儿童MRI治疗考试焦虑的VR培训:一个元分析
Thomas Saliba1, Yasser Aleman-Gomez1, David Rotzinger1
1Radiodiagnostic and interventional radiology department, Centre Hospitalier Universitaire Vaudois (CHUV), Rue du Bugnon 46, 1005 Lausanne, Switzerland.
Journal of medical imaging and radiation sciences
|October 1, 2025
概括
虚拟现实 (VR) 模拟MRI扫描并没有显著减少患者的检查前焦虑. 虽然一些结果表明,从VR前到MRI后的焦虑可能有好处,但由于研究有限和异质性很高,需要更多的研究.
科学领域:
- 医学成像和放射学医学成像和放射学
- 心理学和行为科学 心理学和行为科学
- 卫生技术评估 卫生技术评估
背景情况:
- 磁共振成像 (MRI) 程序可以引起患者显著的焦虑.
- 导致焦虑的因素包括手术的长度,噪音和幽闭恐惧症.
- 虚拟现实 (VR) 模拟MRI为减少焦虑提供了传统模拟扫描仪的潜在替代方案.
研究的目的:
- 进行一项元分析,评估VR模拟MRI在减少考前焦虑方面的有效性.
- 综合VR模拟MRI干预的随机对照试验的发现.
- 评估VR模拟MRI作为MRI患者可访问的减少焦虑的工具.
主要方法:
- 遵守PRISMA 2020对元分析的指导方针.
- 在PubMed,EMBASE和ScienceDirect中进行系统的文献搜索.
- 包括六项随机对照试验,其中四项专注于儿科患者.
- 数据提取,质量评估 (Jadad和Delphi尺度) 和使用随机效应模型 (Hedges' g) 的统计分析.
主要成果:
- 虚拟现实模拟MRI没有显示出前检查焦虑的统计显著减少 (p = 0.08).
- 在干预组内,从VR前到MRI后的焦虑减轻的趋势是显著的 (p = 0.06).
- 没有发现MRI后焦虑或与对照组相比有显著差异;注意到高异质性.
结论:
- 目前的证据表明,VR模拟MRI在减少考前焦虑方面没有显著的效果.
- 在VR前和MRI后之间减少焦虑的有希望的趋势表明潜在的,但需要进一步调查.
- 有限的研究和高度的异质性需要更多的研究来最终评估VR模拟MRI在管理MRI相关焦虑中的作用.
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