心脏外科手术中术后护理的虚拟现实:系统审查和元分析
Ali Alseneid1, Harvey Xiang1, Alhassen Alseneid2
1Internal Medicine, William Harvey Hospital, Ashford, GBR.
Cureus
|December 29, 2025
概括
虚拟现实 (VR) 是一个安全的,非药物工具,可以减少心脏手术患者的焦虑和改善心脏病患者的满意度. 虽然没有统计学意义,但VR趋势表明,对外科手术期间的护理有潜在的好处.
科学领域:
- 心脏病学 心脏病学
- 医疗技术 医疗技术 医学技术
- 心理医学 心理医学
背景情况:
- 心脏外科手术会导致严重的压力,导致手术前的焦虑和术后的疼痛.
- 现有的术后护理进展还没有完全解决这些问题.
- 需要非药物干预来补充目前的治疗方法.
研究的目的:
- 系统地审查和对成年人心脏外科手术中虚拟现实 (VR) 使用的随机对照试验 (RCT) 进行元分析.
- 评估VR对焦虑,疼痛和患者满意度的影响.
- 评估VR对生理反应和安全的影响.
主要方法:
- 按照PRISMA 2020指南进行系统审查和元分析.
- 在PubMed,Embase和Cochrane图书馆搜索到2025年10月.
- 包括9个RCT (888名参与者),评估偏差风险 (RoB2) 和证据确定性 (GRADE).
主要成果:
- 与VR一起减少手术前焦虑的非显著趋势 (SMD = -0.23).
- 在患者满意度方面有利于VR的非显著趋势 (SMD = 0.36).
- 虚拟现实显示出降低心率和血压的潜力,但发现异质;没有发现一致的止痛益处.
结论:
- 虚拟现实是心脏外科手术中可行的和安全的辅助疗法.
- 虚拟现实在减少焦虑和提高患者满意度方面显示出有利的,尽管不显著的趋势.
- 需要进一步的大规模RCT来确认VR的临床实用性和生理效应.
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