虚拟现实干预对成人术后焦虑的有效性:通过元分析进行系统性审查
Salihah Asiri1,2,3, Jane Currie2, Jed Duff2,3,4
1School of Nursing, Umm Al-Qura University, Makkah, Saudi Arabia.
Journal of clinical nursing
|May 23, 2025
概括
虚拟现实 (VR) 在减少成人手术患者手术前焦虑方面表现出有限的有效性. 需要更多高质量的研究来证实它对术后焦虑管理的好处.
科学领域:
- 医疗干预 医疗干预
- 数字健康数字健康
- 患者护理 患者护理
背景情况:
- 大人的手术焦虑很常见,可能会增加麻醉的需要和并发症.
- 虚拟现实 (VR) 被探索为一种非药物方法来缓解外科手术期间的焦虑.
- 本综述评估了VR在减少选择性手术患者焦虑方面的有效性.
研究的目的:
- 系统地审查和元分析虚拟现实 (VR) 在减少成年外科病人的术后焦虑方面的有效性.
- 评估VR作为一种干预措施,用于管理麻醉前的焦虑和改善患者的治疗结果.
主要方法:
- 按照乔安娜·布里格斯研究所 (JBI) 和PRISMA的指导方针进行系统审查和元分析.
- 搜索了四个数据库 (起始至2024年7月) 进行实验和准实验性关于VR对外科手术前焦虑的研究.
- 包括11项研究 (8项RCT,3项准实验);使用随机效应元分析和叙事合成合成的综合数据.
主要成果:
- 分析发现,使用VR (SMD -0.29) 进行手术前焦虑的减少很小,但不显著.
- 大多数研究表明VR降低了焦虑和改善了患者满意度,但异质性是适度的 (I2=47%).
- 对于VR副作用,压力,准备,满意度和住院等次要结局的结果是不一致的.
结论:
- 目前的证据仅限于支持VR减少成人外科手术期间的焦虑.
- 需要更大的样本大小和高质量的RCT,具有标准化措施.
- 需要进一步的研究来确定VR在术后焦虑管理中的作用.
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