基于虚拟现实技术的干预对减轻成人患者术前焦虑效果的Meta分析

doi:10.3761/j.issn.0254-1769.2022.11.005

摘要/Abstract

摘要：

目的探讨虚拟现实（virtual reality,VR）技术对改善成人患者术前焦虑的效果。方法计算机检索PubMed、Embase、Cochrane Library、Web of Science、中国知网、维普数据库和万方数据库,搜集关于虚拟现实技术干预对改善成人患者术前焦虑效果的研究,检索时限均为从建库至2022年2月。由2名评价员独立筛选文献、提取资料和评价纳入研究的质量,采用RevMan 5.4软件进行Meta分析。结果最终纳入12项随机对照试验研究,包括 1 247例患者。Meta分析结果显示,术前基于虚拟现实暴露[SMD=-0.45,95%CI（-0.61,-0.29）, P<0.01]和基于虚拟现实分散注意力干预[SMD=-0.24,95%CI（-0.44,-0.04）,P<0.05]均能够有效缓解成人患者术前焦虑。结论术前基于虚拟现实暴露或分散注意力干预可有效缓解成人患者术前焦虑。

关键词: 虚拟现实, 虚拟现实暴露, 术前焦虑, Meta分析, 护理

Abstract:

Objective To explore the effect of virtual reality（VR） intervention on improving preoperative anxiety of adult patients. Methods We searched PubMed,Embase,Web of Science,Cochrane Library,CNKI,Wanfang Data from the inception to February,2022. There were 2 researchers who independently screened the literature,extracted information. RevMan 5.4 was used to analyze the data after the quality of literature was assessed. Results 12 randomized controlled trials were finally included,with a total of 1247 patients. The results of meta-analysis showed that the preoperative exposure based on VR technology[SMD=-0.45,95%CI（-0.61,-0.29）,P<0.01] and distraction[SMD=-0.24,95%CI（-0.44,-0.04）,P<0.05] could effectively reduce the preoperative anxiety of adult patients. Conclusion The preoperative VR intervention can effectively alleviate the preoperative stress of adult surgical patients by VR distraction or VR exposure.

Key words: Virtual Reality, Virtual Reality Exposure, Preoperative Anxiety, Meta-Analysis, Nursing Care

叶磊, 荣芸, 丁洁芳, 武广红, 夏广惠. 基于虚拟现实技术的干预对减轻成人患者术前焦虑效果的Meta分析[J]. 中华护理杂志, 2022, 57(11): 1310-1317.

YE Lei, RONG Yun, DING Jiefang, WU Guanghong, XIA Guanghui. The effect of virtual reality intervention on improving preoperative anxiety in adult patients：a meta analysis[J]. Chinese Journal of Nursing, 2022, 57(11): 1310-1317.

图/表 6

图1 文献检索流程

Figure 1 Flow diagram of included and excluded studies

表1 纳入研究的基本特征（n=12）

Table 1 Basic characteristics of included studies（n=12）

表2 纳入研究质量评价结果（n=12）

Table 2 Quality evaluation of included studies（n=12）

图2 基于虚拟现实分散注意力缓解患者术前焦虑效果的Meta分析

Figure 2 Forest plot comparing the preoperative anxiety score between the VRD group and the control group

图3 基于虚拟现实暴露缓解患者术前焦虑效果的Meta分析

Figure 3 Forest plot comparing the preoperative anxiety score between the VRE group and the control group

图4 基于虚拟现实暴露缓解术前焦虑效果的亚组Meta分析

Figure 4 Subgroup of the VRE group intervention on improving preoperative anxiety

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