虚拟现实作为减少烧伤和伤口愈合疼痛的方法:系统性审查和元分析
Marina Moreno-Martínez1,2, Artur Dalfó-Pibernat3, Josep Vidal-Alaball1,2
1Unitat de Recerca i Innovació, Gerència d'Atenció Primària i a la Comunitat de la Catalunya Central, Institut Català de la Salut, Soler i March, 6, (08242) Manresa, Spain.
Burns & trauma
|February 12, 2026
概括
虚拟现实显著减少了伤口和烧伤护理期间的疼痛,特别是在儿童中. 这种非药理学方法有望改善患者体验,并需要在成年人群中进行进一步的研究.
科学领域:
- 疼痛管理 疼痛管理
- 虚拟现实应用 虚拟现实应用
- 伤口护理 伤口护理
背景情况:
- 烧伤和伤口会引起严重的痛苦,疼痛会阻碍恢复.
- 传统的疼痛管理有副作用和依赖等风险.
- 虚拟现实 (VR) 提供了一种非侵入性的,基于分心的方法来调节感官输入并减少疼痛.
研究的目的:
- 系统地审查和分析VR在伤口和烧伤护理过程中治疗疼痛的有效性.
- 将VR干预与标准护理或其他分心技术进行比较.
主要方法:
- 按照PRISMA指南进行系统审查和元分析.
- 搜索了PubMed,科学网,斯科普斯和科克兰图书馆 (2025年3月).
- 包括随机对照试验 (RCT);使用随机效应模型分析疼痛结果和生理指标.
主要成果:
- 十一项研究 (n=936) 显示VR显著减少疼痛 (g=-1.528),表明中度至大效应.
- VR在儿童 (g=-2.348) 中最有效,其次是青少年 (g=-0.538);成人疗效无意义 (g=-1.453).
- 高异质性 (I2=95.5%) 归因于年龄差异;没有发现显著的出版偏差.
结论:
- 虚拟现实是减少儿科伤口和烧伤护理过程疼痛的有希望的工具.
- 在青少年中有效性适度,在成年人中不确定的.
- 由于其非药理性质,建议进一步针对年龄的研究和在伤口护理环境中更广泛的实施.
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