虚拟现实干预是否会导致重症患者发作? 一个快速的审查
Adrian Goldsworthy1, Mohd Fairuz Shiratuddin2, Oystein Tronstad3
1Wesley Research Institute, Brisbane, Australia; The Prince Charles Hospital Critical Care Research Group, Brisbane, Australia; Murdoch University, School of Information Technology, Perth, Western Australia, Australia; Bond University, Faculty of Health Sciences and Medicine, Gold Coast, Australia.
概括
虚拟现实 (VR) 在重症监护中的使用是安全的,在患者中没有报告的发作,即使是患有的患者. 这一系统性审查表明,如果适当使用,VR是一种低风险的干预措施.
科学领域:
- 密集护理医学是密集护理的医学.
- 神经学 神经学
- 医学技术 医学技术 医学技术
背景情况:
- 虚拟现实 (VR) 在重症监护室提供治疗疼痛和焦虑的好处.
- 人们对VR可能诱导发作存在担忧,导致患者在历史上被排除在外.
- 本次审查涉及VR在重症监护机构的安全性.
研究的目的:
- 系统地审查关于在重症监护中使用虚拟现实的文献.
- 确定虚拟现实干预是否与重症监护病人的发作有关.
- 为了评估患有史或光敏度的患者进行VR的发作风险.
主要方法:
- 快速系统地审查和综合定性和定量数据.
- 从2014年1月开始,搜索了五个数据库 (PubMed,Scopus,EMBASE,PsycInfo,CINAHL) 和灰色文献.
- 对成年/儿科群体和有史的患者进行了子组分析;进行了偏差风险评估.
主要成果:
- 27篇涉及886名患者和1843次VR会议 (超过614小时) 的文章符合纳入标准.
- 在接受虚拟现实干预的重症监护患者中没有报告任何发作.
- 在这个人群中,VR诱导的发作风险似乎很小.
结论:
- 虚拟现实是一个低风险的干预在重症监护当适当地使用.
- 或光敏感性史不应成为VR使用的绝对禁忌.
- 临床医生应运用临床判断,并选择非形视觉体验,以减轻风险.
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