文献类型：期刊文献

英文题名：Effects of Virtual Reality-Based Activities of Daily Living Rehabilitation Training in Older Adults With Cognitive Frailty and Activities of Daily Living Impairments: A Randomized Controlled Trial

作者：Zheng, Lishuang[1];Li, Xin[2];Xu, Yiran[1];Yang, Yali[1];Wan, Xinyu[1];Ma, Xuehan[1];Yao, Gengxin[1];Li, Guichen[1]

第一作者：Zheng, Lishuang

通信作者：Li, GC[1]

机构：[1]Jilin Univ, Sch Nursing, 965 Xinjiang St, Changchun 130021, Peoples R China;[2]Gansu Univ Chinese Med, Sch Nursing, Lanzhou, Peoples R China

第一机构：Jilin Univ, Sch Nursing, 965 Xinjiang St, Changchun 130021, Peoples R China

通信机构：[1]corresponding author), Jilin Univ, Sch Nursing, 965 Xinjiang St, Changchun 130021, Peoples R China.

年份：2025

卷号：26

期号：2

外文期刊名：JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION

收录：;Scopus(收录号：2-s2.0-85211323766);WOS:【SCI-EXPANDED(收录号:WOS:001411807000001)】；

基金：This study was funded by the National Natural Science Foundation of China (grant number: 81902295).

语种：英文

外文关键词：Cognitive frailty; virtual reality; activities of daily living; older adults; randomized controlled trial

摘要：Objectives: Cognitive frailty, which is notably prevalent in nursing homes, correlates with a range of adverse health outcomes; however, interventions targeting this population are scarce, particularly those addressing activities of daily living (ADLs). The objective of this study was to evaluate the effects of virtual reality-based ADL rehabilitation training on older adults with cognitive frailty and ADL impairments. Design: A 2-arm randomized controlled trial. Setting and Participants: Older adults with cognitive frailty and mild ADL impairments in a nursing home. Methods: Sixty-six eligible participants were equally randomized into intervention and control groups. The intervention involved 45-minute sessions conducted twice weekly for 12 weeks. Outcomes evaluated included ADL performance, cognition, frailty, depression, and quality of life. Assessments were performed at baseline, 6 weeks (T1), and 12 weeks (T2). Results: There was no statistically significant difference between the 2 groups at baseline. The mean age of the participants was 80.20 f 9.14 years, and most were women (54.55%). Compared with the control group, the intervention group showed significant improvements in ADLs (T1: 3 = 6.33, T2: 3 = 12.79), basic ADLs (T1: 3 = 4.09, T2: 3 = 6.97), instrumental ADLs (T1: 3 = 2.24, T2: 3 = 4.12), cognition (T1: 3 = 3.67, T2: 3 = 4.42), frailty (T1: 3 =-0.76, T2: 3 =-1.27), and mental component summary of quality of life (T1: 3 = 8.49, T2: 3 = 16.44) at T1 and T2. By T2, significant improvements were observed in depression (T2: 3 =-2.06) and physical component summary of quality of life (T2: 3 = 8.52). Conclusions and Implications: For older adults with cognitive frailty and mild ADL impairments residing in a nursing home, the virtual reality-based ADL rehabilitation program was safe and effective. Following the 12-week intervention, significant improvements were observed in ADL performance, cognition, frailty, depression, and quality of life. (c) 2024 Post-Acute and Long-Term Care Medical Association.