Gao Yan, Xu Yiwei, Liu Naiquan, Fan Ling
Department of Rehabilitation, Shengjing Hospital of China Medical University, Shenyang, China.
Department of Nursing, Shengjing Hospital of China Medical University, Shenyang, China.
J Adv Nurs. 2023 Jan;79(1):15-30. doi: 10.1111/jan.15473. Epub 2022 Nov 3.
To evaluate the effectiveness of virtual reality (VR) intervention in the management of pain, anxiety and fear in paediatric patients undergoing needle-related procedures.
A systematic review and meta-analysis of randomized controlled trials (RCTs).
A librarian-designed search of the Cochrane Library, PubMed, Web of Science, EMBASE, CINAHL, CBM, CNKI, and Wanfang databases was conducted to identify research articles in English or Chinese on RCTs up to February 28, 2022.
Two researchers independently screened eligible articles. The Cochrane Handbook for Systematic Reviews was used to assess the risk of bias in the included studies. A fixed- or random-effects meta-analysis model was used to determine the pooled mean difference based on the results of the heterogeneity test.
A total of 2269 articles were initially screened. The meta-analysis included data from 27 studies representing 2224 participants. Compared with the non-VR group, the VR intervention group significantly reduced pain, anxiety, and fear in paediatric patients who underwent puncture-related procedures. Subgroup analysis showed that VR has advantages over conventional and other distraction methods.
Paediatric patients undergoing needle-related procedures would benefit from VR interventions for pain, anxiety and fear management.
VR intervention has the potential to reduce pain, anxiety and fear in paediatric patients undergoing puncture-related procedures. Future clinical interventions could incorporate VR into puncture procedures as an effective method to reduce negative emotions in children eligible for VR distractions.
Our paper is a systematic review and meta-analysis and such details don't apply to our work.
评估虚拟现实(VR)干预对接受与针头相关操作的儿科患者疼痛、焦虑和恐惧管理的有效性。
对随机对照试验(RCT)进行系统评价和荟萃分析。
由图书馆员设计检索Cochrane图书馆、PubMed、科学网、EMBASE、CINAHL、CBM、中国知网和万方数据库,以识别截至2022年2月28日关于RCT的英文或中文研究文章。
两名研究人员独立筛选符合条件的文章。使用Cochrane系统评价手册评估纳入研究的偏倚风险。根据异质性检验结果,使用固定效应或随机效应荟萃分析模型确定合并平均差。
初步筛选出共2269篇文章。荟萃分析纳入了来自27项研究的数据,涉及2224名参与者。与非VR组相比,VR干预组显著降低了接受穿刺相关操作的儿科患者的疼痛、焦虑和恐惧。亚组分析表明,VR比传统和其他分心方法具有优势。
接受与针头相关操作的儿科患者将从VR干预的疼痛、焦虑和恐惧管理中受益。
VR干预有可能减轻接受穿刺相关操作的儿科患者的疼痛、焦虑和恐惧。未来的临床干预可以将VR纳入穿刺程序,作为减少适合VR分心的儿童负面情绪的有效方法。
我们的论文是一项系统评价和荟萃分析,此类细节不适用于我们的工作。