儿科患者进行全身麻醉的手术前虚拟现实:随机对照试验的元分析
Difang Zhao1,2, Ting Tian1,2, Shuguang Jin3
1Operating Room of Anesthesia Surgery Center, West China Hospital, Chengdu, China.
Paediatric anaesthesia
|July 23, 2025
概括
手术前的虚拟现实显著降低了患有麻醉症的儿童的焦虑,并改善了他们的合作. 虽然它提高了父母的满意度和程序行为,但它对术后疼痛和妄想的影响很小.
科学领域:
- 麻醉学 麻醉学
- 儿科医学 儿科医学
- 心理学 心理学 心理学
背景情况:
- 接受全身麻醉的儿科患者经历了压力,麻醉挑战和延迟恢复.
- 虚拟现实 (VR) 是一种潜在的非药物干预,但其有效性在研究中不一致.
- 本元分析评估了手术前VR对儿科患者的影响.
研究的目的:
- 评估手术前虚拟现实干预在接受全身麻醉的儿科患者的有效性.
- 分析VR对手术前焦虑,麻醉诱导遵守和术后结果的影响.
- 评估VR对父母满意度和患者行为的影响.
主要方法:
- 对相关的随机对照试验 (RCT) 进行了PubMed,EMBASE,Cochrane图书馆和Web of Science的系统搜索.
- 研究包括接受全身麻醉的儿科患者,将术前VR与标准护理进行比较.
- 主要结局是手术前的焦虑和麻醉诱导遵守;次要结局包括恐惧,行为,疼痛,妄想和父母的满意度.
主要成果:
- 虚拟现实显著减少了手术前的焦虑 (低证据),并改善了麻醉诱导遵守 (中等证据).
- 虚拟现实还减少了恐惧,改善了程序行为,增加了父母的满意度 (中等证据).
- 没有观察到对术后疼痛 (效果大小非常小) 或出现妄想 (证据不足) 的显著影响.
结论:
- 术前虚拟现实在改善麻醉诱导遵守和减少儿科患者的焦虑方面显示出显著的好处.
- 虚拟现实可能会在术前恐惧,手术行为和父母满意度方面提供临床显著的改善.
- 虚拟现实对术后疼痛和出现妄想的临床影响不太可能显著.
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