%0杂志文章%@ 1438-8871 %I JMIR出版物%V 22%卡塔尔世界杯8强波胆分析 N 6% P 17331 %T虚拟现实在改善社区居住老年人健康结果中的作用:系统回顾%A Dermody,Gordana %A Whitehead,Lisa %A Wilson,Graham %A Glass,Courtney %+伊迪丝考恩大学护理和助产学院，Joondalup Drive 270 Joondalup, 6027，澳大利亚，61 8 6304 3470,g.dermody@ecu.edu.au %K虚拟现实%K老年%K老年，80岁及以上%K结果评估，医疗保健%K独立生活%K系统回顾%D 2020 %7 1.6.2020 %9回顾%J J医学互联网Res %G英语%X背景:通过沉浸式头盔提供的虚拟现实(VR)为改善身体、心理和心理健康结果提供了干预措施。针对老年人的VR应用研究主要集中在康复和身体功能方面，包括步态、平衡、预防跌倒、疼痛管理和认知能力。此前已经进行了几次系统的综述，但现有的大部分文献都集中在康复或其他机构设置上，对于使用沉浸式耳机的VR应用程序在社区居住的老年人中针对健康结果的有效性知之甚少。目的:本综述的目的是评估使用市售沉浸式头戴式设备提供的VR应用程序在改善社区居住老年人的身体、精神或心理健康结果方面的有效性。方法:纳入同行评审的出版物，包括居住在老年护理机构和养老院的≥60岁的社区居住老年人。本系统评价是根据乔安娜布里格斯研究所(JBI)的有效性证据系统评价方法进行的。本次综述的标题已在JBI注册，系统综述方案已在国际系统综述预期注册(International Prospective Register of systematic Reviews)注册。结果:本综述共纳入了7项专门包括社区居住老年人的研究。 VR apps using a head-mounted display led to improvements in a number of health outcomes, including pain management, posture, cognitive functioning specifically related to Alzheimer disease, and a decreased risk of falls. A total of 6 studies reported a statistically significant difference post VR intervention, and 1 study reported an improvement in cognitive function to reduce navigational errors. Only one study reported on the usability and acceptability of the interventions delivered through VR. While one study used a distraction mechanism for pain management, none of the studies used gaming technology to promote enjoyment. Conclusions: Interventions to improve health outcomes through VR have demonstrated potential; however, the ability to synthesize findings by primary outcome for the older adult population is not possible. A number of factors, especially related to frailty, usability, and acceptability, also need to be explored before more substantial recommendations on the effectiveness of VR interventions for older adults can be made. Trial Registration: PROSPERO CRD42019143504; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=143504 %M 32478662 %R 10.2196/17331 %U //www.mybigtv.com/2020/6/e17331 %U https://doi.org/10.2196/17331 %U http://www.ncbi.nlm.nih.gov/pubmed/32478662