Abstract: Objective　To build a virtual reality （VR） model for a breast cancer combined rehabilitation program based on breast cancer rehabilitation principles and the Omaha system，and to explore its clinical application.Methods　According to the operation type and stage of postoperative recovery，combined with the natural language processing of the Omaha system and feedback from patient information，the core physical and psychological rehabilitation functions of the VR platform were developed and implemented.A total of 120 breast cancer patients treated in the Zhejiang Province People's Hospital between January 2016 and May 2017 were selected and divided into observation group （VR group，n=60） and control group（conventional rehabilitation group，n=60） with a random number table method.The scores of various dimensions and average scores of quality of life scales（SF-36） between the two groups were compared.Results　A VR platform for postoperative rehabilitation of breast cancer patients based on the Omaha system was developed.After a 3-month application，the scores of various dimensions and average scores of SF-36 in the observation group were significantly higher than those in the control group（P<0.05）.Conclusion　The VR platform based on the Omaha system for rehabilitation management is easy to operate and apply.It is an effective physical and psychological postoperative rehabilitation model for breast cancer patients，and it provides a new option for personalized rehabilitation of breast cancer patients.

Key words: Breast neoplasms, Rehabilitation, Omaha system, Virtual reality

摘要： 目的　在乳腺癌康复护理理论与奥马哈系统基础上，建立乳腺癌患者康复管理虚拟现实技术（VR）平台，并探讨其应用效果。方法　利用VR结合奥马哈康复自然语言采集和反馈患者信息，依据患者手术类型和术后恢复阶段，完成乳腺癌患者康复管理VR平台的康复训练和心理治疗核心功能。选择2016年1月—2017年5月在浙江省人民医院诊治的120例乳腺癌患者，按随机数字表法将患者分为观察组（应用乳腺癌患者康复管理VR平台）和对照组（应用传统康复训练），各60例。比较两组的健康状况调查简表（SF-36）各维度得分及平均得分。结果　开发出基于奥马哈系统的术后乳腺癌患者康复管理VR平台，通过3个月的临床试验，观察组SF-36各维度得分及平均得分均高于对照组（P<0.05）。结论　基于奥马哈系统的乳腺癌患者康复管理VR平台操作简便、利于患者锻炼，将成为乳腺癌术后更有效的生理和心理康复治疗方法，也为康复训练和康复评定同步的个性化治疗提供新思路。

关键词: 乳腺肿瘤, 康复, 奥马哈系统, 虚拟现实