基于虚拟现实的干预对接受麻醉选择性手术的患者的手术前焦虑的影响:系统审查和元分析
Huiyuan Li1,2, Pak Lung Chiu1, Defi Efendi3,4
1The Nethersole School of Nursing, Faculty of Medicine, Chinese University of Hong Kong, Hong Kong, China (Hong Kong).
Journal of medical Internet research
|April 30, 2025
概括
虚拟现实 (VR) 干预措施显著降低了手术患者的手术前焦虑. 儿科患者和分心方法显示出最大的益处,尽管需要进一步的研究.
科学领域:
- 医疗信息学 医疗信息学
- 麻醉学 麻醉学
- 心理学 心理学 心理学
背景情况:
- 手术前的焦虑是手术患者中普遍存在的问题,经常被忽视.
- 虚拟现实 (VR) 提供了一个有希望的干预措施来管理这种焦虑.
- 在选择性手术患者中,VR对手术前焦虑的具体成分和有效性需要澄清.
研究的目的:
- 确定VR干预的关键组成部分 (设备,媒介,格式,持续时间).
- 为了评估VR在减少手术前焦虑的有效性,在接受选择性手术和麻醉的患者.
主要方法:
- 在多个数据库中进行了全面的文献搜索.
- 包括手术患者VR干预的随机对照试验 (RCT).
- 使用Cochrane协作工具评估了偏差风险,并使用随机效应模型进行了元分析.
主要成果:
- 审查了35项涉及3341名患者的RCT;29项进行了元分析.
- 与通常的护理相比,VR干预在减少手术前焦虑方面显示出显著的好处 (SMD 0.65).
- 分心方法比暴露更有效,在儿科患者中具有显著的影响.
结论:
- 虚拟现实提供了一种新且有效的替代方案,可以减少手术患者的手术前焦虑.
- 儿童患者特别受益于VR,特别是使用分心方法时.
- 需要进一步进行高质量的研究来巩固这些发现并指导临床实践.
相关概念视频
General Anesthesia: Overview
172
Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
172
Stages of General Anesthesia
320
Various sedation levels offer significant advantages in facilitating procedural interventions for patients undergoing medical or invasive surgical procedures. These levels span from anxiolysis to general anesthesia, providing a spectrum of sedative effects to cater to specific patient needs. Anxiolysis reduces anxiety and is achieved through minimal sedation, enabling patients to remain awake and responsive while feeling more at ease during the procedure. This level can benefit minor...
320


