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虚拟手术室参观对缓解成年患者围手术期焦虑的影响:系统评价。

Impact of Virtual Operating Room Tours on Relieving Perioperative Anxiety in Adult Patients: A Systematic Review.

机构信息

Operating Room, Peking University Shenzhen Hospital, Shenzhen, Guangdong Province, China.

Operating Room, Peking University Shenzhen Hospital, Shenzhen, Guangdong Province, China.

出版信息

J Perianesth Nurs. 2023 Aug;38(4):657-663.e7. doi: 10.1016/j.jopan.2022.11.013. Epub 2023 Jan 23.

Abstract

PURPOSE

To evaluate the effects of virtual operating room tours on perioperative anxiety in adult patients.

DESIGN

This study was a systematic review of randomized controlled trials (RCTs).

METHODS

PubMed, Cochrane Library, Embase, Web of Science, Proquest, Scopus, SinoMed, CNKI, and WanFang were systematically searched for English and Chinese RCTs published up to November 18, 2021, for studies on the effectiveness of virtual operating room tours in reducing perioperative anxiety in adult patients (>18 years of age). Primary and secondary outcomes were perioperative anxiety levels and understanding level of perioperative information and patient satisfaction, respectively. The data were synthesized using a qualitative method.

FINDINGS

Five studies were found eligible for inclusion; 3 studies showed a significant decrease in perioperative anxiety levels in patients of the virtual operating room tours group. Furthermore, the overall satisfaction, understanding of perioperative information, and preoperative preparedness were significantly enhanced respectively in 3 studies.

CONCLUSIONS

This study showed the effectiveness of virtual operating room tour on alleviating perioperative anxiety on adult patients. Furthermore, the satisfaction and understanding of perioperative information in intervention group improved owing to these tours. Future quantitative studies are needed to support these findings.

摘要

目的

评估虚拟手术室参观对成年患者围手术期焦虑的影响。

设计

这是一项随机对照试验(RCT)的系统评价。

方法

系统检索了 PubMed、Cochrane 图书馆、Embase、Web of Science、Proquest、Scopus、SinoMed、CNKI 和万方数据库,检索时间截至 2021 年 11 月 18 日,收集有关虚拟手术室参观对成年患者(>18 岁)围手术期焦虑影响的 RCT 研究。主要结局指标为围手术期焦虑水平,次要结局指标为围手术期信息理解程度和患者满意度。采用定性方法对数据进行综合分析。

结果

共纳入 5 项研究,其中 3 项研究显示虚拟手术室参观组患者的围手术期焦虑水平显著降低。此外,有 3 项研究的总体满意度、围手术期信息理解程度和术前准备情况均显著提高。

结论

本研究表明,虚拟手术室参观对缓解成年患者围手术期焦虑有效,并且由于这些参观,干预组的满意度和围手术期信息理解程度得到提高。需要进一步的定量研究来支持这些发现。

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