在老年人中治疗术后疼痛的沉浸式虚拟现实:一个范围的综述
Christina Keny1,2,3, Bhagvat Maheta4, Karl Lorenz5,6
1From the Division of Geriatrics, Department of Medicine, University of California, San Francisco, CA.
概括
沉浸式虚拟现实 (IVR) 显示了治疗老年手术患者手术后疼痛的潜力. 需要更多的研究来确认其有效性,并探索其在不同患者群体和手术类型中的使用.
科学领域:
- 老年医学 老年医学
- 疼痛管理 疼痛管理
- 手术护理 手术护理
背景情况:
- 老年人的药理性疼痛管理是复杂和危险的.
- 非药物干预,如沉浸式虚拟现实 (IVR),正在为术后疼痛获得兴趣.
- 目前关于老年手术患者术后疼痛IVR的证据有限.
研究的目的:
- 对IVR在接受手术的老年人中进行术后疼痛管理的现有证据进行范围审查.
- 绘制和描述该领域当前的研究格局.
主要方法:
- 在5个数据库中进行了全面的文献搜索,截至2024年4月.
- 纳入标准侧重于涉及65岁以上患者的研究,手术,IVR干预和术后疼痛评分.
- 研究选涉及标题/摘要审查,随后进行全文分析,最终以叙事报告为高潮.
主要成果:
- 审查中包括了10项研究.
- 术后疼痛的IVR在全关节置换手术中最常被研究.
- 虽然超过一半的研究表明IVR可以改善疼痛管理,但方法上的局限性 (软弱的设计,小样本) 阻碍了坚定的结论.
结论:
- 沉浸式虚拟现实 (IVR) 似乎是一种可接受和可行的干预措施,用于老年人手术后的术后疼痛.
- 需要进一步进行高质量的随机临床试验,以确定IVR的疗效.
- 未来的研究应该在各种手术程序和老年人子组中调查IVR,包括那些身体或认知限制的人.
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