups of treatments.
Select 2014.8-2017.8 Wuhan Hospital of Traditional Chinese Medicine's orthopedics and traumatology carry out Hip Replacement Patients, totally 100, Wherein male 51, female 49,53~80 years old age (65.5 ± 3.84 years old), the general information such as two groups of Genders, ages compare, No significant difference (χ 2=0.501, P=0.649;T=1.352, P=0.246).
1 two groups of patient's general information of table
After treating 4 weeks, experimental group is before pain, number of storage tanks produced per day, range of motion, muscular strength four indices are relatively treated Be significantly improved (P < 0.05), and three pain routinely organized, muscular strength, number of storage tanks produced per day indexs have significant before relatively treating Improve (P < 0.05), and range of motion no significant difference (P > 0.05) earlier above.Experiment pain, number of storage tanks produced per day, Range of motion, muscular strength are compared with conventional group with notable difference (P < 0.05).
The foregoing is merely illustrative of the preferred embodiments of the present invention, is not intended to limit the invention, all in essence of the invention Made any modifications, equivalent replacements, and improvements etc., should all be included in the protection scope of the present invention within mind and principle.

Claims (7)

1. Mental nursing system after a kind of Pain Management displacement technique based on immersive VR, which is characterized in that described Mental nursing system includes: after Pain Management displacement technique based on immersive VR
Care regimen designs module, helmet-type immersive VR technology is based on, to each stage in the Pain Management displacement technique course of disease The characteristics of data information and Mental nursing points information analyzed;Obtain the film source for being suitable for Mental nursing, field Scape selection, equipment choosing application scheme information form final nursing side after arranging to the application scheme information of selection Case;
Standard definition module carries out inclusion criteria, exclusion criteria, the definition of criterion of therapeutical effect using immersive VR technology;
Test data obtains module, is collected simulated experiment data by establishing simulated experiment group and simulation control group;
Evaluation module carries out statistical analysis to every simulated experiment data application statistic software SPSS of collection, and application is heavy The effect that immersion virtual reality technology carries out TCM psychiatry nursing is evaluated;
Care regimen module is improved, to the data of statistical analysis, carries out TCM psychiatry nursing side using immersive VR technology The formulation of case data information.
2. Mental nursing system after the Pain Management displacement technique based on immersive VR as described in claim 1, It is characterized in that, care regimen design module includes:
Retrospect analysis from documents module, for analyzing the information of various TCM psychiatry nursings and scheme of psychology nursing in documents and materials;
Immersive VR applied analysis module, is based on helmet-type immersive VR technology, and analysis is suitable for Chinese medicine feelings Every application message of will nursing, items application include film source, scene selection, equipment choosing;
TCM psychiatry nursing conceptual design module, using immersive VR technology, to displacement technique Mental care regimen information It is analyzed;
Care regimen module is tested, using helmet-type immersive VR technology, data are carried out to Chinese medicine TCM psychiatry nursing scheme Information test analysis;
It completes care regimen and designs module, according to test care regimen module testing situation, arranged, obtain final nursing Protocol.
3. Mental nursing system after the Pain Management displacement technique based on immersive VR as described in claim 1, It is characterized in that, standard definition module includes:
Inclusion criteria definition module: analyzing existing documents and materials, carries out entering for TCM psychiatry nursing using immersive VR technology Group standard information is defined;
Exclusion criteria definition module: existing documents and materials are analyzed using immersive VR technology and carry out the row of TCM psychiatry nursing Except standard information defines;
Criterion of therapeutical effect definition module: existing documents and materials are analyzed using immersive VR technology and carry out the treatment of TCM psychiatry nursing The definition of criterion calibration information.
4. Mental nursing system after the Pain Management displacement technique based on immersive VR as described in claim 1, It is characterized in that, test data obtains module and includes:
It establishes experimental group and control group module: simulated experiment being established according to digital random method principle by inclusion criteria, exclusion criteria Group and simulation control group;
Collect experimental data module: to simulated experiment group and simulation control group use Mental nursing information stage by stage into Row acquisition.
5. a kind of terminal, which is characterized in that the terminal is at least carried described in Claims 1 to 4 any one based on immersing Mental nursing system after the Pain Management displacement technique of formula virtual reality.
6. a kind of computer readable storage medium, including instruction, when run on a computer, so that computer is executed as weighed Benefit requires the fortune of Mental nursing system after the Pain Management displacement technique described in 1~4 any one based on immersive VR Row method.
7. a kind of hip replacement Mental care platform based on immersive VR, which is characterized in that described Hip replacement Mental care platform based on immersive VR includes the pain based on immersive VR Mental nursing system after pain section displacement technique;
Mental nursing system is mobile whole by being wirelessly connected after the Pain Management displacement technique based on immersive VR End.
CN201811058565.XA 2018-09-11 2018-09-11 Mental nursing system after Pain Management displacement technique based on immersive VR Pending CN109308946A (en)

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Application publication date: 20190205