Nervous system diseases
Conditions
Interventions
Control group:Routine standardized ABCDEF bundle intervention
Intervention group:Routine standardized ABCDEF bundle intervention combined with sensory-perceptual stimulation training based on immersive virtual reality (IVR) technology
Sponsors
Beijing Tiantan Hospital, Capital Medical University
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Postoperative patients with neurological diseases (including stroke, traumatic brain injury, brain tumors, etc., which meet the ICD-11 diagnostic criteria for neurological disorders and have been definitively confirmed by imaging modalities such as CT or MRI) ; 2. Age >= 18 years; 3. Alert mental status, with a Glasgow Coma Scale (GCS) score >= 13; 4. Richmond Agitation-Sedation Scale (RASS) score between -1 and 1; 5. Muscle strength grade >= IV in at least one upper limb; 6. Expected length of ICU stay >= 24 hours; 7. Provision of informed consent and willingness to participate in the study.
Exclusion criteria
Exclusion criteria: 1. Patients with severe visual, hearing, or communication impairments that preclude cooperation with training; 2. Patients with contraindications to physical activity (e.g., restricted head or neck movement, unstable fractures) or other conditions that render the equipment unusable; 3. Patients who are unable to comprehend VR video or game instructions or to follow simple commands; 4. Patients with existing mental confusion or delirium; 5. Patients with suspected or confirmed drug or alcohol abuse, intoxication, overdose, or withdrawal; 6. Patients requiring or currently undergoing invasive mechanical ventilation; 7. Pregnant women.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of delirium during ICU treatment; | — |
Secondary
| Measure | Time frame |
|---|---|
| Incidence of subsyndromal delirium during ICU treatment;Anxiety and depression levels during ICU treatment;Pain levels during ICU treatment; | — |
Countries
China
Contacts
Public ContactWeixin Cai
Beijing Tiantan Hospital, Capital Medical University
Outcome results
None listed